NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
Correct Answer: A
Rationale: A fundus displaced to the right on the first postpartum day is often due to bladder distention, which should be assessed next.
Question 2 of 5
The nurse is assessing a 6-year-old following a tonsillectomy. Which one of the following signs is an early indication of hemorrhage?
Correct Answer: A
Rationale: Drooling of bright red secretions indicates active bleeding, a critical sign of post-tonsillectomy hemorrhage requiring immediate attention.
Question 3 of 5
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help with decreasing the client's confusion by:
Correct Answer: D
Rationale: A nightlight reduces disorientation and confusion in elderly clients by providing visual cues in the dark.
Question 4 of 5
The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?
Correct Answer: C
Rationale: Using a cell phone on the opposite side of the defibrillator reduces electromagnetic interference with the device.
Question 5 of 5
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
Correct Answer: A
Rationale: A fundus displaced to the right on the first postpartum day is often due to bladder distention, which should be assessed next.