NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
If the first day of a pregnant woman's last menstrual period fell on May 1, 2013, what is the expected delivery month and year? Record your answer using the month (word) and year (whole number).
Correct Answer: Feb-14
Rationale: Using Naegele's rule: May 1, 2013 + 7 days = May 8, then + 9 months = February 8, 2014. Answer is February 2014.
Question 2 of 5
The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:
Correct Answer: C
Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.
Question 3 of 5
As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.
Question 4 of 5
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:
Correct Answer: D
Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.
Question 5 of 5
A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?
Correct Answer: A
Rationale: Digoxin improves cardiac output in congestive heart failure, leading to increased urinary output due to enhanced renal perfusion.