Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 129
Questions 1. A nurse taking a patients history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension. Which of the following may be occurring?A) The patient is developing CHFB) The patient may be having a MIC) The patient may be developing COPDD) The patient may be having an onset of PVD2. A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre - Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre - Syndrome with the patient?A) Guillain-Barre - Syndrome gets better after 5 years in almost all cases.B) Guillain-Barre - Syndrome causes limited sensation in the abdominal region.C) Guillain-Barre - Syndrome causes muscle weakness in the legs.D) Guillain-Barre - Syndrome does not effect breathing in severe cases.3. A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse - s immediate attention and phone call?A) A 8 year-old boy has been vomiting and appears to have slower movements and has a history of an atrio-ventricular shunt placement.B) A 10 year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.C) A 7 year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.D) A 7 year-old girl that had a cast on her right ankle is complaining of itching.4. A 27 year-old woman has delivered twins in the OB unit. The patient develops a condition of 5 centimeter diastasis recti abdominis. Which of the following statements is the most accurate when instructing the patient?A) Sit-ups are o.k. to do as long as you don - t strainB) This condition leads to surgery in 80% of cases.C) Guarding the abdominal region is important at this time.D) Antibiotics are required for this condition in 70% of patients.5. A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?A) LOC (level of consciousness)B) Short term memoryC) + Babinski signD) + Clonus sign Right Answer and Explanation: 1. Right Answer: BExplanation: Myocardial infarction may be associated with SOB and muscle weakness.2. Right Answer: CExplanation: Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre Syndrome.3. Right Answer: AExplanation: The shunt may be blocked and require immediate medical attention.4. Right Answer: CExplanation: Protection of the abdominal wall is critical at this point in time.5. Right Answer: AExplanation: LOC is the most critical indicator of impaired neurological capabilities. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 130
Questions 1. A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?A) Provide a safe environment free of obstructions in the immediate areaB) Call a codeC) Contact the patient - s physicianD) Prevent excessive movement of the extremities2. A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?A) BradycardiaB) Increased pupil size bilaterallyC) Change in LOCD) Vomiting3. The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?A) NauseaB) AnorexiaC) Rapid weight gainD) SOB (shortness of breath)4. A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?A) Lower extremity edemaB) Sensory changes in the upper extremitiesC) Increased occurrence of fracturesD) Decreased peripheral blood flow5. A 24 year-old man has been admitted to the hospital due to work-related back injury. The patient - s wife would like to see the patient - s chart. The nurse should:A) Provide the chart to the patient - s wife following verbal approval by the patient.B) Provide the chart to the patient - s wife after consulting with the patient - s physician.C) Get written approval from the patient prior to providing the wife with chart information and call the MD about the patient - s request.D) Tell the patient - wife, a copy of the patient - s medical record is on-file with medical records. Right Answer and Explanation: 1. Right Answer: AExplanation: Patient safety should be the top concern about this patient.2. Right Answer: BExplanation: Unilateral pupil changes indicate changes in ICP.3. Right Answer: DExplanation: Left sided heart failure exhibits signs of pulmonary compromise (SOB).4. Right Answer: AExplanation: Edema in the lower extremities may indicate a Premarin (over-dosage).5. Right Answer: CExplanation: Some facilities require the physician to be notified about a patients request and written permission from the husband is required for the wife to view the chart. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 131
Questions 1. A 46 year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should:A) Tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders.B) Allow the patient to begin limited ambulation with assistance.C) Recommend a physical therapy consultation for ambulation.D) Tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders.2. A nurse is reviewing a patients ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval. Which of the following medications can cause all of the above effects?A) MorphineB) AtropineC) ProcardiaD) Digitalis3. A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:A) Dizziness and light headed sensationsB) Weight gainC) Sensory changes in the lower extremitiesD) Fatigue4. A patient is complaining of severe chest pain during a stress test. Which of the following medications is the most appropriate