NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 2 of 35, with answer review and explanations.

Question 6

Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

  1. Decreased glomerular filtration and increased tubular absorption
  2. Decreased estrogen levels
  3. Decreased progesterone levels
  4. Increased human placental lactogen levels

Question 7

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

  1. 70 mg/dL and 120 mg/dL
  2. 100 mg/dL and 200 mg/dL
  3. 40 mg/dL and 130 mg/dL
  4. 90 mg/dL and 200 mg/dL

Question 8

When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

  1. Continue monitoring because this is a normal occurrence.
  2. Turn client on right side.
  3. Decrease IV fluids.
  4. Report to physician or midwife.

Question 9

A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:

  1. Prevention of seizures
  2. Prevention of uterine contractions
  3. Sedation
  4. Fetal lung protection

Question 10

The predominant purpose of the first Apgar scoring of a newborn is to:

  1. Determine gross abnormal motor function
  2. Obtain a baseline for comparison with the infant’s future adaptation to the environment
  3. Evaluate the infant’s vital functions
  4. Determine the extent of congenital malformations