NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A pregnant woman undergoes a 40-minute nonstress test for evaluation of the fetal heart rate (FHR) and accelerations. Which of the following test results is normal (reactive)?
Correct Answer: C
Rationale: A reactive nonstress test requires at least two accelerations of FHR by 15 bpm for 15 seconds within 20-40 minutes. No accelerations (
C) is considered normal (reactive) if other criteria are met, but typically, accelerations are expected. Options A, B, D do not meet standard reactive criteria.
Question 2 of 5
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:
Correct Answer: D
Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.
Question 3 of 5
The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:
Correct Answer: D
Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.
Question 4 of 5
The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?
Correct Answer: A
Rationale: Otic medication requires a side-lying or sitting position, not prone, to ensure proper ear canal access and medication delivery.
Question 5 of 5
A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?
Correct Answer: A
Rationale: Pancreatic cancer often leads to malnutrition due to impaired digestion and absorption, making alteration in nutrition the primary concern.