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
An elderly client with glaucoma is scheduled for a cholecystectomy. Which medication order should the nurse question?
Correct Answer: C
Rationale: Atropine is contraindicated in glaucoma as it can increase intraocular pressure, worsening the condition.
Question 3 of 5
A client hospitalized with cirrhosis has developed abdominal ascites. The nurse should provide the client with snacks that provide additional:
Correct Answer: C
Rationale: Protein-rich snacks help maintain nutritional status and support liver function in cirrhosis, while sodium should be limited to reduce ascites.
Question 4 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct Answer: D
Rationale: should assess client to determine amount and cause of bleeding
Question 5 of 5
The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?
Correct Answer: C
Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.