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
The nurse is caring for a client with a history of a fractured rib. The client complains of sharp chest pain. The nurse should:
Correct Answer: D
Rationale: Sharp chest pain with a fractured rib may indicate complications like pneumothorax, requiring immediate physician notification. Compresses, breathing, and ibuprofen are insufficient.
Question 3 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which intervention is most appropriate?
Correct Answer: A
Rationale: Ectopic pregnancy requires surgical intervention (e.g. salpingectomy) or medical management (e.g. methotrexate) to remove the non-viable pregnancy.
Tocolytics fetal monitoring and antibiotics are not appropriate.
Question 4 of 5
When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?
Correct Answer: C
Rationale: Avoiding alcohol entirely, as indicated by attending AA meetings, shows understanding of preventing pancreatitis, which is often triggered by alcohol consumption.
Question 5 of 5
The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?
Correct Answer: A
Rationale: Rectal itching especially at night is the hallmark symptom of enterobiasis (pinworms) due to egg-laying by female worms. Nausea oral ulcerations and scalp itching are not associated with this condition.