NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The physician has ordered a homocysteine blood level on a client.
Correct Answer: A
Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for its metabolism. Deficiencies in vitamins C (
B), A (
C), and E (
D) do not significantly affect homocysteine.
Question 2 of 5
The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?
Correct Answer: C
Rationale: The most immediate action in cases of suspected fetal distress or hyperstimulation during labor induction with Pitocin is to stop the Pitocin infusion to reduce uterine stimulation and improve fetal oxygenation. Other actions like vaginal exams or pushing are inappropriate without further assessment, and positioning is secondary.
Question 3 of 5
Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?
Correct Answer: B
Rationale: Meningitis at six months can cause brain injury, contributing to cerebral palsy, a condition often linked to perinatal or early postnatal neurological damage. Full-term birth, physiologic jaundice, and sore throats are not directly related.
Question 4 of 5
A client with a history of a hiatal hernia is being taught about lifestyle modifications. The nurse should encourage the client to:
Correct Answer: A
Rationale: Maintaining a healthy weight reduces abdominal pressure, alleviating hiatal hernia symptoms. Large meals, flat sleeping, and caffeine worsen reflux.
Question 5 of 5
After a liver biopsy, the best position for the client is:
Correct Answer: D
Rationale: The right lateral position applies pressure on the liver to prevent bleeding post-biopsy.