NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which symptom is most likely to be present?
Correct Answer: A
Rationale: Ectopic pregnancy causes sudden abdominal pain from tubal stretching or rupture. Painless bleeding is more typical of placenta previa fetal heart tones are absent and fever is not common.
Question 2 of 5
A client with a hemorrhagic stroke has a temperature of 103°F. Efforts to reduce the temperature have not been effective. The most likely explanation for the elevated temperature is that damage has occurred to the:
Correct Answer: A
Rationale: The hypothalamus regulates body temperature. Damage from a hemorrhagic stroke can impair this function, leading to persistent hyperthermia. The pituitary manages hormones, carotid baroreceptors regulate blood pressure, and the frontal lobe controls behavior, none of which directly affect temperature.
Question 3 of 5
A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which client statement?
Correct Answer: C
Rationale: HIV is not easily transmitted by casual contact.
Question 4 of 5
A client with a history of heart failure is admitted with shortness of breath and leg edema. Which medication would the nurse expect to administer?
Correct Answer: B
Rationale: Furosemide, a diuretic, reduces fluid overload in heart failure, relieving shortness of breath and edema. Metoprolol (
A) manages heart rate, Warfarin (
C) prevents clots, and Atorvastatin (
D) lowers cholesterol, but none address fluid directly.
Question 5 of 5
The physician has made a diagnosis of 'shaken child' syndrome for a 13-month-old who was brought to the emergency room after a reported fall from his highchair. Which finding supports the diagnosis of 'shaken child' syndrome?
Correct Answer: C
Rationale: Retinal hemorrhages are a hallmark of shaken baby syndrome due to rapid acceleration-deceleration forces damaging retinal vessels. Fractures and bruising are less specific.