to relieve this discomfort?A) AspirinB) DiazoxideC) ProcardiaD) Mannitol5. A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?A) Lab values of Potassium and SodiumB) Lab values of glucose and hemoglobinC) ECGD) CT scan Right Answer and Explanation: 1. Right Answer: AExplanation: The patient should keep the leg straight for at least 4 hours.2. Right Answer: DExplanation: Digitalis can cause all of the listed symptoms.3. Right Answer: AExplanation: Hypotension may be result of over correction of a hypertensive condition.4. Right Answer: CExplanation: Procardia can provide the quickest relief of ischemic chest pain that is severe in this case.5. Right Answer: AExplanation: Diuretics can disturb the sodium and potassium balance resulting in cardiac complications. An ECG is not indicated without evidence of cardiac conditions. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 132
Questions 1. A 55 year-old female asks a nurse the following, 'Which mineral/vitamin is the most important to prevent progression of osteoporosis. The nurse should state:A) PotassiumB) MagnesiumC) CalciumD) Vitamin B122. A patient has recently been diagnosed with symptomatic bradycardia. Which of the following medications is the most recognized for treatment of symptomatic bradycardia?A) QuestranB) DigitalisC) NitroglycerinD) Atropine3. A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?A) Memory loss and lack of appetiteB) Confusion and fatigueC) Heightened reflexesD) Tinnitus and spasticity4. A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?A) TachycardiaB) HypertensionC) BronchodilationD) Sensory changes5. Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?A) PaO2 (90%)B) Bicarbonate 159C) CO(2) 47 mm HgD) pH 7.34 Right Answer and Explanation: 1. Right Answer: CExplanation: Calcium is the most recognized osteoporosis treatment.2. Right Answer: DExplanation: Atropine encourages increased rate of conduction in the AV node.3. Right Answer: BExplanation: Lidocaine Hydrochloride can cause fatigue and confusion if an over dosage occurs.4. Right Answer: DExplanation: Tachycardia, hypertension, and bronchodilation can all occur with Albuterol.5. Right Answer: BExplanation: The bicarbonate value is below normal, indicating a condition of metabolic acidosis. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 133
Questions 1. A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patients left elbow appears as non-blanchable erythema and the skin is intact. The nurse should score the patient as having which of the following?A) Stage I pressure ulcerB) Stage II pressure ulcerC) Stage III pressure ulcerD) Stage IV pressure ulcer2. A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?A) ATNR reflexB) Startle reflexC) Grasping reflexD) Moro reflex3. A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its birth weight within the first 2 days of life. The best statement is:A) The baby will eventually take to the breast.B) I can fix up a bottle if you want to try that.C) A small amount of weight loss in the first few days is normal.D) I can get the charge nurse to come and talk to you about breast-feeding.4. A nurse suspects a patient is developing Bells Palsy. The nurse wants to test the function of cranial nerve VII. Which of the following would be the most appropriate testing procedures?A) Test the taste sensation over the back of the tongue and activation of the facial muscles.B) Test the taste sensation over the front of the tongue and activation of the facial muscles.C) Test the sensation of the facial muscles and sensation of the back of the tongue.D) Test the sensation of the facial muscles and sensation of the front of the tongue.5. A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?A) Prep the patient with pain medication.B) Notify the patient - s family about the procedure via the telephone.C) Decrease the temperature of the blood to be given.D) Increase the temperature of the blood to be given. Right Answer and Explanation: 1. Right Answer: AExplanation: Erythema with the skin intact can indicate a Stage I pressure ulcer.2. Right Answer: DExplanation: The moro reflex has all of the listed characteristics.3. Right Answer: CExplanation: 5-10% of birth weight loss following birth is normal for the first few days of life.4. Right Answer: BExplanation: The facial nerve (VII) is motor to the face and sensory to the anterior tongue.5. Right Answer: DExplanation: Warming the blood will reduce the risk of additional cardiac arrhythmia. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 134
