NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?
Correct Answer: D
Rationale: (A, B,
C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A-C choices, and client should receive more frequent evaluations and care.
Question 2 of 5
The nurse is teaching a client with a history of celiac disease about dietary modifications. The nurse should tell the client to avoid:
Correct Answer: A
Rationale: Celiac disease requires a gluten-free diet to prevent intestinal damage, so avoiding gluten-containing foods is essential.
Question 3 of 5
A client calls the prenatal clinic to schedule an appointment. She states she has missed three menstrual periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. The registered nurse (RN) learns that her last menstrual period began on June 10. According to Nägele's rule, the estimated date of confinement is:
Correct Answer: A
Rationale: Using Nägele's rule, count back 3 calendar months from the first day of the last menstrual period. The answer is March 10.
Then add 7 days and 1 year, which would be March 17 of the following year. (B, C,
D) These dates are incorrect.
Question 4 of 5
Which of the following factors affects the accuracy of pulse oximetry readings?
Correct Answer: A, B, C
Rationale: Pulse oximetry accuracy is reduced by poor circulation (
A), improper probe placement (
B), and bright lighting (
C). Dark skin (
D) has minimal impact with modern sensors.
Question 5 of 5
A client with type 2 diabetes is prescribed metformin (Glucophage). Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping metformin abruptly (
C) can worsen glycemic control, indicating a need for further teaching. Taking with meals (
A), monitoring sugar (
B), and reporting muscle pain (
D) are correct.