NCLEX Practice Exam 37 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 5448

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NCLEX Practice Exam 37 (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.

A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?
- A.
  
  Insulin requirements moderate as the pregnancy progresses.
- B.
  
  A decreased need for insulin occurs during the second trimester.
- C.
  
  Elevations in human chorionic gonadotrophin decrease the need for insulin.
- D.
  
  Fetal development depends on adequate insulin regulation.
2.

A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:
- A.
  
  Providing a calm environment
- B.
  
  Obtaining a diet history
- C.
  
  Administering an analgesic
- D.
  
  Assessing fetal heart tones
3.

A primigravida. age 42. is 6 weeks pregnant. Based on the client’s age. her infant is at risk for:
- A.
  
  Down syndrome
- B.
  
  Respiratory distress syndrome
- C.
  
  Turner’s syndrome
- D.
  
  Pathological jaundice
4.

A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:
- A.
  
  Magnesium sulfate
- B.
  
  Calcium gluconate
- C.
  
  Dinoprostone (Prostin E.)
- D.
  
  Bromocriptine (Parlodel)
5.

A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus. and the urinary output for the past hour is 100mL. The nurse should:
- A.
  
  Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure
- B.
  
  Stop the infusion of magnesium sulfate and contact the physician
- C.
  
  Slow the infusion rate and turn the client on her left side
- D.
  
  Administer calcium gluconate IV push and continue to monitor the blood pressure
6.

Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?
- A.
  
  An affected newborn has unaffected parents.
- B.
  
  An affected newborn has one affected parent.
- C.
  
  Affected parents have a one in four chance of passing on the defective gene.
- D.
  
  Affected parents have unaffected children who are carriers.
7.

A pregnant client. age 32. asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:
- A.
  
  Because it is a state law
- B.
  
  To detect cardiovascular defects
- C.
  
  Because of her age
- D.
  
  To detect neurological defects
8.

A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:
- A.
  
  There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.
- B.
  
  Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.
- C.
  
  It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.
- D.
  
  Fetal growth is arrested if thyroid medication is continued during pregnancy.
9.

The nurse is responsible for performing a neonatal assessment on a full-term infant. At 1 minute. the nurse could expect to find:
- A.
  
  An apical pulse of 100
- B.
  
  An absence of tonus
- C.
  
  Cyanosis of the feet and hands
- D.
  
  Jaundice of the skin and sclera
10.

A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:
- A.
  
  Supplemental oxygen
- B.
  
  Fluid restriction
- C.
  
  Blood transfusion
- D.
  
  Delivery by Caesarean section