NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following descriptions is typical of a Parkinsonian gait?
Correct Answer: C
Rationale: Parkinsonian gait is characterized by decreased speed, poor balance, flexed posture, and shuffling steps (
C). Other descriptions (A, B,
D) do not fully capture this gait.
Question 2 of 5
The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?
Correct Answer: C
Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.
Question 3 of 5
A nulliparous client has been admitted after 12 hours of mild contractions at home. On examination, the client is found to be fully effaced and dilated to 3 cm. Contractions are every 5 minutes and last approximately 60 seconds. The client asks the nurse approximately how long it should take to get to 10 cm dilation. Which of the following is the most appropriate response?
Correct Answer: D
Rationale: Nulliparous women progress at ~1 cm/hour in active labor. From 3 cm to 10 cm is 7 cm, so ~7 hours (
D) is expected.
Question 4 of 5
A client is brought to the emergency room by the police. He is combative and yells, 'I have to get out of here. They are trying to kill me.' Which assessment is most likely correct in relation to this statement?
Correct Answer: C
Rationale: The client's statement reflects paranoid delusions, a belief that others intend harm, common in psychotic disorders.
Question 5 of 5
The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?
Correct Answer: A
Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.