NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 28 of 35, with answer review and explanations.

Question 136

In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstrual cycle?

  1. Menstrual phase
  2. Proliferative phase
  3. Secretory phase
  4. Ischemic phase

Question 137

A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

  1. Gently pull the infant away
  2. Withdraw the breast from the infant’s mouth
  3. Compress the areolar tissue until the infant drops the nipple from her mouth
  4. Insert a clean finger into the baby’s mouth beside the nipple

Question 138

A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:

  1. Notify the physician
  2. Place the client on a pad count
  3. Massage the uterus and re-evaluate in 30 minutes
  4. Have the client void and then re-evaluate the fundus

Question 139

A client delivered her first-born son 4 hours ago. She asks the nurse what the white cheeselike substance is under the baby’s arms. The nurse should respond:

  1. "This is a normal skin variation in newborns. It will go away in a few days."
  2. "Let me have a closer look at it. The baby may have an infection."
  3. "This material, called vernix, covered the baby before it was born. It will disappear in a few days."
  4. "Babies sometimes have sebaceous glands that get plugged at birth. This substance is an example of that condition."

Question 140

A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal heart sounds are best auscultated just:

  1. Below the umbilicus toward left side of mother’s abdomen
  2. Below the umbilicus toward right side of mother’s abdomen
  3. At the umbilicus
  4. Above the umbilicus to the left side of mother’s abdomen