NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:
Correct Answer: C
Rationale: The bleeding ulcer can be life-threatening, emphasizing the need to address the physical threat posed by the psychophysiological disorder.
Question 2 of 5
The client's membranes rupture during labor. The fetal heart rate suddenly drops to 90 bpm. The nurse's first action should be to:
Correct Answer: B
Rationale: A sudden drop in fetal heart rate to 90 bpm after membrane rupture suggests possible umbilical cord prolapse or compression. Turning the client to her left side improves placental perfusion and may relieve cord compression. Oxygen and notifying the physician are secondary and increasing IV fluid is less urgent.
Question 3 of 5
The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?
Correct Answer: A
Rationale: Diminished femoral pulses in a newborn suggest coarctation of the aorta, a cardiac anomaly, due to reduced blood flow to the lower extremities. The other findings are normal or nonspecific.
Question 4 of 5
A client has sustained a severe head injury and damaged the preoccipital lobe. The nurse should remain particularly alert for which of the following problems?
Correct Answer: A
Rationale: The preoccipital (occipital) lobe processes vision. Damage causes visual impairment (e.g., cortical blindness). Swallowing (
B) involves the brainstem, judgment (
C) the frontal lobe, and hearing (
D) the temporal lobe.
Question 5 of 5
A schizophrenic client who is experiencing thoughts of having special powers states that 'I am a messenger from another planet and can rule the earth.' The nurse assesses this behavior as:
Correct Answer: D
Rationale: Clients experiencing ideas of reference believe that information from the environment (e.g., the television) is referring to them. Clients experiencing delusions of persecution believe that others in the environment are plotting against them. Clients experiencing thought broadcasting perceive that others can hear their thoughts. Clients experiencing delusions of grandeur think that they are omnipotent and have superhuman powers.