NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 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 2 of 5
The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupus. The client states, 'I get them whenever I bump into anything.' The nurse would expect to note a decrease in which of the following laboratory tests?
Correct Answer: A
Rationale: Thrombocytopenia, a decrease in platelets, occurs in lupus and causes a decrease in blood coagulation and thrombus formation. Clients with lupus will have a decrease in the WBC count decreasing their resistance to infection. Clients with lupus may have a decrease in the hemoglobin level causing anemia. Leukopenia, a decrease in white blood cells, is seen in lupus and decreases resistance to infection.
Question 3 of 5
The nurse is caring for a client with a history of silicosis. The nurse should give priority to assessing the:
Correct Answer: C
Rationale: Silicosis is a lung disease caused by inhaling silica dust, leading to fibrosis and impaired gas exchange, so assessing respiratory status is the priority.
Question 4 of 5
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?
Correct Answer: D
Rationale: Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. Lochia granulosa is not a proper classification. Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.
Question 5 of 5
The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which intervention is most appropriate?
Correct Answer: A
Rationale: Ectopic pregnancy requires surgical intervention (e.g. salpingectomy) or medical management (e.g. methotrexate) to remove the non-viable pregnancy.
Tocolytics fetal monitoring and antibiotics are not appropriate.