NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
A pregnant client is keeping a 'kick count' log during the last trimester. Which of the following may indicate fetal distress?
Correct Answer: C
Rationale: Fewer than 10 movements in 2 hours (
C) suggests fetal distress, as normal is >10 movements in 2 hours. Other options (A, B,
D) set incorrect thresholds.
Question 2 of 5
A woman has undergone a mastectomy of her right breast and has been brought to the recovery unit. The nurse explains that the client should
Correct Answer: A
Rationale: Elevating the arm on a pillow reduces lymphedema risk post-mastectomy by promoting lymphatic drainage.
Question 3 of 5
The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT the nurse should:
Correct Answer: D
Rationale: Applying a blood pressure cuff allows monitoring of vital signs during ECT, which is a standard safety measure.
Question 4 of 5
The nurse is caring for a client following a crushing injury to the chest. Which finding would be most indicative of a tension pneumothorax?
Correct Answer: B
Rationale: Tension pneumothorax causes a mediastinal shift, including tracheal deviation toward the unaffected side due to increased intrathoracic pressure.
Question 5 of 5
A client with rheumatoid arthritis tells the nurse that she is having increasing difficulty cooking, cleaning, and attending to activities of daily living. Which of the following referrals is the most appropriate?
Correct Answer: A
Rationale: An occupational therapist (
A) helps clients with rheumatoid arthritis adapt to difficulties with daily activities through adaptive techniques and equipment. Physical therapy (
B), home health (
C), or assisted living (
D) may be secondary.