NCLEX-RN Exam Questions - Part 33

Published - Fri, 03 Mar 2023

NCLEX-RN Exam Questions  - Part 33

NCLEX-RN Exam Questions - Part 33

1. In addition to changing the mothers position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:

A) Immediately pour sterile saline on the cord, and repeat this every 15 minutes to prevent drying.
B) Cover the cord with a wet sponge.
C) Apply a cord clamp to the exposed cord, and cover with a sterile towel.
D) Keep the cord warm and moist by continuous applications of warm, sterile saline compresses.



2. Which of the following signs might indicate a complication during the labor process with vertex presentation?

A) Fetal tachycardia to 170 bpm during a contraction
B) Nausea and vomiting at 8 - 10 cm dilation
C) Contraction lasting 60 seconds
D) Appearance of dark-colored amniotic fluid



3. A client is admitted to the hospital for an induction of labor owing to a gestation of 42 weeks confirmed by dates and ultrasound. When she is dilated 3 cm, she has a contraction of 70 seconds. She is receiving oxytocin.The nurses first intervention should be to:

A) Check FHT
B) Notify the attending physician
C) Turn off the IV oxytocin
D) Prepare for the delivery because the client is probably in transition



4. During a clients first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus.This may be due to:

A) Endometritis
B) Fibroid tumor on the uterus
C) Displacement due to bowel distention
D) Urine retention or a distended bladder



5. The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

A) Pulse rate of 50 - 70 bpm by her third postpartum day
B) Diuresis by her second or third postpartum day
C) Vaginal discharge or rubra, serosa, then rubra
D) Diaphoresis by her third postpartum day



1. Right Answer: D
Explanation: (A) Saline should be warmed; waiting 15 minutes may not keep the cord moist. (B) This choice does not specify what the sponge was 'wet' with. (C) This measure would stop circulation to the fetus. (D) The cord should be kept warm and moist to maintain fetal circulation. This measure is an accepted nursing action.

2. Right Answer: D
Explanation: (A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 6090 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.

3. Right Answer: C
Explanation: (A) FHT should be monitored continuously with an induction of labor; this is an accepted standard of care. (B) The physician should be notified, but this is not the first intervention the nurse should do. (C) The standard of care for an induction according to the Association of Womens Health, Obstetric, and Neonatal Nurses and American College of Obstetrics and Gynecology is that contractions should not exceed 60 seconds in an induction. Inductions should simulate normal labor;70-second contractions during the latent phase (3 cm) are not the norm. The next contractions can be longer and increase risks to the mother and fetus. (D)Contractions lasting 6090 seconds during transition are typical; this provides a good distractor. The nurse needs to be knowledgeable of the phases and stages of labor.

4. Right Answer: D
Explanation: (A, B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. (C) Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. (D) Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.

5. Right Answer: C
Explanation: (A) Bradycardia is an expected assessment during the postpartum period. (B) Diuresis can occur during labor and the postpartum period and is an expected physiological adaptation. (C) A return of rubra after the serosa period may indicate a postpartal complication. (D) Diaphoresis, especially at night, is an expected physiological change and does not indicate an infectious process. Bradycardia, diuresis, and diaphoresis are normal postpartum physiological responses to adjust the cardiac output and blood volume to the nonpregnant state.

80% DISCOUNT: NCLEX-RN PRACTICE EXAMS

Comments (0)

