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 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: may be confused and stuporous
Question 3 of 5
The nurse is caring for a client after he experienced a seizure (postictal). Which intervention would the nurse expect not to perform?
Correct Answer: A
Rationale: During the postictal phase, the client needs rest and monitoring, not immediate return to pre-seizure activity, which could be unsafe.
Question 4 of 5
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct Answer: C
Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.
Question 5 of 5
The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?
Correct Answer: C
Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis