NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with pancreatitis has been transferred to the intensive care unit. The nurse assesses a pulmonary arterial wedge pressure (PAWP) of 14 mmHg. Based on this finding, the nurse would want to further assess for:
Correct Answer: B
Rationale: A PAWP of 14 mmHg is slightly elevated, suggesting possible fluid overload, which could lead to pulmonary edema, indicated by rales on chest auscultation.
Question 2 of 5
A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:
Correct Answer: D
Rationale: Serum alpha fetoprotein screening detects neural tube defects, such as spina bifida.
Question 3 of 5
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
Correct Answer: A
Rationale: Fetal heart tones loudest in the upper-right quadrant suggest a breech presentation, with the fetus's heart higher in the uterus.
Question 4 of 5
The physician has ordered that a 132-pound client with increased intracranial pressure receive 0.5 g of mannitol per kg in an IV solution. How many grams should be in the total mannitol dose? Record your answer using a whole number.
Correct Answer: 30
Rationale: Weight = 132 lb/ 2.2 = 60 kg. Dose = 0.5 g/kg X 60 kg = 30 g.
Question 5 of 5
A client diagnosed with Alzheimer's disease initiates the same conversation repeatedly, becomes aggressive when stressed, needs reminders to perform ADLs, and is easily lost in his neighborhood. This client is likely in what stage of Alzheimer's disease?
Correct Answer: C
Rationale: Moderate Alzheimer's involves repetitive behaviors, aggression, ADL dependence, and disorientation, as described, indicating significant cognitive decline.