NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 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 2 of 5
Which of the following tasks would an RN NOT delegate to an LPN?
Correct Answer: B
Rationale: Assessment, such as evaluating ambulation ability, is outside the LPN’s scope and reserved for RNs. The other tasks are within the LPN’s scope of practice.
Question 3 of 5
Where is the best site for examining for the presence of petechiae in an African American client?
Correct Answer: C
Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.
Question 4 of 5
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
Correct Answer: A
Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.
Question 5 of 5
The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?
Correct Answer: A
Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.