NCLEX-RN
NCLEX RN Practice Test Free Questions
Extract:
Question 1 of 5
Which laboratory test is used to identify injury to the myocardium and can remain elevated for up to 3 weeks?
Correct Answer: D
Rationale: Troponin T or I is highly specific for myocardial injury and can remain elevated for up to 2-3 weeks, making it the best marker for detecting cardiac damage.
Question 2 of 5
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
Correct Answer: A
Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.
Question 3 of 5
The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:
Correct Answer: B
Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.
Question 4 of 5
The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client's history should be reported to the doctor?
Correct Answer: B
Rationale: Prinzmetal's angina is a contraindication for sumatriptan due to the risk of coronary vasospasm, and this should be reported to the doctor.
Question 5 of 5
The nurse recognizes which of the following as a Category A biological agent that may be used in terroristic acts?
Correct Answer: B
Rationale: Smallpox is a Category A bioterrorism agent due to its high mortality and transmissibility. Others are Category B or C.