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
The most commonly known vectors of Lyme disease are:
Correct Answer: C
Rationale: Mites are not the common vector of Lyme disease. Fleas are not the common vector of Lyme disease. Ticks are the common vector of Lyme disease. Mosquitoes are not the common vector of Lyme disease.
Question 3 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing. Which statement indicates understanding?
Correct Answer: B
Rationale: Pursed-lip breathing involves slow exhalation through pursed lips to prolong exhalation and reduce air trapping in COPD. Quick inhalation (
A), breath-holding (
C), and rapid breathing (
D) are incorrect.
Question 4 of 5
The nurse is assessing the circulation of a patient in a long leg cast. Which of the following assessments indicate adequate circulation to the extremity?
Correct Answer: D
Rationale: Brisk capillary refill of less than three seconds indicates adequate blood flow to the extremity as it shows that blood is returning quickly to the capillaries after compression. While the other options (no pain toe movement and sensation) are positive signs they do not directly assess circulation as effectively as capillary refill.
Question 5 of 5
A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:
Correct Answer: B
Rationale: A nasogastric tube post-laryngectomy decompresses the stomach, preventing vomiting and aspiration, which could stress the surgical site. Swelling, contamination, and mucosa healing are secondary.