Questions 1. A nurse is reviewing a patient - s serum glucose levels. Which of the following scenarios would indicate abnormal serum glucose values for a 30 year-old male.A) 70 mg/dlB) 55 mg/dlC) 110 mg/dlD) 100 mg/dl2. A mother of a newborn notices a nurse placing liquid in her babys eyes. Which of the following is an inaccurate statement about the need for eyedrops following birth?A) Eyedrops following birth help reduce the risk of eye infection.B) Eyedrops are required by the law.C) Eyedrops will keep the eye moist.D) Eyedrops are required by law every 6 hours following birth.3. A two-year old has been in the hospital for 3 weeks and seldom seen family members due to isolation precautions. Which of the following hospitalization changes is most like to be occurring?A) GuiltB) TrustC) Separation anxietyD) Shame4. A patient has recently been prescribed Zidovudine (Retrovir). The patient has AIDS. Which of the following side effects should the patient specifically watch out for?A) Weakness and SOBB) Fever and anemiaC) Hypertension and SOBD) Fever and hypertension5. A patient has recently been prescribed (Norvasc). Which of the following side effect/s should the patient specifically watch out for?A) Hypotension and AnginaB) HypertensionC) Lower extremity edemaD) Peripheral sensory loss and SOB Right Answer and Explanation: 1. Right Answer: BExplanation: 60-115 mg/dl is standard range for serum glucose levels.2. Right Answer: DExplanation: Laws do require placement of eyedrops; however, physicians indicate a timeframe.3. Right Answer: CExplanation: Separation anxiety can easily occur after six months during hospitalization.4. Right Answer: BExplanation: Anemia and fever are associated with Zidovudines side effects.5. Right Answer: AExplanation: Both angina and hypotension are associated with Norvascs side effects. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 135
Questions 1. A nurse is working in a pediatric clinic and a 25 year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?A) Distraction of the infant with a red objectB) Prone positioning techniquesC) Tapping reflex techniquesD) Neural warmth techniques2. A nurse is working in a pediatric clinic and a mother brings in her 13 month old child who has Down Syndrome. The mother reports, 'My child - s muscles feel weak and he isn - t moving well. My RN friend check his reflexes and she said they are diminished.' Which of the following actions should the nurse take first?A) Contact the physician immediatelyB) Have the patient go to X-ray for a c-spine work-up.C) Start an IV on the patientD) Position the child - s neck in a neutral position3. A nurse is reviewing a patients arterial blood gas values. Which of the following conditions apply under the following values? pH- 7.49Bicarbonate ion 24 mEq/dl -PaCO2 31 mmHg -PaO2 52 mmHg -FiO2 - .22 -A) respiratory acidosisB) respiratory alkalosisC) metabolic acidosisD) metabolic alkalosis4. A 28 year-old male has a diagnosis of AIDS. The patient has had a two year history of AIDS. The most likely cognitive deficits include which of the following?A) DisorientationB) Sensory changesC) Inability to produce soundD) Hearing deficits5. A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms. Which of the following medications was the most beneficial in changing the patients mobility status?A) MivacronB) AtropineC) BethanecholD) Flexeril Right Answer and Explanation: 1. Right Answer: DExplanation: Neural warmth will help to lower the babys agitation level.2. Right Answer: DExplanation: An atlanto-axial dislocation may have occurred. Position the child in a neutral c-spine posture and then contact the doctor immediately.3. Right Answer: BExplanation: Elevated pH and low CO2 level indicate respiratory alkalosis, no compensation is noted.4. Right Answer: AExplanation: Cognitive changes may include confusion and disorientation.5. Right Answer: DExplanation: Flexeril is a muscle relaxant for acute muscle pain and spasms. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 136
Questions 1. Which of the following medications is not considered a neuromuscular blocker?A) AnectineB) PavulonC) PitressinD) Mivacron2. A nurse is caring for a 10 year-old boy who has just been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?A) Increased body weightB) Elevated heart rateC) Lower extremity edemaD) Compulsive behavior3. A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?A) A 12-month old that does not 'cruise'.B) A 8-month old that can sit upright unsupported.C) A 6-month old that is rolling prone to supine.D) A 3-month old that does not roll supine to prone.4. A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?A) 4 years oldB) 5 years oldC) 6 years oldD) 7 years old5. A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?A) DiphtheriaB) Hepatitis BC) MumpsD) Tetanus Right Answer and Explanation: 1. Right Answer: CExplanation: Pitressin is a hormone replacement medication.2. Right Answer: DExplanation: Compulsive behavior does not indicate CHF.3. Right Answer: AExplanation: At 12 months a child should at least be 'cruising' (holding on to objects to walk). Cruising is considered pre-walking.4. Right Answer: CExplanation: 6 years of age is the standard age of 20/20 vision potential.5. Right Answer: CExplanation: Mumps and Rubella are contraindicated during pregnancy. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 43
Questions 1. At 32 weeks - gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, 'How do I prepare for the test I am scheduled for?' The RN will most likely inform her of the following instructions to help prepare her for the test:A) 'You need to know that an IV is always started before the test.'B) 'You will need to drink 6 to 8 glasses of water to fill your bladder.'C) 'Do not eat any food or drink any liquids before the test is started.'D) 'You will have to remain as still as you possibly can.'2. After the fetal activity test (nonstress test) is completed, the RN is looking at the test results on the monitor strip. The RN observes that the fetal heart accelerated5 beats/min with each fetal movement. The accelerations lasted 15 seconds and occurred 3 times during the 20- minute test. The RN knows that these test results will be interpreted as:A) A reactive testB) A nonreactive testC) An unsatisfactory testD) A negative test3. At 38 weeks gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?A) 'I am cold.'B) 'I have a backache.'C) 'I feel dizzy.'D) 'I am nauseous.'4. After performing a sterile vaginal exam on a client who has just been admitted to the unit in active labor and placed on an electronic fetal monitor, the RN assesses that the fetal head is at 21 station. She documents this on the monitor strip. Fetal head at 21 station means that the fetal head is located where in the pelvis?A) One centimeter below the ischial spinesB) One centimeter above the ischial spinesC) Has not entered the pelvic inlet yetD) Located in the pelvic outlet5. A client has been admitted to the labor and delivery unit in active labor. After assessing her, the RN notes that the clients fetus position is left occipital posterior.Which of the following statements best describes what this means to the labor process:A) Decreases the overall time of the labor processB) Prolongs the client - s first stage of laborC) Decreases the time of the client - s first stage of laborD) Prolongs the client - s third stage of labor Right Answer and Explanation: 1. Right Answer: DExplanation: (A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being. This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.2. Right Answer: AExplanation: (A) A nonstress test that shows at least two accelerations of the fetal heart rate of 15 bpm with fetal activity, lasting 15 seconds over a 20-minute period. (B)Reactive criteria are not met. The accelerations of the fetal heart rate are not at least 15 bpm and do not last 15 seconds. This could mean fetal well-being is compromised. Usually a contraction stress test is ordered if the nonstress test results are negative. (C) An unsatisfactory test means the data cannot be interpreted, or there was inadequate fetal activity. If this happens, usually the test is ordered to be done at a later date. (D) A negative test is a term used to describe the results of a contraction stress test.3. Right Answer: CExplanation: (A) Cold is not a symptom of hyperventilation. This could be due to the temperature of the room. (B) Backache is not a symptom of hyperventilation. This is probably due to the gravid uterus and its effect on the back muscles, or it may be due to the clients position in bed. (C) Dizziness is the first symptom of hyperventilation. It occurs because the body is eliminating too much CO2. (D) Nausea is not a symptom of hyperventilation. It could be a symptom of pain.4. Right Answer: BExplanation: (A) The ischial spines are located on both sides of the midpelvis. These spines mark the diameter of the narrowest part of the pelvis that the fetus will encounter.They are not sharp protrusions that will harm the fetus. Station refers to the relationship between the ischial spines in the pelvis and the fetus. The ischial spines are designated at 0 station. If the presenting part of the fetus is located above the ischial spines, a negative number is assigned, noting the number of centimeters above the ischial spines. Therefore, 1 centimeter below the ischial spines is designated as +1 station. (B) See explanation in A. One centimeter above the ischial spines is designated as +1 station. (C) The pelvic inlet is the first part of the pelvis that the fetus enters in routine delivery. The midpelvis is the second part of the pelvis to be entered by the fetus. The ischial spines are located on both sides of the midpelvis. (D) The pelvic outlet is the last part of the pelvis that the fetus will enter. When the fetus reaches this part of the pelvis, birth is near.5. Right Answer: BExplanation: (A) Posterior position causes a larger diameter of the fetal head to enter the pelvis than an anterior position. Pressure on the sacral nerves is increased, and it takes the fetus a longer time to enter the pelvic inlet. (B) This position will prolong the first stage of labor. When the larger diameter of the fetal head enters the pelvis first, it will have a more difficult time accommodating to the pelvis; therefore, it will take a longer time for the fetus to move through the pelvis. (C) It will increase the time of labor because the larger diameter of the fetal head will have a more difficult time accommodating to the pelvic inlet and thus will move through the pelvis slower. (D) In the third stage of labor the placenta is delivered; therefore, the infant has been delivered. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .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: NCLEX-RN PRACTICE EXAMS
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