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NCLEX RN Practice Questions with Answers

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Question 1 of 5.

Assessment of a primigravid client in active labor reveals a cervix dilated to 5 cm and completely effaced, with the fetus at -1 station. The client has indicated that she wants a 'natural childbirth' with no analgesia or anesthesia. The client's husband has been present since their arrival at the birthing unit. The physician enters the room and tells the client that it is time for an epidural anesthetic. Which of the following would be the nurse's best action at this time?

A. Ask the client if she desires an epidural anesthetic.

B. Tell the physician that the client desires a natural childbirth with no analgesia or anesthesia.

C. Tell the client that her labor will be more comfortable with an anesthetic.

D. Ask the client to discuss this with her husband and then make a decision.

Explanation: Advocating for the client's stated preference for natural childbirth ensures autonomy and respects her birth plan.

Question 2 of 5.

Conflicts, according to Lewin, include which types of conflict? Select all that apply.

A. Conceptualization conflicts

B. Avoidance - Avoidance conflicts

C. Approach - Approach conflicts

D. Resolvable conflicts

E. Unresolvable conflicts

F. Double Approach - Avoidance conflicts

G. Approach-Avoidance conflicts

Explanation: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.

Question 3 of 5.

The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?

A. Assessment

B. Movement

C. Understanding level

D. Risks

Explanation: The MAAUAR method prioritizes: Mental status, Acute pain, Acute eliminated needs, Urgent needs, Abnormal vital signs, Risks. The second priority is Acute pain, but among the options, Risks aligns as a high-priority need following initial physiological concerns.

Question 4 of 5.

Select the legal term that is accurately paired with its description.

A. Assault: Touching a person without their consent

B. Battery: Threatening to touch a person without their consent

C. Slander: False oral defamatory statements.

D. Slander: False written defamatory statements.

Explanation: Slander is correctly defined as false oral defamatory statements. Assault is threatening harm , battery is unauthorized touching , and libel is false written defamation .

Question 5 of 5.

Which of these clients is at greatest risk for falls?

A. A 77 year old female client in a client room that has low glare floors.

B. An 87 year old female client in a client room that has low glare floors.

C. A 27 year old sedated male client.

D. A 37 year old male client with impaired renal perfusion.

Explanation: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.

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