NCLEX-RN
RN NCLEX Practice Test Questions
Extract:
Question 1 of 5
The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:
Correct Answer: C
Rationale: Variable decelerations are often caused by umbilical cord compression. Repositioning the client (e.g. to the left side) can relieve pressure on the cord and improve fetal oxygenation. Notifying the doctor or starting an IV are secondary if repositioning resolves the issue.
Question 2 of 5
A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:
Correct Answer: A
Rationale: Surgery for an inguinal hernia is recommended to prevent strangulation, where the herniated bowel becomes trapped, leading to ischemia. The other options are not primary concerns.
Question 3 of 5
Which of the following is a classic manifestation of glomerulonephritis?
Correct Answer: A
Rationale: Hypertension is a classic manifestation of glomerulonephritis due to fluid retention and renal dysfunction. Lassitude and fatigue may occur but are less specific and vomiting/diarrhea are not typical.
Question 4 of 5
An 18-month-old is admitted to the hospital with acute laryngotracheobronchitis. When assessing the respiratory status, the nurse should expect to find:
Correct Answer: A
Rationale: Acute laryngotracheobronchitis (croup) typically presents with inspiratory stridor and a harsh, barking cough due to subglottic airway inflammation.
Question 5 of 5
The nurse is caring for a client with a history of a pneumothorax who is being discharged. The nurse should teach the client to:
Correct Answer: C
Rationale: Chest pain post-pneumothorax may indicate recurrence or complications, requiring immediate reporting. Heavy lifting and swimming are restricted, and sleeping position is not critical.