NCLEX Practice Exam 26 (10 Questions)
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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.
- 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.
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
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