NCLEX Practice Exam 26 (10 Questions)

10 Questions | By Santepro | Updated: Oct 18, 2022 | Attempts: 4009

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NCLEX Practice Exam 26 (10 Questions) - Quiz

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.

The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
- A.
  
  Diabetes
- B.
  
  Positive HIV
- C.
  
  Hypertension
- D.
  
  Thyroid disease
2.

A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:
- A.
  
  Assess the fetal heart tones
- B.
  
  Check for cervical dilation
- C.
  
  Check for firmness of the uterus
- D.
  
  Obtain a detailed history
3.

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:
- A.
  
  Her contractions are 2 minutes apart.
- B.
  
  She has back pain and a bloody discharge.
- C.
  
  She experiences abdominal pain and frequent urination.
- D.
  
  Her contractions are 5 minutes apart.
4.

The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?
- A.
  
  Low birth weight
- B.
  
  Large for gestational age
- C.
  
  Preterm birth. but appropriate size for gestation
- D.
  
  Growth retardation in weight and length
5.

The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis. RhoGam should be administered:
- A.
  
  Within 72 hours of delivery
- B.
  
  Within 1 week of delivery
- C.
  
  Within 2 weeks of delivery
- D.
  
  Within 1 month of delivery
6.

After the physician performs an amniotomy. the nurse’s first action should be to assess the:
- A.
  
  Degree of cervical dilation
- B.
  
  Fetal heart tones
- C.
  
  Client’s vital signs
- D.
  
  Client’s level of discomfort
7.

A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5 cm dilated with 75% effacement. Based on the nurse’s assessment the client is in which phase of labor?
- A.
  
  Active
- B.
  
  Latent
- C.
  
  Transition
- D.
  
  Early
8.

A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:
- A.
  
  Teaching the mother to provide tactile stimulation
- B.
  
  Wrapping the newborn snugly in a blanket
- C.
  
  Placing the newborn in the infant seat
- D.
  
  Initiating an early infant-stimulation program
9.

A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia. the nurse should give priority to:
- A.
  
  Checking for cervical dilation
- B.
  
  Placing the client in a supine position
- C.
  
  Checking the client’s blood pressure
- D.
  
  Obtaining a fetal heart rate
10.

The nurse is aware that the best way to prevent postoperative wound infection in the surgical client is to:
- A.
  
  Administer a prescribed antibiotic
- B.
  
  Wash her hands for 2 minutes before care
- C.
  
  Wear a mask when providing care
- D.
  
  Ask the client to cover her mouth when she coughs