NCLEX Rn Practice Questions 11 (Practice Mode)- Rnpedia

7 Questions | Total Attempts: 2835

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NCLEX Rn Quizzes & Trivia

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Questions and Answers
  • 1. 
    A gravida III para 0 is admitted to the labor and delivery unit. The doctor performs an amniotomy. Which observation would the nurse be expected to make after the amniotomy?
    • A. 

      Fetal heart tones 160bpm

    • B. 

      A moderate amount of straw-colored fluid

    • C. 

      A small amount of greenish fluid

    • D. 

      A small segment of the umbilical cord

  • 2. 
    The client is admitted to the unit. A vaginal exam reveals that she is 2cm dilated. Which of the following statements would the nurse expect her to make? 
    • A. 

      "We have a name picked out for the baby."

    • B. 

      "I need to push when I have a contraction."

    • C. 

      "I can’t concentrate if anyone is touching me."

    • D. 

      "When can I get my epidural?"

  • 3. 
    He client is having fetal heart rates of 90–110bpm during the contractions. The first action the nurse should take is:
    • A. 

      Reposition the monitor

    • B. 

      Turn the client to her left side

    • C. 

      Ask the client to ambulate

    • D. 

      Prepare the client for delivery

  • 4. 
    In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect: 
    • A. 

      A painless delivery

    • B. 

      Cervical effacement

    • C. 

      Infrequent contractions

    • D. 

      Progressive cervical dilation

  • 5. 
    A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time? 
    • A. 

      Anticipate the need for a Caesarean section

    • B. 

      Apply the fetal heart monitor

    • C. 

      Place the client in Genu Pectoral position

    • D. 

      Perform an ultrasound exam

  • 6. 
    A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:
    • A. 

      The cervix is closed.

    • B. 

      The membranes are still intact

    • C. 

      The fetal heart tones are within normal limits

    • D. 

      The contractions are intense enough for insertion of an internal monitor

  • 7. 
    The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor? 
    • A. 

      Impaired gas exchange related to hyperventilation

    • B. 

      Alteration in placental perfusion related to maternal position

    • C. 

      Impaired physical mobility related to fetal-monitoring equipment

    • D. 

      Potential fluid volume deficit related to decreased fluid intake