NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?
Correct Answer: C
Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.
Question 2 of 5
The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?
Correct Answer: C
Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.
Question 3 of 5
The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?
Correct Answer: C
Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.
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
A nurse is preparing to lift a client up in bed. Which of the following should the nurse do to help avoid injuring his back?
Correct Answer: C
Rationale: Tightening stomach and leg muscles stabilizes the core, reducing back strain during lifting.