NCLEX-RN
NCLEX RN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to discharge a 60-year-old woman on warfarin (Coumadin) after mitral valve replacement. Which dietary restriction should the nurse advise the client to make?
Correct Answer: C
Rationale: Green beans are high in vitamin K, which can counteract warfarin’s anticoagulant effect. Other foods listed have minimal vitamin K.
Question 2 of 5
During the second stage of labor, the baby's head becomes compressed because the mother has a narrow, bony pelvis. Which of the following is the most common result for the infant from this type of compression?
Correct Answer: C
Rationale: Cranial molding (
C) is the most common result of head compression during labor due to a narrow pelvis, as the infant's skull adapts to the birth canal. Cerebral palsy (
A), intellectual disability (
B), and epilepsy (
D) are not directly caused by this.
Question 3 of 5
Which action by the novice nurse indicates a need for further teaching?
Correct Answer: A
Rationale: Failing to wear gloves violates infection control standards.
Question 4 of 5
A client with burns is admitted and fluid resuscitation has begun. Central venous pressure (CVP) readings are ordered every 4 hours; the client's CVP reading is 14 cm/Hâ‚‚O. Which evaluation by the nurse would be most accurate?
Correct Answer: D
Rationale: A CVP of 14 cm/Hâ‚‚O (normal: 3-8 cm/Hâ‚‚O) indicates fluid volume excess, likely from aggressive resuscitation, requiring careful monitoring to prevent complications.
Question 5 of 5
The nurse is caring for a client following a right nephrolithotomy. Postoperatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side reduces pressure on the surgical site (right kidney), promoting comfort and minimizing complications.