NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:
Correct Answer: C
Rationale: Compounds in cigarettes and some illicit drugs cause maternal vasoconstriction and a subsequent reduction in O2 availability for the fetus, leading to intrauterine growth retardation. Alcohol consumption also decreases birth weight.
Question 2 of 5
The nurse is teaching a client with a history of eczema about skin care. The nurse should tell the client to:
Correct Answer: A
Rationale: Avoiding harsh soaps prevents skin irritation and dryness in eczema, maintaining the skin barrier.
Question 3 of 5
The nurse is caring for a client with cancer of the pancreas. Which finding indicates involvement of the bile ducts?
Correct Answer: A
Rationale: Pancreatic cancer can obstruct bile ducts causing bilirubin buildup and dark urine (bilirubinuria). Petechiae indicate bleeding dark stools suggest GI bleeding and steatorrhea reflects fat malabsorption not bile duct involvement.
Question 4 of 5
The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?
Correct Answer: C
Rationale: The most immediate action in cases of suspected fetal distress or hyperstimulation during labor induction with Pitocin is to stop the Pitocin infusion to reduce uterine stimulation and improve fetal oxygenation. Other actions like vaginal exams or pushing are inappropriate without further assessment, and positioning is secondary.
Question 5 of 5
The client is admitted with a suspected stroke. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: B
Rationale: A CT scan is the initial test to confirm a stroke, distinguishing ischemic from hemorrhagic types. EEG is for seizures, lumbar puncture is for infections, and ECG assesses cardiac status.