NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
When applying the leads for a 12-lead electrocardiogram, the nurse places V1 and V2 at the fourth intercostal space to the right and left of the sternum. Which of the remaining leads is placed at the fifth intercostal space on the left midclavicular line?
Correct Answer: B
Rationale: Lead V4 (
B) is placed at the fifth intercostal space on the left midclavicular line in a 12-lead ECG.
Question 2 of 5
A nurse from the dialysis unit floats to the med-surg floor. He is doing afternoon rounds and medication administration. He brings a client her oral medications, but the client states, 'What is this? Where is my yellow pill? This big white one is not mine.' The best action from the nurse is to
Correct Answer: A
Rationale: Verifying with the MAR and pharmacy ensures medication safety when a client questions a pill’s appearance, preventing potential errors.
Question 3 of 5
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is:
Correct Answer: C
Rationale: An L/S ratio of 1:1 indicates immature fetal lungs, increasing the risk of respiratory distress syndrome, despite the presence of phosphatidylglycerol.
Question 4 of 5
A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:
Correct Answer: A
Rationale: Surgery is recommended for an inguinal hernia to prevent strangulation, which can lead to bowel obstruction and tissue necrosis.
Question 5 of 5
A client pushes his call light and tells the nurse his chest is hurting. The nurse sees his oxygen saturation is 88%. The nurse's first intervention is to
Correct Answer: B
Rationale: Hypoxemia (SpO2 88%) requires immediate oxygen administration to improve oxygenation, which is the priority for chest pain before further assessment or intervention.