NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
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 had diarrhea for the past 3 days. Which acid/base imbalance would the nurse expect the client to have?
Correct Answer: B
Rationale: Prolonged diarrhea leads to loss of bicarbonate, causing metabolic acidosis.
Question 3 of 5
A client has a diagnosis of discoid lupus erythematosus (DLE). The nurse recognizes that discoid lupus differs from systemic lupus erythematosus because it:
Correct Answer: B
Rationale: Discoid lupus erythematosus primarily affects the skin, causing chronic rashes, unlike systemic lupus, which can involve multiple organs.
Question 4 of 5
The nurse is teaching feeding protocol to the spouse of a client who experienced a severe stroke. Which statement by the spouse indicates a need for further explanation by the nurse?
Correct Answer: B
Rationale: Turning on the television during meals can distract the client, increasing the risk of aspiration, and requires further teaching. Other statements are appropriate.
Question 5 of 5
The nurse is caring for the patient following removal of a large posterior oral lesion. The priority nursing measure would be to:
Correct Answer: A
Rationale: Maintaining a patent airway is critical post-oral surgery due to the risk of swelling or bleeding obstructing the airway.