NCLEX-RN
NCLEX Practice Test RN Questions
Extract:
Question 1 of 5
A client is being admitted to the labor and delivery unit. She has had previous admissions for 'false labor.' Which clinical manifestation would be most indicative of true labor?
Correct Answer: B
Rationale: Contractions of true labor produce progressive cervical effacement and dilatation.
Question 2 of 5
A pregnant client continues to visit the clinic regularly during her pregnancy. During one of her visits while lying supine on the examining table, she tells the RN that she is becoming light-headed. The RN notices that the client has pallor in her face and is perspiring profusely. The first intervention the RN should initiate is to:
Correct Answer: D
Rationale: This position would cause the gravid uterus to bear the increased pressure of the vena cava, which could lead to maternal hypotension, in turn causing the client to continue to have pallor and to feel light-headed. This would not be the first intervention the RN should initiate. The RN should understand the supine position and its effect on the gravid uterus and vena cava. The RN's first intervention should be one that helps to alleviate the client's symptoms. Obtaining her vital signs will not alleviate her symptoms. This would move the gravid uterus off of the client's vena cava, which would alleviate the maternal hypotension that is the cause of her symptoms.
Question 3 of 5
Before completing a nursing diagnosis, the nurse must first:
Correct Answer: B
Rationale: Assessment is the first step of nursing process.
Question 4 of 5
A hyperactive client is experiencing flight of ideas. The most therapeutic activity for him would be:
Correct Answer: D
Rationale: This activity would allow the client to channel his energy in a positive way, suitable for his hyperactive state and limited attention span.
Question 5 of 5
The pediatric nurse charts that the parents of a 4-year-old child are very anxious. Which observation would indicate to the nurse unhealthy coping by these parents:
Correct Answer: D
Rationale: (A, B,
C) These methods are healthy ways of dealing with anxiety. Participation minimizes feelings of helplessness and powerlessness. It is important that parents have accurate information and that they seek support from sources available to them.