NCLEX-RN
RN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A client is resting comfortably after delivering her first child. When assessing her pulse rate, the nurse would recognize the following finding to be typical:
Correct Answer: D
Rationale: Puerperal bradycardia with rates of 50-70 bpm commonly occurs during the first 6-10 days of the postpartal period. It may be related to decreased cardiac strain, decreased blood volume, contraction of the uterus, and increased stroke volume.
Question 2 of 5
Several months after antibiotic therapy, a child is readmitted to the hospital with an exacerbation of osteomyelitis, which is now in the chronic stage. The mother appears anxious and asks what she could have done to prevent the exacerbation. The nurse's response is based on the knowledge that chronic osteomyelitis:
Correct Answer: D
Rationale: Areas of sequestrum may be surrounded by dense bone, become honeycombed with sinuses, and retain infectious organisms for a long time, leading to chronic osteomyelitis exacerbation.
Question 3 of 5
A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, 'I just couldn't take it anymore.' The nurse's best response to this disclosure would be:
Correct Answer: B
Rationale: Disapproving gives the impression that the nurse has a right to pass judgment on the client's thoughts, actions, or ideas. Giving a broad opening gives the client encouragement to continue with verbalization. Failing to acknowledge the client's feelings conveys a lack of understanding and empathy. Changing the subject takes the conversation away from the client and is indicative of the nurse's anxiety or insensitivity.
Question 4 of 5
A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:
Correct Answer: A
Rationale: The second stage of labor is marked by full cervical dilation and the urge to push with contractions.
Question 5 of 5
The nurse is preparing to collect a sputum specimen from the client suspected of having tuberculosis. What is the correct method for obtaining a sputum specimen?
Correct Answer: A, B, C, D
Rationale: Morning collection (
A) yieldsthough sputum is most concentrated. Three consecutive days (
B) ensure reliable tuberculosis diagnosis. Immediate transport (
C) prevents degradation. Mouth care (
D) maintains hygiene. Antiseptic rinse (E) may kill bacteria, invalidating the sample.