NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a history of chronic venous insufficiency is admitted with complaints of leg swelling. The nurse should give priority to:
Correct Answer: A
Rationale: Elevating the legs reduces venous pooling and edema in chronic venous insufficiency, improving circulation and relieving swelling.
Question 2 of 5
A couple is planning the conception of their first child. The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:
Correct Answer: C
Rationale: Ovulation occurs 14 ± 2 days before the next menses; in a 34-day cycle, this is day 20 ± 2.
Question 3 of 5
A client with a history of a stroke is receiving speech therapy. The nurse should:
Correct Answer: C
Rationale: A quiet environment reduces distractions, aiding speech therapy post-stroke. Loud speech, complex sentences, and limiting sessions are unhelpful.
Question 4 of 5
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal heart tones detectable by Doppler around 10-12 weeks and consistently by 20 weeks are the most definitive sign of pregnancy. HCG uterine enlargement and breast changes are presumptive or probable signs.
Question 5 of 5
A 52-year-old client's abdominal aortic aneurysm ruptured. She received rapid massive blood transfusions for bleeding. One potential complication of blood administration for which she is especially at risk is:
Correct Answer: C
Rationale: Massive transfusions can cause hypocalcemia due to citrate in stored blood binding with calcium, especially in rapid transfusions.