NCLEX NCLEX-RN
NCLEX RN Exam Review Answers
1. What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016
- A. 7/7/2017
- B. 8/7/2017
- C. 6/7/2017
- D. 8/1/2017
Correct answer: 7/7/2017
Rationale: The expected date of delivery is calculated using Nagle’s rule which is: The first day of last menstrual period – 3 months + 7 days = the estimated date of delivery
2. What is the most useful patient position for proctologic exams?
- A. Trendelenburg
- B. Semi-Fowler's
- C. Full Fowler's
- D. Jack Knife
Correct answer: Jack Knife
Rationale: The Jack Knife position is the most useful for proctologic exams as it allows the patient to lie face down while keeping the buttocks elevated, providing optimal access for the examination. The Trendelenburg position, characterized by the body being laid flat with the feet higher than the head, is not suitable for proctologic exams. Semi-Fowler's and Full Fowler's positions are typically utilized for respiratory or cardiovascular conditions and are not ideal for proctologic examinations due to their lack of optimal access to the perianal area.
3. You have measured the urinary output of your resident at the end of your 8-hour shift. The output is 25 ounces. What should you do next?
- A. Convert the number of ounces into cc.
- B. Convert the number of ounces into cm.
- C. Immediately report this poor output to the nurse.
- D. Know that 25 ounces of urine is too much in 8 hours.
Correct answer: Convert the number of ounces into cc.
Rationale: You should convert the number of ounces into cc because cc is the unit of measurement used to record intake and output accurately. This urinary output falls within normal limits, so there is no need to report it immediately to the nurse. It is essential to report urinary outputs of less than 30 cc per hour to detect potential issues early. Converting ounces into centimeters (cm) is not appropriate in this context as cm is a unit of length, not volume. Knowing that 25 ounces of urine is too much in 8 hours is inaccurate as it depends on various factors like fluid intake and individual differences.
4. The mitral valve is synonymous with the term:
- A. Left ventricle
- B. Right atrium
- C. Bicuspid valve
- D. Tricuspid valve
Correct answer: Bicuspid valve
Rationale: The mitral valve, also known as the bicuspid valve, is located between the left atrium and the left ventricle, regulating blood flow from the left atrium into the left ventricle. The term 'bicuspid' refers to the valve's two cusps or leaflets. This distinguishes it from the tricuspid valve (Choice D), which has three cusps, making Choice D incorrect. The left ventricle (Choice A) and right atrium (Choice B) are not synonymous with the mitral valve. Therefore, the correct answer is C: Bicuspid valve.
5. A client has a right-sided chest tube with 50 cc of serosanguinous fluid in the collection chamber and air bubbles are collecting in the water seal chamber. What is the most appropriate action for the nurse to take at this time?
- A. Do nothing; this is a normal response
- B. Strip the tubing to remove any clots
- C. Place a clamp on the tube near the client's chest
- D. Remove the collection chamber and connect the tubing to a new device
Correct answer: C: Place a clamp on the tube near the client's chest
Rationale: The water seal of a chest tube acts as a one-way valve. Air bubbles in the water seal indicate a leak between the client and the chamber. The nurse should briefly clamp the tube near the client's chest to locate the source of the leak. Once identified, the nurse should unclamp the tubing and notify the physician immediately. Choice A is incorrect because air bubbles in the water seal chamber are not a normal finding and indicate a leak. Choice B is incorrect as stripping the tubing could aggravate the issue and is not the initial appropriate action. Choice D is incorrect as it does not address the immediate need to locate and address the leak.
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