NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of ectopic pregnancy. Which laboratory test is most likely to be ordered?
Correct Answer: A
Rationale: Serum hCG levels are critical in ectopic pregnancy to monitor abnormal doubling patterns aiding diagnosis. CBC and urinalysis may be ordered for general assessment but are less specific.
Question 2 of 5
A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mother has asked to breastfeed her following delivery. Immediately after birth, the neonate was most susceptible to heat loss. The most appropriate intervention to conserve heat loss and promote bonding is to:
Correct Answer: C
Rationale: A radiant warmer maintains an optimal thermal environment by use of a thermal skin sensor taped to the infant. The warmer limits parental attachment, so, although appropriate, it is not an intervention that promotes infant attachment. Warmed blankets prevent heat loss in the neonate by conduction. In addition, tactile stimuli promote crying and lung expansion. This intervention does not promote attachment, however. Skin-to-skin contact is an effective way to conserve heat after delivery and promotes parental attachment following birth in the healthy term infant. The first period of reactivity lasts approximately 30 minutes following birth. A strong sucking reflex and an active, awake newborn characterize this period. Surfaces of objects warmer than the infant promote overheating by conduction, and neonatal hyperthermia may result.
Question 3 of 5
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal heart tones detectable by Doppler around 10-12 weeks and consistently by 20 weeks are the most definitive sign of pregnancy. HCG uterine enlargement and breast changes are presumptive or probable signs.
Question 4 of 5
The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:
Correct Answer: C
Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.
Question 5 of 5
A client with a history of deep vein thrombosis is admitted with complaints of leg pain. The nurse should give priority to:
Correct Answer: A
Rationale: Anticoagulants prevent clot progression in deep vein thrombosis, making them the priority to reduce the risk of pulmonary embolism.