NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with a history of a thyroidectomy is receiving Synthroid (levothyroxine). The nurse should teach the client to:
Correct Answer: D
Rationale: Palpitations may indicate levothyroxine overdose, requiring medical attention. It’s taken in the morning, iodine foods are not an issue, and weight loss (not gain) is more common.
Question 2 of 5
The client is admitted with a diagnosis of ectopic pregnancy. Which symptom is most characteristic of this condition?
Correct Answer: A
Rationale: Ectopic pregnancy often presents with sudden sharp abdominal pain due to tubal stretching or rupture. Painless bleeding is more typical of placenta previa and fever or edema are not characteristic.
Question 3 of 5
A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:
Correct Answer: C
Rationale: This nursing action may cause hyperventilation. This nursing action could cause inferior vena cava syndrome. The client is allowed to push only after complete dilation during the second stage of labor. The nurse needs to know the stages of labor. If the client pushes before dilation, it could cause cervical edema and/or edema to the fetal scalp; both of these could contribute to increased risk of complications.
Question 4 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which symptom is most characteristic?
Correct Answer: A
Rationale: Placenta previa causes painless vaginal bleeding due to the placenta covering the cervix. Painful bleeding suggests abruptio placenta and fetal heart rate or fever are not specific to previa.
Question 5 of 5
The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?
Correct Answer: B
Rationale: Urinary output of 20 mL/hour is below the expected minimum of 30 mL/hour, indicating potential renal compromise or hypoperfusion, common risks after aneurysm repair. This requires further investigation. The other findings are within acceptable post-operative ranges.