NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal heart sounds are best auscultated just:
Correct Answer: A
Rationale: In LOA, the fetus's back is on the mother's left anterior side, so fetal heart sounds are best heard below the umbilicus on the left.
Question 2 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Warfarin (Coumadin). The nurse should monitor the client for:
Correct Answer: A
Rationale: Warfarin, an anticoagulant, increases bleeding risk, requiring monitoring for signs like epistaxis or hematuria. Hypertension, tachypnea, and fever are not primary concerns.
Question 3 of 5
Which play activity is best suited to the gross motor skills of a toddler?
Correct Answer: B
Rationale: Playing with a ball encourages gross motor skills like kicking, throwing, and running, suitable for a toddler's developmental stage. The other activities focus more on fine motor skills or require advanced coordination.
Question 4 of 5
A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?
Correct Answer: B
Rationale: Any change in any part of the system affects all other parts.
Question 5 of 5
The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:
Correct Answer: A
Rationale: Nosebleeds in preeclampsia may indicate severe hypertension or coagulopathy, requiring immediate reporting. Pedal edema is common, bed rest is not always needed, and sodium restriction is secondary.