NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough?
Correct Answer: A
Rationale: A mask is the most appropriate PPE to prevent transmission of respiratory infections from a client with a cough, as it protects against droplet spread.
Question 2 of 5
The nurse is monitoring a client with schizophrenia who is prescribed aripiprazole (Abilify). During a multidisciplinary mental health team meeting, which symptoms should be brought to the psychiatrist's attention? Select all that apply.
Correct Answer: A,C
Rationale: Uncontrolled facial movements and stiff muscles suggest extrapyramidal side effects or tardive dyskinesia, serious side effects of aripiprazole requiring psychiatrist attention.
Question 3 of 5
The obstetric client's fetal heart rate is 80-90 during the contractions. The first action the nurse should take is:
Correct Answer: B
Rationale: A fetal heart rate of 80-90 suggests distress; turning the client to her left side improves uteroplacental perfusion.
Question 4 of 5
A newborn diagnosed with bilateral choanal atresia is scheduled for surgery soon after delivery. The nurse recognizes the immediate need for surgery because the newborn:
Correct Answer: D
Rationale: Bilateral choanal atresia blocks the nasal passages, preventing nasal breathing, which is critical for newborns who are obligate nose breathers.
Question 5 of 5
The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.