NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A labor and delivery nurse is caring for a client in active labor. The fetal monitor shows late decelerations. The nurse should first
Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The left lateral position improves placental perfusion, addressing the immediate cause.
Question 2 of 5
A client is confused after receiving morphine for analgesia and repeatedly tries to pull out the intravenous (IV) line in her left arm. Which of the following actions is the best initial solution?
Correct Answer: A
Rationale: Camouflaging the IV and providing a safe alternative (
A) is a least-restrictive, non-invasive initial approach to prevent the client from pulling out the IV. Restraints (B,
C) should be a last resort, and discontinuing the IV (
D) is unnecessary.
Question 3 of 5
The nurse is doing hourly rounds when he finds a 73-year-old female client unconscious on the floor next to the bed. An incident report must be filled out. What is the best statement for the nurse to write on the incident report?
Correct Answer: B
Rationale: The incident report should state objective findings: 'Client was found unresponsive on floor next to the bed.' Speculative statements (slipped, attempted to ambulate) are inappropriate.
Question 4 of 5
The nurse on a physical rehabilitation unit is assigned a 63-year-old male client post-amputation of his left lower limb above the knee two weeks prior. The client has a history of peripheral vascular disease due to diabetes mellitus. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Pain after wrapping the stump may indicate improper wrapping or complications, requiring further assessment and education.
Question 5 of 5
A client with AIDS has impaired nutrition because of diarrhea. Which diet selection by the client would indicate a need for further teaching of foods that can worsen the diarrhea?
Correct Answer: A
Rationale: Raw vegetables in a tossed salad can exacerbate diarrhea in AIDS patients. Baked chicken, broiled fish, and steamed rice are easier to digest and less likely to worsen diarrhea.