NCLEX Practice Exam 37 (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.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.
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
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