NCLEX-RN — Practice Questions, Part 3 flashcards
6 of 75 questions free to study here · 24 topics · the whole deck is built into Willys
Multiple-choice practice questions, one best answer each, on labor and postpartum care, newborns, pediatric illness and safety, therapeutic communication, suicide risk and psychiatric care.
Practice deck · part of NCLEX-RN · written against: NCSBN 2026 NCLEX-RN Test Plan, in effect from 1 April 2026 (Next Generation NCLEX; client-needs categories and percentages unchanged from 2023, fact-checked 2026-10-11). Updated 2026-10-10.
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A client at 34 weeks' gestation is lying flat on her back for a fundal height measurement. She suddenly says she feels dizzy and looks pale and sweaty. What should the nurse do first?
A) Raise the head of the bed to high Fowler's
B) Turn the client onto her left side
C) Check a fingerstick blood glucose level
D) Elevate both legs on two pillowsB) Turn the client onto her left sidePrenatal Care
This is supine hypotensive syndrome: the heavy uterus presses on the inferior vena cava and cuts venous return, and turning her to the left side relieves the pressure at once. Raising the legs does not take the uterus off the vena cava. -
At 1 minute after birth, a newborn has a heart rate of 90, slow irregular breathing with a weak cry, some flexion of the limbs, a grimace when stimulated, and a pink body with blue hands and feet. What is the APGAR score?
A) 7
B) 4
C) 6
D) 5D) 5Newborn Assessment
Each sign scores 1: a heart rate below 100, weak irregular respirations, some flexion, grimace, and acrocyanosis, for a total of 5. A score of 6 would need a heart rate over 100. -
A 4-year-old client has a sudden high fever, a muffled voice, and drooling, and is sitting upright leaning forward. Which action should the nurse take?
A) Inspect the throat with a tongue depressor and light
B) Keep the child calm and upright with the parent
C) Obtain a throat culture swab right away
D) Lay the child flat to examine the chestB) Keep the child calm and upright with the parentRespiratory
These are signs of epiglottitis, where agitation or throat examination can trigger complete airway obstruction; the child stays calm and upright with intubation equipment ready. A tongue depressor or throat swab is never used. -
A client with schizophrenia was readmitted after stopping prescribed medication. Which statement by the nurse is most therapeutic?
A) "Why did you stop taking your medication?"
B) "You know you need your medication to stay out of the hospital."
C) "If I were you, I would restart it today."
D) "Tell me about what happened when you stopped it."D) "Tell me about what happened when you stopped it."Therapeutic Communication
An open, nonjudgmental invitation lets the client describe the experience in their own words. A 'why' question demands a justification and tends to make the client defensive, and the other two lecture or give advice. -
A client with schizophrenia is muttering and staring at an empty corner. When asked, he says the voices are talking about him. Which response is best?
A) "Just ignore the voices and they will stop."
B) "I don't hear them, but I can see you're frightened."
C) "There are no voices here; it's just part of your illness."
D) "Do the voices sound like anyone you know?"B) "I don't hear them, but I can see you're frightened."Schizophrenia
The nurse presents reality without arguing and acknowledges the feeling, then redirects to a here-and-now activity. Flatly denying the voices argues with the experience, and probing who they sound like keeps the focus on the hallucination. -
A client on the unit is becoming increasingly agitated and loud but has not harmed anyone. Which intervention should the nurse use first?
A) An injectable medication given at once
B) Application of four-point restraints
C) Placement in a seclusion room
D) Verbal de-escalation in a low-stimulus areaD) Verbal de-escalation in a low-stimulus areaLegal & Ethical
Interventions go from least to most restrictive: verbal de-escalation and reduced stimulation first, then an oral PRN medication, with seclusion and restraints only for imminent danger. Restraints are a last resort, not a first step.
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About these cards
Review status: Second-reader reviewed, with corrections applied.
Checked against:
- NCSBN 2026 NCLEX-RN Test Plan, in effect from 1 April 2026 (topic outline only; no text copied)
- OpenStax Maternal-Newborn Nursing and OpenStax Psychiatric-Mental Health Nursing, consulted as references; no text copied.
- Checked against Open RN Nursing Fundamentals (Chippewa Valley Technical College, CC BY 4.0) and MedlinePlus (U.S. National Library of Medicine); fetal heart rate terms against the NICHD electronic fetal monitoring terminology; reference only, no text copied.
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