NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
A client with hepatitis C is scheduled for a liver biopsy. Which would the nurse include in the teaching plan for this client?
Correct Answer: C
Rationale: Coagulation studies are essential before a liver biopsy to assess bleeding risk, especially in hepatitis C patients with potential liver dysfunction. Lying on the left side (
A) is incorrect (right side is standard), enemas (
B) are not needed, and the procedure is invasive and painful (
D).
Question 3 of 5
The client is admitted with a suspected pulmonary embolism. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: B
Rationale: A pulmonary angiogram is the gold standard for confirming pulmonary embolism, directly visualizing blockages in pulmonary arteries. Chest X-ray, ABGs, and ECG may support the diagnosis but are less specific.
Question 4 of 5
The physician has made a diagnosis of 'shaken child' syndrome for a 13-month-old who was brought to the emergency room after a reported fall from his highchair. Which finding supports the diagnosis of 'shaken child' syndrome?
Correct Answer: C
Rationale: Retinal hemorrhages are a hallmark of shaken baby syndrome due to rapid acceleration-deceleration forces damaging retinal vessels. Fractures and bruising are less specific.
Question 5 of 5
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?
Correct Answer: D
Rationale: Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. Lochia granulosa is not a proper classification. Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.