NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the GTPAL system to record her obstetrical history, the nurse should record:
Correct Answer: C
Rationale: G=3 (current pregnancy), T=1 (term birth), P=1 (preterm birth), A=0 (no abortions), L=2 (living children).
Question 2 of 5
The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning an order for which of the following diagnostic tests?
Correct Answer: B
Rationale: A barium enema is contraindicated in suspected diverticulitis due to the risk of perforation and peritonitis. Ultrasound, CT scans, and CBC are appropriate for diagnosing diverticulitis or assessing complications.
Question 3 of 5
A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:
Correct Answer: C
Rationale: A volume control set allows the nurse to control the amount of fluid administered over a set period.
Question 4 of 5
The nurse is preparing to administer a dose of nitroglycerin sublingual to a client with chest pain. Which instruction should be given to the client?
Correct Answer: B
Rationale: Nitroglycerin sublingual tablets are placed under the tongue to dissolve, allowing rapid absorption to relieve angina. Swallowing, chewing, or taking with milk reduces effectiveness or delays onset.
Question 5 of 5
A pregnant client is at the clinic for a third trimester prenatal visit. During this examination, it has been determined that her fetus is in a vertex presentation with the occiput located in her right anterior quadrant. On her chart this would be noted as:
Correct Answer: B
Rationale: The fetus in the right occipitoposterior position would be presenting with the occiput in the maternal right posterior quadrant. Fetal position is defined by the location of the fetal presenting part in the four quadrants of the maternal pelvis. The right occipitoanterior is a fetus presenting with the occiput in mother's right anterior quadrant. The fetus in right sacroanterior position would be presenting a sacrum, not an occiput. The fetus in left occipitoanterior position would be presenting with the occiput in the mother's left anterior quadrant.