NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A 20-year-old woman who has been laboring at home for several hours has been admitted to the labor and delivery unit at the hospital. The nurse has come in to assess her progress. Which of the following is indicative of being in the active phase of labor?
Correct Answer: A
Rationale: The active phase of labor involves cervical dilation of 4-7 cm with contractions 3-5 minutes apart lasting 40-60 seconds. Option A fits this description.
Question 2 of 5
An RN is in charge of a team on a medical/surgical unit that includes an LPN. The RN understands that which of the following is an activity that falls within the scope of practice of an LPN?
Correct Answer: C
Rationale: Administering oral medications is within the LPN’s scope of practice, while contacting physicians, formulating diagnoses, and collaborating on discharge plans are RN responsibilities.
Question 3 of 5
The unit manager believes that each member of the care team should have input regarding unit goals and problem solving techniques. The manager is concerned for each individual member and serves primarily as a resource person for the unit. The unit nurse understands that this style of leadership is which of the following?
Correct Answer: C
Rationale: Democratic leadership involves team input and resource support, aligning with the manager’s described style.
Question 4 of 5
A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?
Correct Answer: D
Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.
Question 5 of 5
The nurse is caring for a client with a closed head injury. A late sign of increased intracranial pressure is:
Correct Answer: A
Rationale: Changes in pupil equality and reactivity are late signs of increased intracranial pressure, indicating neurological deterioration.