NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?
Correct Answer: D
Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.
Question 2 of 5
A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is responsible for the client's symptoms?
Correct Answer: D
Rationale: Whole-grain cereal, high in fiber, can irritate diverticula, causing inflammation and symptoms like pain, fever, and diarrhea.
Question 3 of 5
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
Correct Answer: A
Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.
Question 4 of 5
The nurse is preparing an adult male for a transurethral resection of the prostate (TURP). Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: C
Rationale: TURP is performed transurethrally, so no external incision or dressing is needed. Other statements are correct.
Question 5 of 5
The nurse is assisting in the care of a client with diverticulosis. Which of the following assessment findings must necessitate an immediate report to the doctor?
Correct Answer: D
Rationale: Low hemoglobin (26%) and hematocrit (32) suggest significant bleeding, requiring immediate reporting for further evaluation.