NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:
Correct Answer: C
Rationale: Bulimia is characterized by binge eating followed by purging, such as self-induced vomiting, leading to significant weight loss.
Question 2 of 5
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:
Correct Answer: C
Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.
Question 3 of 5
The mother of a 7-year-old mental health center client reports that the client has refused to attend gymnastics for the past 2 weeks. Prior to that time, the child liked going to this class and was attending 3 times a week. In talking with the client, the nurse would:
Correct Answer: B
Rationale: Asking 'why' questions may put the child on the defensive and may not elicit useful information, especially in a young child who may struggle to articulate reasons. This approach is open-ended and encourages the child to describe her experiences in a non-confrontational way, which may reveal underlying issues while building trust. This question is too specific and may feel confrontational, potentially causing the child to shut down. While encouraging expression of feelings is appropriate, it is less specific and may not help uncover the specific event or change that led to her refusal to attend.
Question 4 of 5
The best diagnostic test for treponema pallidum is:
Correct Answer: C
Rationale: The fluorescent treponemal antibody (FT
A) test is the most specific and sensitive for detecting Treponema pallidum (syphilis). VDRL and RPR are non-treponemal tests used for screening and Thayer-Martin culture is for gonorrhea.
Question 5 of 5
The blood alcohol concentration of a client admitted following a motor vehicle accident is 460 mg/dL. The nurse should give priority to monitoring the client for:
Correct Answer: B
Rationale: A blood alcohol level of 460 mg/dL (0.46%) is life-threatening and can cause respiratory depression, a critical concern requiring close monitoring. Coordination loss and tachycardia are less immediate.