Easy Nclex Test 1 NCLEX EXAM PREVIEW

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NCLEX EXAM PREVIEW

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fran during an exam the client who is 32 weeks pregnant becomes dizzy, lightheaded, and pale. The client is laying supine which nursing intervention shoulf take priority 1-listen to fetal heart tones 2-Take the client b/p 3-ask client to breathe deeply 4-turn client on her left side 4 a pregnant client who reports painless vaginal bleeding at 28 weeks is diagnosed with placenta previa. The placental edge reaches the internal os. The nurse suspects wihich type?1-Low Lying placenta previa 2-marginal placenta previa 3-Partial placentl previa 4-Total placental previa 2 A client with painless vaginal bleeding at 28 weeks gestation has just been diagnosed with placenta previa.Which staement by the client indicates that she undestands nurses teaching 1-iam still able to have sex with my husband 2-i can continue to go to exercise class 3 times a week 3-i will be able to fly to florida for the holidays 4- i need to limit my activity and rest 4

the nurse is caring for a client with suspected hydataform mole, which s/s would confirm this diagnosis?1-heavy bright red bleeding every 21 days 2-fetal cardiac motion after 6 weeks gestation 3-benign tumors found in the smooth muscle of the uterus 4- snowstorm pattern on ultrasound with no fetus or gestation sac 4 a 21 year old has just been diagnosed with having a hydatiform mole, which factor is considered a risk factor for developing a molar pregnancy?1-age 20-30 2-high socienomic status 3-primigravida 4-prior molar gestation 4 21 year old client at 6 weeks is diagnosed with hyperemesis gravidarum. this will often result in what?1-bowel perforation 2-electrolyte imbalance 3-miscarriage 4- gestaional htn 2 mag sulfate is given to pregnant clients with pre- eccampsia to prevent what condition?1-hemmorrahge 2-HTN

3-HYPOMAGNESEMIA

4-SEIZURES

4 the primary difference between preecclampsia and eclampsia is 1-seizures 2-headaches 3-blurred vision 4-weight gain 1 42 year old client, prenatal visit 16 weeks, severe morning sickness, and no fetal heart tones, bp is 150/100. Fundal height is 24 cm these are most likely indicitive of 1-abruptio placenta 2-placenta previa 3-normal pregancy 4- hydataform mole 4 A client with gestational htn is recieving mag to prevent seizures, what mag level is therapeutic for clients with preecclampsia?1-4-7meq/L 2- 8-10 meq/L 3- 10-12 meq/L 4- greater than 15 meq/L 1--the therapeutic level of mag for pts with gest htn is 4-7; 8-10 may cause absence of reflexes; 10-12 resp depression and 15 could cause resp paralysis

client is getting iv mag for preecclampsia which side effect is associated with mag sulfate?1- anemia 2- decreased urine output 3-hyperreflexia 4-increased respiratory rate 2 the antagonists for mag that should be readily available to anyone recieving mag sulfate. which drug is the antidote for amg toxcity?1- Calcium gluconate (Kalcinate) 2-Hydralazine 3-Naloxone 4-RhoGAM 1 clients with which condition would be appropriate for a trail of labor after prior c-section?1- complete placenta previa 2-invasive cervical cancer 3-premature rupture of membranes 4-prior classical c-secion 3--clients with placental previa or classic c-section should not be given a trail of labor due to the risk of uterine rupture; cervical ca should be scheduled c-section a nurse is teachinf a clinet who recieved a dose of rhogam at 28 weeks gestation to prevent rh isoimmunization. which statement is most accurate about the develpement of this condition?1-rh + materal blood crossed into fetal blood stimulating fetal antibodies.2-rh+ fetal blood crossed into maternal blood stimulating maternal antibodies 3-rh-fetal blood crosses into amternal blood stimulating maternal antibodies 4-rh negative maternal blood crosses into fetal blood stimulating fetal antibodies 2 to detect life threathening complicationa s early as posible in a client recieveing tocolytic agents the nures should be alert for which finding?1-serum blood glucose level of 140 2-maternal hr of 54 3-bilateral crackles 4-weak carotid pulse 3 which condtion poses the greatest risk to a 32 year old woman who is 15 weeks pregnant and has a hx of htn?1- abruptio placentae 2-preterm labor 3-spontaneous abortion 4- anemia 1

32 year old femal client has her 1st pre-natal visit at 15 weeks getation, which finding during this visit is abnormal?1-fundal height of 18 cm 2-bp of 124/72 3-urine is negative for protien 4-weight of 144lbs 1 a client with gestational htn is experiencing abdominal pain and vaginal bleeding which assessment shoulf the nurse perform first?1-assess fetal heart tones 2- assess strenght of contractions 3-assess uop 4-assess serum elctrolytes 1- since the finding suggest possible abruptio placentae fetal heart tones should be assessed first for fetal well being then the others should be implemented which statement by a client with mild pre-ecclampsia indicates understanding of dc instructions?1-i will be on my left side 2-i should increae my sodium intake 3- i willl take acetaminophen for a headache 4-i will montior my weight wekkly 1 a client comes into the l/d unit 36 wks gestation, has mild contractions. What complication should the nurse watch for when the client informs her that she has placenta previa> 1-sudden rupture of membranes 2-vaginal bleeding 3-emesis 4-fever 2- contractions may disrupt the placenta a client in labor has been recieving oxtocin to aid in her progress the nurse caring for her notes that contractions are lasting 100 seconds what should she do 1st?1-stop the infusion 2-notify the md 3-monitor fetal heart tones as usual 4-turn client on left side 1--any contractions lasting over 90 seconds signals tetany and could lead to decreased placental perfusion and possibly uterine rupture clinet arrived to unit having contractions ever 4 mins, after quick assessment she is admitted and monitor is applied the observation that should alert the nurse to possible fetal distress is 1- total weight gain of 30lbs 2-maternal age of 32 3-bp of 146/90 4-treatment of syphallis at 15wnks gestation 3