NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?
Correct Answer: D
Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.
Question 2 of 5
A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:
Correct Answer: B
Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.
Question 3 of 5
The nurse finds a client crying after she was told hemodialysis is needed due to the development of acute renal failure. Which intervention is best?
Correct Answer: B
Rationale: Quietly sitting with the client provides emotional support and presence, allowing her to process the diagnosis without imposing solutions.
Question 4 of 5
The client with Alzheimer's disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
Correct Answer: B
Rationale: Apraxia is the inability to perform purposeful movements correctly, such as using a toothbrush to brush hair, despite knowing its function.
Question 5 of 5
A 20-year-old woman who has been laboring at home for several hours has been admitted to the labor and delivery unit at the hospital. The nurse has come in to assess her progress. Which of the following is indicative of being in the active phase of labor?
Correct Answer: A
Rationale: The active phase of labor involves cervical dilation of 4-7 cm with contractions 3-5 minutes apart lasting 40-60 seconds. Option A fits this description.