NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
The client is admitted with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
Correct Answer: A
Rationale: Troponin is the most specific and sensitive marker for myocardial infarction, as it is released during cardiac muscle damage and remains elevated for days. CK, myoglobin, and LDH are less specific.
Question 3 of 5
A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?
Correct Answer: A
Rationale: Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. Milk interferes with the absorption of tetracyclines. Children older than 9 years or past the tooth development stage may be given tetracycline. Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.
Question 4 of 5
The most commonly known vectors of Lyme disease are:
Correct Answer: C
Rationale: Mites are not the common vector of Lyme disease. Fleas are not the common vector of Lyme disease. Ticks are the common vector of Lyme disease. Mosquitoes are not the common vector of Lyme disease.
Question 5 of 5
A client with a history of chronic back pain is admitted with complaints of muscle spasms. The nurse should give priority to:
Correct Answer: A
Rationale: Muscle relaxants relieve spasms in chronic back pain, improving comfort and mobility.