NCLEX-RN
Mock NCLEX RN Exam 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 during contractions indicates bradycardia possibly from cord compression or uteroplacental insufficiency. Turning the client to her left side improves placental perfusion and is the first action.
Question 2 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Warfarin (Coumadin). The nurse should monitor the client for:
Correct Answer: A
Rationale: Warfarin, an anticoagulant, increases bleeding risk, requiring monitoring for signs like epistaxis or hematuria. Hypertension, tachypnea, and fever are not primary concerns.
Question 3 of 5
A client with a history of hypothyroidism is admitted with complaints of fatigue. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hypothyroidism slows metabolism, leading to weight gain, fatigue, and other symptoms like cold intolerance and constipation.
Question 4 of 5
The predominant purpose of the first Apgar scoring of a newborn is to:
Correct Answer: C
Rationale: Apgar scores are not related to the infant's care, but to the infant's physical condition. Apgar scores assess the current physical condition of the infant and are not related to future environmental adaptation. The purpose of the Apgar system is to evaluate the physical condition of the newborn at birth and to determine if there is an immediate need for resuscitation. Congenital malformations are not one of the areas assessed with Apgar scores.
Question 5 of 5
A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?
Correct Answer: B
Rationale: Thioridazine (an antipsychotic drug), lithium (an antimanic drug), and benztropine (an antiparkinsonism agent) are generally administered to treat schizophrenic and bipolar disorders. Atropine (a cholinergic blocker), sodium brevitol (a short-acting anesthetic), and succinylcholine (a neuromuscular blocker) are administered either before or during ECT to counteract bradycardia and to provide anesthesia and total muscle relaxation. These are electrolyte substances administered to correct fluid and electrolyte imbalances in the body. Carbamazepine (an anticonvulsant), haloperidol (an antipsychotic), and trihexyphenidyl (an antiparkinsonism agent) are usually administered in psychiatric settings to control problems associated with psychotic behavior.