NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:
Correct Answer: D
Rationale: Severe hypertension (180/96) poses a risk to fetal well-being, prioritizing fetal heart tone assessment.
Question 2 of 5
The nurse is assisting the physician with removalCus of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
Correct Answer: C
Rationale: Taking slow, deep breaths during central venous catheter removal minimizes the risk of air embolism.
Question 3 of 5
The nurse is caring for a client with a history of schizophrenia, alcohol abuse, bipolar disorder, and noncompliance with treatment and medications. The client has also been arrested in the past for violent behavior. Which action by the nurse is the most important when caring for a potentially violent client?
Correct Answer: B
Rationale: Maintaining an open pathway to the door ensures the nurse’s safety if the client becomes violent, prioritizing personal safety.
Question 4 of 5
Lochia serosa usually is evident on days 4 to 10 postpartum. When teaching the client about postpartum care, how should the nurse describe lochia serosa?
Correct Answer: C
Rationale: Lochia serosa, days 4-10 postpartum, is pinkish to brownish (
C) due to decreased blood and increased serous fluid. Dark red (
A) is lochia rubra, yellowish (
B) or clear (
D) are not typical.
Question 5 of 5
The initial assessment of a newborn reveals a chest circumference of 34 cm and an abdominal circumference of 31 cm. The chest is asymmetrical and breath sounds are diminished on the left side. The nurse should give priority to:
Correct Answer: A
Rationale: Diminished breath sounds and chest asymmetry suggest a respiratory issue, such as pneumothorax, requiring immediate supplemental oxygen.