NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The best diagnostic test for treponema pallidum is:
Correct Answer: C
Rationale: The fluorescent treponemal antibody (FT
A) test is the most specific and sensitive for detecting Treponema pallidum (syphilis). VDRL and RPR are non-treponemal tests used for screening and Thayer-Martin culture is for gonorrhea.
Question 2 of 5
The nurse is caring for a client post-appendectomy. Which finding requires immediate intervention?
Correct Answer: B
Rationale: A temperature of 101.5°F post-appendectomy suggests infection (e.g., abscess), requiring immediate intervention. Pain (
A), serous drainage (
C), and absent bowel sounds (
D) are expected initially.
Question 3 of 5
The client at 28 weeks gestation is admitted with a diagnosis of preterm labor. The physician orders a non-stress test. The nurse should explain to the client that this test is used to:
Correct Answer: C
Rationale: A non-stress test (NST) evaluates fetal well-being by monitoring fetal heart rate accelerations in response to movement. It does not assess lung maturity contractions or maternal hypertension.
Question 4 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving Tamoxifen (Nolvadex). The nurse should teach the client to:
Correct Answer: A
Rationale: Tamoxifen increases the risk of endometrial cancer, so vaginal bleeding must be reported immediately. Sun exposure, caffeine, and fluid intake are not primary concerns.
Question 5 of 5
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:
Correct Answer: C
Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.