NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:
Correct Answer: C
Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.
Question 2 of 5
A 2-day-old infant boy has been diagnosed with an atrial septal defect due to a persistent patent foramen ovale. When explaining the diagnosis to the mother, the nurse includes in the discussion the function of the foramen ovale. In fetal circulation, the foramen ovale allows a portion of the blood to bypass the:
Correct Answer: B
Rationale: The foramen ovale permits a percentage of the blood to shunt from the right atrium to the left atrium. The blood then goes to the left ventricle, permitting systemic fetal circulation with blood containing a higher O2 saturation. As the blood shunts from the right atrium to the left atrium, the pulmonary system is bypassed. The fetus receives O2 from the maternal circulation, thereby permitting the partial bypass of the pulmonary system. The foramen ovale is located in the atrial septum of the heart and does not affect the liver. The superior vena cava returns blood to the heart, bringing blood to the location of the foramen ovale.
Question 3 of 5
A client with a history of hyperparathyroidism is admitted with complaints of fatigue. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hyperparathyroidism increases parathyroid hormone, leading to hypercalcemia, causing fatigue and other symptoms.
Question 4 of 5
A vaginal exam reveals that the cervix is 4cm dilated,with intact membranes and a fetal heart tone rate of 160-170 bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:
Correct Answer: B
Rationale: External fetal monitoring is appropriate when membranes are intact as internal monitoring requires ruptured membranes. The cervix is not closed fetal heart tones are normal and contraction intensity is irrelevant to external monitoring.
Question 5 of 5
A client with a history of a stroke is being taught to use a communication board. The nurse should:
Correct Answer: C
Rationale: Placing the communication board on the client’s strong side facilitates use, especially with hemiplegia. Loud speech, complex sentences, and limiting gestures are unhelpful.