NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
Which of the following medication orders requires clarification before the nurse can administer the order?
Correct Answer: B
Rationale: Heparin dosing (30 units/kg/hr) is unusually low for anticoagulation (typically 10-20 units/kg/hr). This requires clarification to ensure safety.
Question 2 of 5
As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
Correct Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygenation during contractions.
Question 3 of 5
A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:
Correct Answer: D
Rationale: Contractions 5 minutes apart indicate the onset of active labor, prompting further evaluation.
Question 4 of 5
A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?
Correct Answer: B
Rationale: is an antiparkinsonian agent, used to counteract extrapyramidal side effects the client is experiencing
Question 5 of 5
A client on a 72-hour psychiatric hold experiences a panic attack while getting ready for the day. The nurse should provide the following interventions ranked by priority:
Order the Items
Source Container
Correct Answer: A,D,C,E,B
Rationale: Priority order: Stay with the client (
A) for safety, reduce stimuli (
D) to calm the environment, instruct deep breathing (
C) to manage symptoms, develop coping mechanisms (E) for future prevention, and incorporate physical activity (
B) as a long-term strategy.