NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:
Correct Answer: B
Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.
Question 2 of 5
As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.
Question 3 of 5
The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:
Correct Answer: C
Rationale: Assuming a wide, regular, rapid rhythm (common in critical scenarios), ventricular tachycardia is the most likely arrhythmia, requiring immediate intervention.
Question 4 of 5
A woman with hypothyroidism has been taking levothyroxine (Synthroid) for 5 years. She has just been prescribed warfarin (Coumadin). The nurse immediately calls the health care provider to review these orders and anticipates the physician will
Correct Answer: A
Rationale: Levothyroxine increases warfarin’s anticoagulant effect, raising bleeding risk. The physician will likely order lab work (e.g., INR) to monitor and adjust warfarin dosing.
Question 5 of 5
In terms of cognitive development, a 2-year-old would be expected to:
Correct Answer: B
Rationale: A 2-year-old engages in magical thinking, believing their thoughts or actions can influence events, typical of their egocentric developmental stage.