NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
Which client should be assigned to the nursing assistant?
Correct Answer: C
Rationale: The elderly client four days post-thyroidectomy is stable and suitable for a nursing assistant’s care (e.g., basic hygiene, ambulation). The other clients require skilled nursing due to critical conditions (cervical fracture, meningitis, recent thoracotomy).
Question 2 of 5
The nurse is making room assignments for four obstetrical clients. If only one private room is available, it should be assigned to:
Correct Answer: B
Rationale: Preeclampsia requires close monitoring due to risks like seizures or stroke, making a private room essential for a primigravida with this condition.
Question 3 of 5
A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering:
Correct Answer: A
Rationale: Digoxin enhances myocardial contractility, improving cardiac output in heart failure.
Question 4 of 5
A two-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?
Correct Answer: A
Rationale: Currant jelly stools (bloody, mucousy) are classic in intussusception due to intestinal ischemia. Vomiting and a palpable abdominal mass may occur, but stools and flank masses are less specific.
Question 5 of 5
The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:
Correct Answer: C
Rationale: Early decelerations are reassuring and do not warrant notification of the physician. Because early decelerations is a reassuring pattern, it would not be necessary to change the client's position. Early decelerations warrant the continuation of close FHR monitoring to distinguish them from more ominous signs. O2 is not warranted in this situation, but it is warranted in situations involving variable and/or late decelerations.