NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client's membranes have just ruptured spontaneously. Which of the following nursing actions should take priority?
Correct Answer: D
Rationale: If changes in the FHR are noted, the nurse should check for umbilical cord prolapse. This intervention has priority over the other actions. The danger of a prolapsed cord is increased once membranes have ruptured, especially if the presenting part of the fetus does not fit firmly against the cervix.
Question 2 of 5
A client has sustained a severe head injury and damaged the preoccipital lobe. The nurse should remain particularly alert for which of the following problems?
Correct Answer: A
Rationale: The preoccipital (occipital) lobe processes vision. Damage causes visual impairment (e.g., cortical blindness). Swallowing (
B) involves the brainstem, judgment (
C) the frontal lobe, and hearing (
D) the temporal lobe.
Question 3 of 5
The therapeutic blood-level range for lithium is:
Correct Answer: B
Rationale: This range is too low to be therapeutic. This is the therapeutic range for lithium. This range is above the therapeutic level. This range is toxic and may cause severe side effects.
Question 4 of 5
The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:
Correct Answer: B
Rationale: Cystic fibrosis often causes infertility in males due to congenital absence of the vas deferens, making most males sterile. This reduces the likelihood of passing the disease to offspring.
Question 5 of 5
The nurse is caring for a client with a history of ectopic pregnancy. Which risk factor is most likely to be present?
Correct Answer: A
Rationale: Pelvic inflammatory disease (PI
D) is a major risk factor for ectopic pregnancy as it can scar the fallopian tubes impairing embryo transport. Gestational diabetes hypertension and multiple gestations are not strongly associated.