NCLEX Practice Exam 37 (10 Questions)

10 Questions | Total Attempts: 2746

SettingsSettingsSettings
NCLEX Practice Exam 37 (10 Questions)

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. 

      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