NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of placenta previa. Which diagnostic test is most likely to be ordered?
Correct Answer: A
Rationale: Ultrasound is the primary test for diagnosing placenta previa visualizing the placenta’s position relative to the cervix. Fetal fibronectin amniocentesis and non-stress tests are not used for this diagnosis.
Question 2 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Alteplase (Activase). The nurse should:
Correct Answer: A
Rationale: Alteplase, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. Vitamin K, glucose, and fluid restriction are unrelated.
Question 3 of 5
A client with a history of stroke is admitted with complaints of dysphagia. The nurse should give priority to:
Correct Answer: A
Rationale: Dysphagia post-stroke increases aspiration risk, so assessing swallowing ability is critical to prevent complications like pneumonia.
Question 4 of 5
A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:
Correct Answer: B
Rationale: There are no indications that the client's thoughts reflect special powers or talents characteristic of grandiosity. The client's thought content is fixed, false, persecutory, and suspicious in nature, which is characteristic of paranoid delusions. (C,
D) The client is not demonstrating a sensory experience.
Question 5 of 5
A client with a history of seizures is prescribed levetiracetam (Keppra). Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Stopping levetiracetam abruptly (
B) can trigger seizures, indicating a need for further teaching. Consistent timing (
A), reporting mood changes (
C), and avoiding alcohol (
D) are correct.