NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of molar pregnancy. Which diagnostic test is most appropriate?
Correct Answer: C
Rationale: Ultrasound reveals the characteristic “snowstorm” pattern of molar pregnancy and elevated serum hCG levels confirm the diagnosis. Both tests are essential.
Question 2 of 5
The nurse is caring for a client with a history of a pulmonary embolism. The client is receiving Heparin. The nurse should monitor the client for:
Correct Answer: A
Rationale: Heparin, an anticoagulant, increases bleeding risk, including bleeding gums. Hypertension, tachypnea, and fever are not directly related to heparin therapy.
Question 3 of 5
A female client with major depression stated that 'life is hopeless and not worth living.' The nurse should place highest priority on which of the following questions?
Correct Answer: B
Rationale: Maintenance of the client's life is the priority; assessment of suicidal intent is imperative.
Question 4 of 5
A client with a history of rheumatoid arthritis is admitted with complaints of fatigue. The nurse should give priority to:
Correct Answer: A
Rationale: Fatigue in rheumatoid arthritis may indicate anemia of chronic disease, so monitoring for anemia is the priority.
Question 5 of 5
A client with AIDS has a viral load of 200 copies per mL. The nurse should interpret this finding as:
Correct Answer: C
Rationale: A viral load of 200 copies per mL is very low indicating effective antiretroviral therapy and minimal circulating virus. It does not directly assess opportunistic disease risk communicability or T-cell count.