NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A vaginal exam reveals that the cervix is 4cm dilated,with intact membranes and a fetal heart tone rate of 160-170 bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:
Correct Answer: B
Rationale: External fetal monitoring is appropriate when membranes are intact as internal monitoring requires ruptured membranes. The cervix is not closed fetal heart tones are normal and contraction intensity is irrelevant to external monitoring.
Question 2 of 5
Which statement describes the contagious stage of varicella?
Correct Answer: D
Rationale: Varicella (chickenpox) is contagious from 1-2 days before the rash until all lesions are crusted, as the virus is shed during this period. Earlier or later stages are less contagious.
Question 3 of 5
The nurse is caring for a client with a history of atrial fibrillation. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Dizziness and syncope in atrial fibrillation suggest hemodynamic instability, possibly from rapid ventricular response, requiring immediate intervention. Mild tachycardia, normal BP, and saturation are less urgent.
Question 4 of 5
A client with a history of a stroke is being taught to use a communication board. The nurse should:
Correct Answer: C
Rationale: Placing the communication board on the client’s strong side facilitates use, especially with hemiplegia. Loud speech, complex sentences, and limiting gestures are unhelpful.
Question 5 of 5
The healthcare team determines that an elderly client has had progressive changes in memory over the last 2 years that have interfered with her personal, social, or occupational functioning. Her memory, learning, attention, and judgment have all been affected in some way. These symptoms describe which of the following conditions?
Correct Answer: A
Rationale: These changes are common characteristics of dementia.