NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?
Correct Answer: C
Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.
Question 2 of 5
A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:
Correct Answer: C
Rationale: Acarbose delays carbohydrate absorption and should be taken with the first bite of a meal to be effective. Taking it before, after, or at bedtime is less effective.
Question 3 of 5
A client with a history of polycystic kidney disease has an order for an indwelling catheter. The nurse should give priority to:
Correct Answer: A
Rationale: Sterile technique during catheter insertion is critical in polycystic kidney disease to prevent urinary tract infections, which can worsen renal function. Bag position and clamping are secondary.
Question 4 of 5
The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: Avoiding allergens reduces symptoms in allergic rhinitis, such as sneezing and nasal congestion.
Question 5 of 5
As the client reaches 6cm dilation,the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency where reduced placental blood flow during contractions causes fetal hypoxia. Cord compression causes variable decelerations head compression causes early decelerations and sleep does not cause decelerations.