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
The client is admitted with a diagnosis of chorioamnionitis. Which symptom is most likely to be present?
Correct Answer: A
Rationale: Chorioamnionitis an infection of the amniotic fluid and membranes typically causes maternal fever. Fetal macrosomia decreased contractions and hypotension are not primary symptoms.
Question 3 of 5
The client tells the nurse, 'I have pain in my left shoulder.' This is considered:
Correct Answer: C
Rationale: Subjective information is provided by a person.
Question 4 of 5
A client is admitted with sickle cell crises and sequestration. Upon assessing the client, the nurse would expect to find:
Correct Answer: A
Rationale: Sickle cell crisis with sequestration can lead to hypovolemia due to blood pooling in organs, resulting in decreased blood pressure.
Question 5 of 5
Which diet would the nurse expect to see ordered for a patient with nephrotic syndrome?
Correct Answer: B
Rationale: Nephrotic syndrome causes proteinuria, leading to hypoalbuminemia. A moderate protein diet (0.8–1 g/kg/day) helps replace lost protein without overloading the kidneys. Low carbohydrate, low calcium, or increased potassium diets are not specific to nephrotic syndrome.