NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The clinic record for a client reads: gravida 3, para 2. The admitting nurse is most correct to confirm which prenatal history?
Correct Answer: B
Rationale: Gravida 3, para 2 indicates three pregnancies and two births after 20 weeks’ gestation, regardless of outcome (live or stillbirth).
Question 2 of 5
The nurse has a client complaining of chest pain. Where should the nurse place the V5 lead for a 12-lead EKG?
Correct Answer: A
Rationale: The V5 lead is placed in the left anterior axillary line at the fifth intercostal space for a 12-lead EKG.
Question 3 of 5
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
Correct Answer: D
Rationale: Rapid onset of chest pain, dyspnea, cyanosis, and restlessness after IV push suggests pulmonary embolism, likely from air or thrombus introduced during administration.
Question 4 of 5
The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?
Correct Answer: C
Rationale: Inserting a Foley catheter allows monitoring of urinary output, which is critical to detect magnesium toxicity, as decreased output is a sign of toxicity.
Question 5 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: Identifying peripheral pulses is critical to assess baseline circulation, as an abdominal aortic aneurysm can affect distal blood flow.