NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 3 of 35, with answer review and explanations.

Question 11

Provide the 1-minute Apgar score for an infant born with the following findings: Heart rate: Above 100 Respiratory effort: Slow, irregular Muscle tone: Some flexion of extremities Reflex irritability: Vigorous cry Color: Body pink, blue extremities

  1. 7
  2. 10
  3. 8
  4. 9

Question 12

A pregnant woman at 36 weeks gestation is followed for PIH and develops proteinuria. To increase protein in her diet, which of the following foods will provide the greatest amount of protein when added to her intake of 100 mL of milk?

  1. Fifty milliliters light cream and 2 tbsp corn syrup
  2. Thirty grams powdered skim milk and 1 egg
  3. One small scoop (90 g) vanilla ice cream and 1 tbsp chocolate syrup
  4. One package vitamin-fortified gelatin drink

Question 13

The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, "It’s not so easy for me to just go right to the hospital like that." After acknowledging her feelings, which of these approaches by the nurse would probably be best?

  1. Stress to the client that her husband would want her to do what is best for her health.
  2. Explore with the client her perceptions of why she is unable to go to the hospital.
  3. Repeat the physician’s reasons for advising immediate hospitalization.
  4. Explain to the client that she is ultimately responsible for her own welfare and that of her baby.

Question 14

Which of the following findings would be abnormal in a postpartal woman?

  1. Chills shortly after delivery
  2. Pulse rate of 60 bpm in morning on first postdelivery day
  3. Urinary output of 3000 mL on the second day after delivery
  4. An oral temperature of 101F (38.3C) on the third day after delivery

Question 15

What is the most effective method to identify early breast cancer lumps?

  1. Mammograms every 3 years
  2. Yearly checkups performed by physician
  3. Ultrasounds every 3 years
  4. Monthly breast self-examination