Search
Popular categories
Latest blogs
HR all events, conferences in 2023
HR all events, conferences in 2023
2023 SWPP Annual Conference ↗ Location: Omni Nashville Hotel, Nashville, TN, USAStart Date: May 15, 2023Category: HR 41st ANNUAL Payroll Conference ↗ Location:  Denver, CO, USAStart Date: May 16, 2023Category: Payroll Association for Talent Development (ATD) 2023 International Conference & Exposition ↗ Location:  San Diego Convention Center, CA, USAStart Date: May 21, 2023Category: Talent Development Connect Human Resources Summit ↗ Location: Twickenham Stadium, London, EnglandStart Date: May 22, 2023Category: HR HRCoreNordic ↗ Location: Copenhagen Marriott Hotel, Copenhagen, DenmarkStart Date: May 24, 2023Category: HR‍ Nordic People Analytics Summit 2023 ↗ Location: Birger Jarl Hotel, Stockholm, SwedenStart Date: May 17, 2023Category: People Analytics‍2023 VIRTUAL Conference: HR Technology, Data, and the Employee Experience ↗ Location: VirtualStart Date: May 18, 2023Category: HR, Employee Experience‍HR Core Nordic ↗ Location: VirtualStart Date: May 18, 2023Category: HR Tech ‍‍Future of Work USA ↗ Location: Chicago, IL, USAStart Date: June 6, 2023Category: HR, Future of WorkCIPD Festival of Work ↗ Location: Olympia London, London, UKStart Date: June 7, 2023Category: HR‍ HR Innovation & Tech Fest ↗ Location: Cordis, Auckland, New ZealandStart Date: June 7, 2023Category: HR, HR Tech UFHRD Conference 2023 ↗ Location: National College of Ireland, Dublin, IrelandStart Date: June 7, 2021Category: HR 27TH ANNUAL Diversity, Equity And Inclusion Conference ↗ Location: Brooklyn, NY, USAStart Date: June 8, 2023Category: HR, DEI SHRM Annual Conference & Expo 2023 ↗ Location: Las Vegas Convention Center, Las Vegas, NV, USAStart Date: June 11, 2023Category: HR TOTAL REWARDS ‘23 ↗ Location: San Diego, CA, USAStart Date: June 12, 2023Category: HR, Talent Management HRcoreREWARD ↗ Location: Hotel Porta Fira, Barcelona, SpainStart Date: June 14, 2023Category: HR‍Training & Development Summit ↗ Location: Radisson Hotel & Conference Centre, London, UKStart Date: June 19, 2023Category: HR‍4th Annual People Analytics & HR Data Conference ↗ Location: Eora, Sydney, AustraliaStart Date: June 21, 2023Category: People Analytics THE RICHMOND HUMAN RESOURCES FORUM ↗ Location: The Grove, Hertfordshire, UKStart Date: June 27, 2023Category: HR ‍Talent Management Reloaded Europe ↗ Location: Maritim Proarte, Berlin, GermanyStart Date: July 2, 2023Category: Talent Management‍‍2023 HR Florida Conference & Expo ↗ Location: Rosen Shingle Creek, Orlando, FL, USAStart Date: August 27, 2023Category: HR‍‍International Conference on Talent Acquisition and People Analytics ↗ Location: Prague, Czech RepublicStart Date: September 6, 2023Category: HR InspireHR 2023 ↗ Location:  Music City Center, Nashville, TN, USAStart Date: Fall 2023Category: HR HR Evolve ↗ Location:  Crown Conference Centre, Melbourne, AustraliaStart Date: September 7, 2023Category: HR‍HR Analytics Summit  ↗ Location:  The Barbican Centre, London, UKStart Date: September 8, 2023Category: HR TalentNEXT ↗ Location:  Hyatt Regency Savannah, Savannah, GA, USAStart Date: September 10, 2023Category: Talent Management Gartner ReimagineHR Conference - London, UK ↗ Location:  InterContinental London-The O2, London, UKStart Date: September 11, 2023Category: HR, Future of Work‍HRO Today Inclusion Summit ↗ Location:  Washington DC, USAStart Date: September 13, 2023Category: HR Inclusion The Future of Work Conference ↗ Location:  RDS Arena, Dublin, Ireland Start Date: September 14, 2023Category: HR, Workplace‍International Conference on Human Resources, Management, Strategies and Development ↗ Location: Zurich, SwitzerlandStart Date: September 16, 2023Category: HR ICHR 2023: 17. International Conference on Human Resources ↗‍Location:  Paris, FranceStart Date: September 20, 2023Category: HR‍Ohio SHRM 2023 HR Conference ↗‍Location:  Kalahari Resort & Virtual Kalahari Resorts & Conventions, Sandusky, OH, USAStart Date: September 20, 2023Category: HR‍HRtechX London 2023 ↗‍Location:  Copenhagen, DenmarkStart Date: September 25, 2023Category: HR Tech‍HR Summit London ↗‍Location:  Hilton London Canary Wharf, London, UKStart Date: September 28, 2023Category: HR‍ Maryland SHRM State Conference ↗‍Location:  Hyatt Regency Chesapeake Bay Golf Resort, Spa And Marina, Cambridge, MD, USAStart Date: October 1, 2023Category: HR CUPA HR 2023 ANNUAL CONFERENCE & EXPO ↗ Location:  Hyatt Regency New Orleans, New Orleans, LA, USAStart Date: October 1, 2023Category: HR Employee Benefits Live 2023 ↗ Location:  ExCeL London, UKStart Date: October 3, 2023Category: HR, Employee Engagement Western Cities Conference ↗ Location:  Fantasyland Hotel, Edmonton, CanadaStart Date: October 4, 2023Category: HR WI State SHRM Conference ↗ Location:  Kalahari Resort & Conference Center, Baraboo, WI, USAStart Date: October 10, 2023Category: HR HR Technology Conference & Expo ↗ Location: Mandalay Bay, Las Vegas, NV, USAStart Date: October 10, 2023Category: HR, HR Tech 30th Human Resource Summit ↗ Location:  Dolce CampoReal, Lisbon, PortugalStart Date: October 11, 2023Category: HR The HRSouthwest Conference ↗ Location:  Fort Worth Convention Center, Fort Worth, TX, USAStart Date: October 15, 2023Category: HR‍ Future of Work APAC ↗ Location:  Amora Hotel Jamison, Sydney, AustraliaStart Date: October 17, 2023Category: HR, Future of Work‍UNLEASH WORLD 2023 ↗ Location: Paris Expo Porte de Versailles, FranceStart Date: October 17, 2023Category: HR ICHRM 2023: 17. International Conference on Economics and Human Resource Management ↗ Location:  Rome, ItalyStart Date: October 18, 2023Category: HR HR2023 Arkansas SHRM ↗ Location:  Ft. Smith, AK, USAStart Date: October 18, 2023Category: HR 2023 MISHRM CONFERENCE & EXHIBITION ↗ Location:  Devos Place, Grand Rapids, MI, USAStart Date: October 18, 2023Category: HR SHRM INCLUSION 2023 ↗ Location: Savannah Convention Center, Savannah, GA, USAStart Date: October 30, 2023Category: HR Inclusion‍  Gartner ReimagineHR Conference - Sydney, Australia ↗ Location:  Hilton Sydney, AustraliaStart Date: December 4, 2023Category: HR, Future of Work

