NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is:
Correct Answer: C
Rationale: An L/S ratio of 1:1 indicates immature fetal lungs, increasing the risk of respiratory distress syndrome, despite the presence of phosphatidylglycerol.
Question 2 of 5
The nurse is teaching a newly diagnosed client about Crohn's disease but discovers that the client has several barriers to learning. The nurse understands that socioeconomic barriers to learning include which factors? Select all that apply.
Correct Answer: B, D
Rationale: Low literacy and lack of access to health resources are socioeconomic barriers to learning, while cognitive delays and lack of interest are not strictly socioeconomic, and adequate insurance is not a barrier.
Question 3 of 5
When applying the leads for a 12-lead electrocardiogram, the nurse places V1 and V2 at the fourth intercostal space to the right and left of the sternum. Which of the remaining leads is placed at the fifth intercostal space on the left midclavicular line?
Correct Answer: B
Rationale: Lead V4 (
B) is placed at the fifth intercostal space on the left midclavicular line in a 12-lead ECG.
Question 4 of 5
A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:
Correct Answer: B
Rationale: Fetal heart tones are a definitive, objective sign of pregnancy, detectable around 20 weeks.
Question 5 of 5
An important intervention in monitoring the dietary compliance of a client with bulimia is:
Correct Answer: C
Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.