NCLEX-RN
NCLEX RN Practice Questions Free Questions
Extract:
Question 1 of 5
The client is admitted with a diagnosis of gestational diabetes. Which fetal monitoring technique is most appropriate?
Correct Answer: C
Rationale: Gestational diabetes increases fetal risks (e.g. macrosomia hypoglycemia) requiring close monitoring. Non-stress tests assess fetal heart rate and biophysical profiles evaluate fetal well-being comprehensively. Both are appropriate.
Question 2 of 5
The client with a history of epilepsy is prescribed valproic acid (Depakote). Which laboratory test should the nurse monitor?
Correct Answer: A
Rationale: Valproic acid can cause hepatotoxicity, so liver function tests (e.g., AST, ALT) are monitored regularly. Renal function, blood counts, and electrolytes are less commonly affected.
Question 3 of 5
The client is admitted with a diagnosis of acute glomerulonephritis. Which assessment finding is most expected?
Correct Answer: A
Rationale: Hematuria is a hallmark of acute glomerulonephritis due to glomerular inflammation and damage, leading to blood in the urine. Hypertension, weight gain, and oliguria are more common than hypotension, weight loss, or clear urine.
Question 4 of 5
A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:
Correct Answer: B
Rationale: Swallowing assists with insertion of tube and closes off airway.
Question 5 of 5
Which actions should be utilized prior to performing a tub bath on the 80 year-old client?
Correct Answer: B, D
Rationale: For an 80-year-old client, safety and comfort are priorities during a tub bath. A rubber mat (
B) prevents slipping, crucial for elderly clients with reduced mobility. Checking water temperature with a bath thermometer (
D) ensures the water is safe (typically 38-40°C, as 46°C is too hot). Filling the tub half full at 46°C (
A) risks burns, and maintaining water flow pressure (
C) is unnecessary and unsafe. Washing the back (E) and performing a massage (F) occur during or after the bath, not prior.