NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client with irritable bowel syndrome. Irritable bowel syndrome is characterized by:
Correct Answer: B
Rationale: IBS is characterized by alternating constipation and diarrhea, often triggered by stress or diet, without structural abnormalities.
Question 2 of 5
As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.
Question 3 of 5
The client with cancer refuses to care for herself. Which action by the nurse would be best?
Correct Answer: C
Rationale: Exploring the reason for the lack of motivation addresses the root cause, enabling tailored interventions to encourage self-care.
Question 4 of 5
The nurse is caring for a client with a diagnosis of fluid overload caused by congestive heart failure. Which findings would the nurse expect to find when reviewing client labs? Select all that apply.
Correct Answer: A,D
Rationale: Fluid overload in CHF dilutes BUN and sodium, leading to decreased levels. Hematocrit decreases, and osmolality is typically normal or low.
Question 5 of 5
A 92-year-old male client with Alzheimer's frequently experiences urinary incontinence. Which intervention should the nurse do first?
Correct Answer: D
Rationale: Offering the urinal every 2 hours promotes continence and dignity, addressing incontinence non-invasively before considering catheters or diapers.