NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries and assesses the infant. At 1 and 5 minutes after birth, the RN does the Apgar scoring of the infant. The RN knows that because this infant was delivered by cesarean section, he is at increased risk for having which one of the following:
Correct Answer: C
Rationale: Infants delivered by cesarean section are at higher risk for respiratory distress syndrome because they do not experience chest compression in the birth canal, which helps expel lung fluid.
Question 2 of 5
After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries and assesses the infant. At 1 and 5 minutes after birth, the RN does the Apgar scoring of the infant. The RN knows that because this infant was delivered by cesarean section, he is at increased risk for having which one of the following:
Correct Answer: C
Rationale: Infants delivered by cesarean section are at higher risk for respiratory distress syndrome because they do not experience chest compression in the birth canal, which helps expel lung fluid.
Question 3 of 5
The nurse is educating the caregiver of a client with dysphagia, due to a stroke, in ways to ensure safety and avoid aspiration during meals. Which information should be included?
Correct Answer: A, B, D
Rationale:
To prevent aspiration: sit upright (
A), place food on unaffected side (
B), and swallow one bite at a time (
D). Solid foods (
C) may increase risk; thickened liquids (E) are safer.
Question 4 of 5
As the client reaches 6cm dilation,the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency where reduced placental blood flow during contractions causes fetal hypoxia. Cord compression causes variable decelerations head compression causes early decelerations and sleep does not cause decelerations.
Question 5 of 5
The physician has ordered a lumbar puncture for a client with suspected Guillain-Barre syndrome. The spinal fluid of a client with Guillain-Barre syndrome typically shows:
Correct Answer: B
Rationale: Guillain-Barre syndrome is characterized by elevated protein levels in cerebrospinal fluid with a normal cell count, reflecting nerve root inflammation.