NCLEX RN Predictor Exam

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Question 1 of 5.

A pregnant woman at 36 weeks' gestation is followed for PIH and develops proteinuria. To increase protein in her diet, which of the following foods will provide the greatest amount of protein when added to her intake of 100 mL of milk?

A. Fifty milliliters light cream and 2 tbsp corn syrup

B. Thirty grams powdered skim milk and 1 egg

C. One small scoop (90 g) vanilla ice cream and 1 tbsp chocolate syrup

D. One package vitamin-fortified gelatin drink

Explanation: This choice would provide more unwanted fat and sugar than protein. Skim milk would add protein. Eggs are good sources of protein while low in fat and calories. The benefit of protein from ice cream would be outweighed by the fat content. Chocolate syrup has caffeine, which is contraindicated or limited in pregnancy. Although most animal proteins are higher in protein than plant proteins, gelatin is not. It loses protein during the processing for food consumption.

Question 2 of 5.

A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?

A. Resting tremors

B. Double vision

C. Flaccid paralysis

D. Pill-rolling tremors

Explanation: Double vision (diplopia) is a common early symptom of multiple sclerosis due to demyelination affecting the optic nerves or brainstem.

Question 3 of 5.

A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:

A. Draw a man in six parts

B. Give his first and last name

C. Dress without supervision

D. Define a list of words

Explanation: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.

Question 4 of 5.

Parents of a toddler are dismayed when they learn that their child has Duchenne's muscular dystrophy. Which statement describes the inheritance pattern of the disorder?

A. An affected gene is located on one of the 21 pairs of autosomes.

B. The disorder is caused by an over-replication of the X chromosome in males.

C. The affected gene is located on the Y chromosome of the father.

D. The affected gene is located on the X chromosome of the mother.

Explanation: Duchenne's muscular dystrophy is an X-linked recessive disorder, with the affected gene on the mother's X chromosome, primarily affecting males.

Question 5 of 5.

The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?

A. Increased pulse rate

B. Increased urinary output

C. Decreased diastolic blood pressure

D. Increased pupil size

Explanation: Mannitol is an osmotic diuretic that reduces intracranial pressure by increasing urinary output, drawing fluid from the brain.

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