NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
After the fetal activity test (nonstress test) is completed, the RN is looking at the test results on the monitor strip. The RN observes that the fetal heart accelerated 5 beats/min with each fetal movement. The accelerations lasted 15 seconds and occurred 3 times during the 20 minute test. The RN knows that these test results will be interpreted as:
Correct Answer: A
Rationale: A reactive nonstress test requires at least two accelerations of the fetal heart rate of at least 15 bpm, lasting 15 seconds, over a 20-minute period. The described results (5 bpm accelerations) do not meet the criteria, but the correct answer provided is A, indicating a possible error in the question's data. However, based on the provided answer, it is interpreted as reactive.
Question 2 of 5
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
Correct Answer: B
Rationale: Exercise lowers blood sugar, so a snack may be needed to maintain appropriate glucose levels. The other options are incorrect as they increase the risk of hypoglycemia or are factually inaccurate.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:
Correct Answer: A
Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.
Question 4 of 5
The client is admitted with a diagnosis of placenta previa. Which diagnostic test is most likely to be ordered?
Correct Answer: A
Rationale: Ultrasound is the primary test for diagnosing placenta previa visualizing the placenta’s position relative to the cervix. Fetal fibronectin amniocentesis and non-stress tests are not used for this diagnosis.
Question 5 of 5
A client with a history of a hiatal hernia is being taught about lifestyle modifications. The nurse should encourage the client to:
Correct Answer: A
Rationale: Maintaining a healthy weight reduces abdominal pressure, alleviating hiatal hernia symptoms. Large meals, flat sleeping, and caffeine worsen reflux.