NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which physician order should the nurse question?
Correct Answer: B
Rationale: The Kleihauer-Betke test detects fetal blood in maternal circulation typically used in trauma or Rh sensitization not placenta previa. Fetal monitoring , CBC , and IV fluids are appropriate for managing placenta previa which involves painless vaginal bleeding.
Question 2 of 5
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal heart tones detectable by Doppler around 10-12 weeks and consistently by 20 weeks are the most definitive sign of pregnancy. HCG uterine enlargement and breast changes are presumptive or probable signs.
Question 3 of 5
A client with a history of a stroke is receiving speech therapy. The nurse should:
Correct Answer: C
Rationale: A quiet environment reduces distractions, aiding speech therapy post-stroke. Loud speech, complex sentences, and limiting sessions are unhelpful.
Question 4 of 5
A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.
Question 5 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which oxygen delivery method is most appropriate?
Correct Answer: A
Rationale: A nasal cannula at 2 L/min is appropriate for COPD to maintain oxygenation without suppressing the hypoxic respiratory drive. Higher flow rates or masks risk hypercapnia.