NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The client is admitted with a suspected pulmonary embolism. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: B
Rationale: A pulmonary angiogram is the gold standard for confirming pulmonary embolism, directly visualizing blockages in pulmonary arteries. Chest X-ray, ABGs, and ECG may support the diagnosis but are less specific.
Question 2 of 5
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
Correct Answer: A
Rationale: Footling breech presentation carries a high risk of cord prolapse and is typically delivered by Caesarean section to ensure fetal safety. Internal monitoring or genupectoral positioning are not appropriate and ultrasound is unnecessary if the presentation is confirmed.
Question 3 of 5
Which statement is true regarding a patient with a Sengstaken-Blakemore tube?
Correct Answer: D
Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding. Scissors must be kept at the bedside to cut the tube in case of airway obstruction from balloon migration. The gastric balloon (not esophageal) controls bleeding the tube has three lumens and esophageal balloon pressure is typically 20-25 mmHg.
Question 4 of 5
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:
Correct Answer: D
Rationale: Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery.
Question 5 of 5
A client with a history of a thyroidectomy is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes symptoms like tingling or tetany, requiring monitoring. Iodine foods, bedtime dosing, and fluid limits are not primary concerns.