NCLEX-RN Practice Test 23

Question 1

The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive.
To provide postpartum prophylaxis, RhoGam should be administered:

Accepted Answer

Within 72 hours of delivery

Answer

Within 1 week of delivery

Answer

Within 2 weeks of delivery

Answer

Within 1 month of delivery

Question 2

The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

Accepted Answer

Reposition the client

Answer

Notify her doctor

Answer

Start an IV

Answer

Readjust the monitor

Question 3

A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

Accepted Answer

Assess the fetal heart tones

Answer

Check for cervical dilation

Answer

Check for firmness of the uterus

Answer

Obtain a detailed history

Question 4

The nurse is caring for a client admitted with epiglottitis. Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?

Accepted Answer

A tracheostomy set

Answer

Intravenous access supplies

Answer

Intravenous fluid administration pump

Answer

Supplemental oxygen

Question 5

A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage?

Accepted Answer

The tumor extended beyond the kidney but was completely resected

Answer

The tumor is less than 3 cm. in size and requires no chemotherapy

Answer

The tumor did not extend beyond the kidney and was completely resected

Answer

The tumor has spread into the abdominal cavity and cannot be resected

Question 6

A child has recently been diagnosed with Duchenne’s muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?

Accepted Answer

Duchenne’s is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.

Answer

Duchenne’s is an X-linked recessive disorder, so both daughters and sons have a 50% chance of developing the disease.

Answer

Each child has a 1 in 4 (25%) chance of developing the disorder.

Answer

Sons only have a 1 in 4 (25%) chance of developing the disorder.

Question 7

The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

Accepted Answer

Serum collection (Davol) drain

Answer

Client’s pain

Answer

Nutritional status

Answer

Immobilizer

Question 8

The nurse is assigned to care for the client with a Steinmann pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

Accepted Answer

Assisting the LPN with opening sterile packages and peroxide

Answer

Telling the LPN that clean gloves are allowed

Answer

Telling the LPN that the registered nurse should perform pin care

Answer

Asking the LPN to clean the weights and pulleys with peroxide

Question 9

The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

Accepted Answer

Disalignment

Answer

Pain

Answer

Cool extremity

Answer

Absence of pedal pulses

Question 10

He knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force?

Accepted Answer

Low morale of staff in her unit

Answer

Demo from the CEO to cut down on electrical consumption

Answer

Demands of the labor sector to increase wages

Answer

Exacting regulatory and accreditation standards

The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive.To provide postpartum prophylaxis, RhoGam should be administered:

The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive.
To provide postpartum prophylaxis, RhoGam should be administered: