NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of multiple miscarriages. Which diagnostic test is most likely to be ordered?
Correct Answer: C
Rationale: A hysterosalpingogram evaluates the uterine cavity and fallopian tubes for abnormalities (e.g. septum fibroids) that may cause recurrent miscarriages. Amniocentesis assesses fetal genetics Kleihauer-Betke detects fetal blood and non-stress tests monitor fetal well-being.
Question 2 of 5
Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous system side effects?
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy by depleting vitamin B6 (pyridoxine), so supplemental pyridoxine is given to prevent this side effect.
Question 3 of 5
Place in sequence the correct method of removal of contaminated personal protective equipment.
Correct Answer: B, C, D, A
Rationale:
To remove PPE safely: First, remove gloves (
B) to avoid contaminating hands. Next, remove the gown (
C) by pulling it away from the body.
Then, remove eyewear (
D) by handling the sides. Finally, remove the mask (
A) by touching only the ties to prevent respiratory exposure.
Question 4 of 5
Which of the following ECG changes would be seen as a positive myocardial stress test response?
Correct Answer: C
Rationale: Hyperacute T waves occur with hyperkalemia. Prolongation of the PR interval occurs with first-degree AV block. Horizontal ST-segment depression of >1 mm during exercise is definitely a positive criterion on the exercise ECG test. Pathological Q waves occur with MI.
Question 5 of 5
The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?
Correct Answer: B
Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.