NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to:
Correct Answer: A
Rationale: Vaginal bleeding in labor requires immediate assessment of fetal heart tones to evaluate fetal well-being.
Question 2 of 5
A client states that he takes five grains of aspirin daily, but the hospital issues aspirin in milligrams. How many milligrams are approximately equivalent to five grains of aspirin?
Correct Answer: C
Rationale: One grain of aspirin is approximately 65 mg, so five grains = 5 X 65 = 325 mg (
C).
Question 3 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 4 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which of the following findings would the nurse expect?
Correct Answer: D
Rationale: decreased oxygen saturation is a common finding in pulmonary embolism due to impaired gas exchange
Question 5 of 5
A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT
Correct Answer: C
Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.