NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a history of deep vein thrombosis is admitted with complaints of leg pain. The nurse should give priority to:
Correct Answer: A
Rationale: Anticoagulants prevent clot progression in deep vein thrombosis, making them the priority to reduce the risk of pulmonary embolism.
Question 2 of 5
The client is admitted with a diagnosis of ectopic pregnancy. Which laboratory test is most likely to be ordered?
Correct Answer: A
Rationale: Serum hCG levels are critical in ectopic pregnancy to monitor abnormal doubling patterns aiding diagnosis. CBC and urinalysis may be ordered for general assessment but are less specific.
Question 3 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which symptom is most likely to be present?
Correct Answer: A
Rationale: Ectopic pregnancy causes sudden abdominal pain from tubal stretching or rupture. Painless bleeding is more typical of placenta previa fetal heart tones are absent and fever is not common.
Question 4 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).
Question 5 of 5
Which one of the following lab tests should be done periodically if the client is being maintained on warfarin sodium (Coumadin)?
Correct Answer: A
Rationale: Warfarin’s anticoagulant effect is monitored by INR (derived from prothrombin time), but periodic platelet counts are also checked to assess for thrombocytopenia, a potential side effect. White cell, neutrophil, and basophil counts are less relevant.