NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 27 of 35, with answer review and explanations.

Question 131

The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back. The nurse explains that this is to avoid "vena caval syndrome," a condition which:

  1. Occurs when blood pressure increases sharply with changes in position
  2. Results when blood flow from the extremities is blocked or slowed
  3. Is seen mainly in first pregnancies
  4. May require medication if positioning does not help

Question 132

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the GTPAL system to record her obstetrical history, the nurse should record:

  1. 3-2-0-0-2
  2. 2-2-0-2-2
  3. 3-1-1-0-2
  4. 2-1-1-0-2

Question 133

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the gravida and para system to record the clients obstetrical history, the nurse should record:

  1. Gravida 3 para 1
  2. Gravida 3 para 2
  3. Gravida 2 para 1
  4. Gravida 2 para 2

Question 134

A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate (MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

  1. Deep tendon reflexes are absent
  2. Urine output is 20 mL/hr
  3. MgSO4serum levels are>15 mg/dL
  4. Respirations are>16 breaths/min

Question 135

Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

  1. 136/88 to 144/93
  2. 132/78 to 124/76
  3. 114/70 to 140/88
  4. 140/90 to 148/98