NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A labor and delivery nurse is assessing a newborn baby boy. Which finding would indicate possible microcephaly?
Correct Answer: C
Rationale: Microcephaly is defined by a head circumference significantly below normal (e.g., lowest 10th percentile), indicating potential brain development issues.
Question 2 of 5
Before administering a client's morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to:
Correct Answer: C
Rationale: A pulse rate below 60 bpm is a contraindication for digoxin administration due to the risk of worsening bradycardia, so the nurse should withhold the dose and notify the physician.
Question 3 of 5
The nurse is caring for a client with bipolar disorder. The client has been manipulating some of the staff and other clients in order to get her way. Which actions by the nurse are appropriate in managing this client? Select all that apply.
Correct Answer: A,B,C
Rationale: Appropriate actions include reinforcing positive behaviors (
A), setting clear limits (
B), and role-playing (
C) to promote appropriate interactions. Treating as a friend (
D) or giving gifts (E) blurs boundaries and encourages manipulation.
Question 4 of 5
The nurse is caring for an infant receiving intravenous fluid. Signs of fluid overload in an infant include:
Correct Answer: B
Rationale: Fluid overload in infants can cause increased heart rate and blood pressure due to increased intravascular volume.
Question 5 of 5
A client is scheduled for a colposcopy. The nurse assists the client into which position?
Correct Answer: D
Rationale: Colposcopy requires the lithotomy position to provide access to the cervix for examination.