NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of a fractured humerus who is in a sling. The client complains of numbness. The nurse should:
Correct Answer: C
Rationale: Numbness in a slung humerus suggests neurovascular compromise, requiring immediate physician notification. Ice, elevation, and massage are insufficient or contraindicated.
Question 2 of 5
What specific hormone must be present in serum or urine laboratory tests used to diagnose pregnancy?
Correct Answer: A
Rationale: Human chorionic gonadotropin is the biochemical basis for pregnancy tests, produced by the placenta to maintain the corpus luteum.
Question 3 of 5
In preparation for the removal of the client's chest tubes, the nurse should instruct the client to:
Correct Answer: B
Rationale: During chest tube removal, the client should hold their breath and bear down (Valsalva maneuver) to increase intrathoracic pressure, reducing the risk of air entering the pleural space.
Question 4 of 5
Which of the following signs might indicate a complication during the labor process with vertex presentation?
Correct Answer: D
Rationale: Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. Nausea and vomiting occur frequently during transition and are not a complication. Contractions frequently last 60-90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.
Question 5 of 5
The nurse is teaching a client with a history of migraines about trigger avoidance. The nurse should tell the client to avoid:
Correct Answer: A
Rationale: Chocolate is a common migraine trigger, potentially causing vasoconstriction or neurotransmitter changes, so it should be avoided.