NCLEX Practice Exam 24 (10 Questions)

10 Questions | Total Attempts: 2224

SettingsSettingsSettings
NCLEX Practice Exam Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    A gravida 3 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. 
    The client is having fetal heart rates of 90–110 bpm 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. 

      Anticipate the need for a Caesarean section

    • B. 

      Apply the fetal heart monitor

    • C. 

      Place the client in Genupectoral 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 160–170 bpm. 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 primigravida 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

  • 8. 
    As the client reaches 8 cm dilation. the nurse notes late decelerations on the fetal monitor. The FHR baseline is 165–175 bpm with variability of 0–2bpm. What is the most likely explanation of this pattern?
    • A. 

      The baby is asleep.

    • B. 

      The umbilical cord is compressed.

    • C. 

      There is a vagal response.

    • D. 

      There is uteroplacental insufficiency.

  • 9. 
    • A. 

      Notify her doctor

    • B. 

      Start an IV

    • C. 

      Reposition the client

    • D. 

      Readjust the monitor

  • 10. 
    Which of the following is a characteristic of a reassuring fetal heart rate pattern?
    • A. 

      A fetal heart rate of 170–180 bpm

    • B. 

      A baseline variability of 25–35 bpm

    • C. 

      Ominous periodic changes

    • D. 

      Acceleration of FHR with fetal movements