NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
Correct Answer: A
Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.
Question 2 of 5
A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?
Correct Answer: D
Rationale: Cerebral perfusion pressure (CPP) = Mean Arterial Pressure (MAP) - ICP. Given MAP = 70 and ICP = 22, CPP = 70 - 22 = 48. Thus, the answer is 48.
Question 3 of 5
According to Erikson's stages of physical development, school-age children 5 - 12 years old typically face which psychological crisis?
Correct Answer: B
Rationale: School-age children (5-12) face industry vs. inferiority, focusing on developing competence and self-esteem through tasks and skills.
Question 4 of 5
A labor and delivery nurse is assessing a newborn baby boy. Which finding would indicate possible microcephaly?
Correct Answer: C
Rationale: Microcephaly is defined by a head circumference significantly below normal (e.g., lowest 10th percentile), indicating potential brain development issues.
Question 5 of 5
The nurse is caring for a client with bipolar disorder. The client has been manipulating some of the staff and other clients in order to get her way. Which actions by the nurse are appropriate in managing this client? Select all that apply.
Correct Answer: A,B,C
Rationale: Appropriate actions include reinforcing positive behaviors (
A), setting clear limits (
B), and role-playing (
C) to promote appropriate interactions. Treating as a friend (
D) or giving gifts (E) blurs boundaries and encourages manipulation.