NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:
Correct Answer: B
Rationale: This answer is incorrect. Encouraging discussion of the voices will reinforce the delusion. This answer is correct. The nurse should appropriately present reality. This answer is incorrect. Showing interest would reinforce the delusional system. This answer is incorrect. The statement only indicates that the client is hearing voices. It does not state that the client is acting out.
Question 2 of 5
A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:
Correct Answer: B
Rationale: An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding. A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. A missed abortion occurs when the embryo dies in utero and is retained in the uterus.
Question 3 of 5
The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?
Correct Answer: A
Rationale: Rectal itching especially at night is the hallmark symptom of enterobiasis (pinworms) due to egg-laying by female worms. Nausea oral ulcerations and scalp itching are not associated with this condition.
Question 4 of 5
The nurse is caring for a client with a history of a fractured rib. The client complains of sharp chest pain. The nurse should:
Correct Answer: D
Rationale: Sharp chest pain with a fractured rib may indicate complications like pneumothorax, requiring immediate physician notification. Compresses, breathing, and ibuprofen are insufficient.
Question 5 of 5
The client is admitted to the family-planning clinic with a desire to use a diaphragm as her method of contraception. Which instructions should be included in the teaching plan?
Correct Answer: B, E
Rationale: Diaphragms require contraceptive gel (
B) for efficacy and must remain in place 6 hours post-intercourse (E). Hot water (
A) may damage the diaphragm; douching (
C) is discouraged; resizing occurs every 2 years or after weight changes (
D).