NCLEX-RN
Free NCLEX RN Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client upon arrival to the emergency department. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?
Correct Answer: C
Rationale: Cyanotic ear lobes are a late sign of airway obstruction, indicating severe hypoxia. Rales (
A) suggest fluid, restlessness (
B) is early, and stridor (
D) is an earlier obstructive sign.
Question 2 of 5
The nurse is caring for a client with a diagnosis of preterm labor. Which medication is most likely to be ordered?
Correct Answer: D
Rationale: Betamethasone promotes fetal lung maturity terbutaline and magnesium sulfate are tocolytics to halt preterm contractions and magnesium may also provide neuroprotection. All are commonly ordered in preterm labor.
Question 3 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 4 of 5
A newborn weighing 7 pounds at birth should be expected to weigh pounds by one year of age.
Correct Answer: 21 pounds
Rationale: Newborns typically triple their birth weight by one year. 7 lbs × 3 = 21 lbs.
Question 5 of 5
When giving discharge instructions to a 24-year-old client who had a short-arm cast applied for a fractured right ulna, the nurse recognizes the importance of telling him that the drying time for a plaster of Paris cast is approximately:
Correct Answer: D
Rationale: Synthetic cast materials harden in 3-15 minutes. Weight bearing is permitted in 15-30 minutes. Drying time for plaster of Paris is about 24-72 hours. (B,
C) Plaster of Paris cast materials are heavier than synthetic materials and require a drying time of 24-72 hours. Synthetic materials dry within 30 minutes. Plaster of Paris cast materials are heavier than synthetic materials and require a longer period to set and dry. Even though setting time (hardening) is only 3-15 minutes, the drying time for plaster of Paris is 24-72 hours. This depends on the size and thickness of the cast, exposure to air, and humidity in the air.