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NCLEX-RN Exam Questions - Part 25
1. After a liver biopsy, the best position for the client is:
A) High Fowler
B) Prone
C) Supine
D) Right lateral
2. A complication for which the nurse should be alert following a liver biopsy is:
A) Hepatic coma
B) Jaundice
C) Ascites
D) Shock
3. Which nursing implication is appropriate for a client undergoing a paracentesis?
A) Have the client void before the procedure.
B) Keep the client NPO.
C) Observe the client for hypertension following the procedure.
D) Place the client on the right side following the procedure.
4. The nurse would assess the client - s correct understanding of the fertility awareness methods that enhance conception, if the client stated that:
A) 'My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy.'
B) 'At ovulation, my basal body temperature should rise about 0.5F.'
C) 'I should douche immediately after intercourse.'
D) 'My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle.'
5. A couple is planning the conception of their first child.The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:
A) 14+2 days
B) 16+2 days
C) 20+2 days
D) 22+2 days
A) High Fowler
B) Prone
C) Supine
D) Right lateral
2. A complication for which the nurse should be alert following a liver biopsy is:
A) Hepatic coma
B) Jaundice
C) Ascites
D) Shock
3. Which nursing implication is appropriate for a client undergoing a paracentesis?
A) Have the client void before the procedure.
B) Keep the client NPO.
C) Observe the client for hypertension following the procedure.
D) Place the client on the right side following the procedure.
4. The nurse would assess the client - s correct understanding of the fertility awareness methods that enhance conception, if the client stated that:
A) 'My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy.'
B) 'At ovulation, my basal body temperature should rise about 0.5F.'
C) 'I should douche immediately after intercourse.'
D) 'My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle.'
5. A couple is planning the conception of their first child.The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:
A) 14+2 days
B) 16+2 days
C) 20+2 days
D) 22+2 days
1. Right Answer: D
Explanation: (A) This position does not help to prevent bleeding. (B) This position does not help to prevent bleeding. (C) This position does not help to prevent bleeding. (D)The right lateral position would allow pressure on the liver to prevent bleeding.
2. Right Answer: D
Explanation: (A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.
3. Right Answer: A
Explanation: (A) A full bladder would impede withdrawal of ascitic fluid. (B) Keeping the client NPO is not necessary. (C) The client may exhibit signs and symptoms of shock and hypertension. (D) No position change is needed after the procedure.
4. Right Answer: B
Explanation: (A) At ovulation, the cervical mucus is increased, stretchable, and watery clear. (B) Under the influence of progesterone, the basal body temperature increases slightly after ovulation. (C) To enhance fertility, measures should be taken that promote retention of sperm rather than removal. (D) Ovulation, the optimal time for conception, occurs 14+2 days before the next menses; therefore, the date of ovulation is directly related to the length of the menstrual cycle.
5. Right Answer: C
Explanation: (A) Ovulation is dependent on average length of menstrual cycle, not standard 14 days. (B) Ovulation occurs 14+2 days before next menses (34 minus 14 does not equal 16). (C) Ovulation occurs 14+2 days before next menses (34 minus 14 equals 20). (D) Ovulation occurs 14+2 days before next menses (34 minus 14 does not equal 22).
Explanation: (A) This position does not help to prevent bleeding. (B) This position does not help to prevent bleeding. (C) This position does not help to prevent bleeding. (D)The right lateral position would allow pressure on the liver to prevent bleeding.
2. Right Answer: D
Explanation: (A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.
3. Right Answer: A
Explanation: (A) A full bladder would impede withdrawal of ascitic fluid. (B) Keeping the client NPO is not necessary. (C) The client may exhibit signs and symptoms of shock and hypertension. (D) No position change is needed after the procedure.
4. Right Answer: B
Explanation: (A) At ovulation, the cervical mucus is increased, stretchable, and watery clear. (B) Under the influence of progesterone, the basal body temperature increases slightly after ovulation. (C) To enhance fertility, measures should be taken that promote retention of sperm rather than removal. (D) Ovulation, the optimal time for conception, occurs 14+2 days before the next menses; therefore, the date of ovulation is directly related to the length of the menstrual cycle.
5. Right Answer: C
Explanation: (A) Ovulation is dependent on average length of menstrual cycle, not standard 14 days. (B) Ovulation occurs 14+2 days before next menses (34 minus 14 does not equal 16). (C) Ovulation occurs 14+2 days before next menses (34 minus 14 equals 20). (D) Ovulation occurs 14+2 days before next menses (34 minus 14 does not equal 22).
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