NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
Correct Answer: A
Rationale: Footling breech presentation carries a high risk of cord prolapse and is typically delivered by Caesarean section to ensure fetal safety. Internal monitoring or genupectoral positioning are not appropriate and ultrasound is unnecessary if the presentation is confirmed.
Question 2 of 5
An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant?
Correct Answer: B
Rationale: (A, C,
D) These answers are incorrect. Normal fluid requirement for this pediatric client is based on the fact that 0-10 kg of weight equals 100 mL/kg per day. This infant weighs 15 pounds (6.8 kg). Thus, 100 mL × 6.8 = 680 mL/day.
Question 3 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which diagnostic test is most appropriate?
Correct Answer: C
Rationale: Ultrasound confirms the ectopic pregnancy’s location and serum hCG levels show abnormal doubling patterns. Both tests are critical for diagnosis.
Question 4 of 5
The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?
Correct Answer: B
Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.
Question 5 of 5
During the intake assessment,a client reports that she has a painful blister on the labia. The client's symptoms are likely the result of infection with:
Correct Answer: B
Rationale: Herpes simplex virus type II (HSV-II) typically causes painful blisters or vesicles on the genitalia such as the labia. Syphilis causes painless chancres gonorrhea causes discharge and condylomata (HPV-related warts) are usually painless.