NCLEX-RN
NCLEX RN Exam Prep Questions
Extract:
Question 1 of 5
After taking the vital signs for your patient and finding them to be normal, what should you do next?
Correct Answer: D
Rationale: After assessing and finding that the vital signs are normal for the patient, the appropriate action would be to document them on the graphic VS form. This form is used to track and record vital sign measurements accurately and consistently. Reporting the normal vital signs to the doctor is not necessary unless there are concerning trends or deviations. Writing the vital signs on a scrap piece of paper is not recommended as it may not be an official or reliable record. Calling the family members is unrelated to the process of documenting and tracking vital signs for the patient.
Question 2 of 5
Which contraindication should be assessed for prior to administering an immunization to a child?
Correct Answer: C
Rationale: Before administering immunizations to children, it is crucial to assess for contraindications. A depressed immune system, such as that seen in conditions like HIV or due to chemotherapy, is a significant contraindication. Immunizations may not be safe or effective in children with compromised immune systems. Mild cold symptoms, although not ideal, are not a contraindication for routine immunizations. Chronic asthma, while a consideration, is not a direct contraindication for routine immunizations. Allergy to eggs is a contraindication for specific vaccines, such as influenza vaccine that is grown in eggs, but it is not a contraindication for all immunizations.
Question 3 of 5
What does preload refer to?
Correct Answer: B
Rationale: Preload refers to the volume of blood that enters the right side of the heart. This volume stretches the fibers in the heart before contraction. Preload is an essential factor in determining the force of ventricular contraction.
Choices A, C, and D are incorrect.
Choice A is incorrect because preload is specifically related to the volume of blood entering the right side of the heart.
Choices C and D are incorrect as they refer to afterload, which is the pressure that the heart must overcome to pump blood out of the ventricles into the systemic or pulmonary circulation.
Question 4 of 5
The supervising RN asks you to bring the unit's collected lab specimens to the lab 'stat'. You should ______________.
Correct Answer: C
Rationale: In healthcare settings, 'stat' is commonly used to indicate that something should be done immediately and without any delay. It is a critical term used to prioritize urgent tasks. Nurses are responsible for various tasks, including handling urgent requests such as transporting lab specimens promptly. Option A is incorrect as nurses can handle urgent tasks like 'stats'. Option B is not as specific as option C, which clearly emphasizes the need for immediate action. Option D is incorrect as it suggests delaying the task until later, which goes against the urgency implied by the term 'stat'.
Question 5 of 5
A client is being assisted to lie in the Sims' position. In what position does the nurse arrange the client?
Correct Answer: A
Rationale: The Sims' position is a side-lying position used for examinations or comfort. In the Sims' position, the client lies on their side with the upper leg flexed. The abdomen is slightly downward, and the lower arm is positioned behind the body. A pillow can be used to support the leg.
Choice B is incorrect as it describes a position with the client lying on their back with the head lower than the feet.
Choice C is incorrect as it describes a prone position, not the Sims' position.
Choice D is incorrect as it describes a sitting position, not the Sims' position.