NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
The client is admitted to the unit with a diagnosis of abruptio placenta. Which finding is most significant when assessing this client?
Correct Answer: C
Rationale: Abruptio placenta involves placental separation which can compromise fetal oxygenation leading to abnormal fetal heart tones (e.g. bradycardia or late decelerations). This is the most significant finding as it indicates fetal distress. Bleeding pain and rigidity are relevant but secondary to fetal well-being.
Question 2 of 5
Which of the following blood gas parameters primarily reflects respiratory function?
Correct Answer: A
Rationale: The lungs are responsible for regulation of CO2, and this parameter primarily reflects respiratory function.
Question 3 of 5
A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:
Correct Answer: C
Rationale: Standing or sitting next to the client conveys caring and provides a sense of security, reducing anxiety.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of Parkinson’s disease about levodopa/carbidopa (Sinemet). Which instruction should be included?
Correct Answer: C
Rationale: Levodopa/carbidopa can cause dizziness or drowsiness, so avoiding driving until effects are known ensures safety. It is best taken with food, improvement is gradual, and it is taken regularly, not as needed.
Question 5 of 5
The client is admitted with a diagnosis of vasa previa. Which delivery method is most likely to be planned?
Correct Answer: B
Rationale: Vasa previa with fetal vessels crossing the cervical os requires cesarean section to prevent vessel rupture and fetal exsanguination during vaginal delivery. Forceps or vacuum delivery increases risk.