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NCLEX RN Practice Exam Questions

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Question 1 of 5

A vaginal exam reveals a breech presentation in a newly admitted client. The nurse should take which of the following actions at this time?

Correct Answer: B

Rationale: Applying the fetal heart monitor assesses fetal well-being in a breech presentation, guiding further management.

Question 2 of 5

A client has orders for a heparin drip with 20,000 units in a 250 mL bag. The heparin must be delivered at 854 units per hour. What rate will the nurse set for the IV?

Correct Answer: 10.7 mL/hr.

Rationale: Concentration: 20,000 units/250 mL = 80 units/mL. Rate: 854 units/hr ÷ 80 units/mL = 10.675 mL/hr, rounded to 10.7 mL/hr.

Question 3 of 5

The nurse is performing discharge teaching to a client who is on isoniazid (INH). Which diet selection would let the nurse know that the teaching has been ineffective?

Correct Answer: A

Rationale: Isoniazid can interact with tyramine-rich foods like tuna, causing adverse effects (e.g., hypertension). Selecting tuna casserole indicates ineffective teaching. The other foods are safe.

Question 4 of 5

The nurse is teaching a female client who is experiencing urge incontinence how to manage her condition at home. Which statement by the client indicates a need for further explanation by the nurse?

Correct Answer: A

Rationale: Urge incontinence may not be cured in four weeks; bladder retraining aims to manage symptoms, not guarantee a cure, indicating a need for further teaching.

Question 5 of 5

A 49-year-old female suffered a stroke that resulted in dysphagia. The dietician orders a diet of dysphagia-pureed foods. Which of the following foods would be an appropriate choice?

Correct Answer: C

Rationale: Custard is smooth and pureed, suitable for a dysphagia diet. Other options pose choking risks due to texture.

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