Sat, 13 May 2023

What to Expect from HR Certification Exam: Tips and Strategies
What to Expect from HR Certification Exam: Tips and Strategies
Understand the Exam FormatCreate a Study PlanUse Multiple ResourcesPractice, Practice, PracticeUnderstand Key ConceptsUse Memory TechniquesManage Your Time During the ExamStay Calm and FocusedIn conclusion, passing an HR certification exam requires preparation, focus, and determination. Understand the exam format, create a study plan, use multiple resources, practice, understand key concepts, use memory techniques, manage your time during the exam, and stay calm and focused. By following these tips and strategies, you'll be well on your way to passing your HR certification exam and advancing your career in HR. .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:'Poppins';letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SHRM-CP - 18 PRACTICE EXAMS 1000+ QUESTIONS SHRM BUNDLE SHRM-CP - 18 Practice Exams 1000+ Questions with detailed explanation - SHRM-SCP - 12 Practice Exams 800+ Questions - Added Questions Monthly - Updated -Access HR Library - 100+ HR books - Other useful resources - Only 9$ /monthly

Sat, 08 Apr 2023

The Cost of HR Certification: Is it Worth the Investment?
The Cost of HR Certification: Is it Worth the Investment?
Despite the cost, obtaining an HR certification can be a worthwhile investment for HR professionals. Here are some reasons why:However, it's essential to keep in mind that obtaining an HR certification does not guarantee career success. Certification is just one part of a successful HR career. HR professionals must also gain practical experience, develop critical thinking skills, and stay up-to-date with the latest trends and developments in their field.

Sat, 08 Apr 2023

All blogs