NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 30 of 35, with answer review and explanations.

Question 146

Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:

  1. Begin the oxytocin induction as ordered
  2. Increase the dosage by 2 mU/min increments at15-minute intervals
  3. Maintain the dosage when duration of contractions is 40–60 seconds and frequency is at 21⁄2–4 minute intervals
  4. Question the order

Question 147

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

  1. "Keep breathing with your abdominal muscles as long as you can."
  2. "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16–20 times a minute with shallow chest breaths."
  3. "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."
  4. "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."

Question 148

A client is being discharged and will continue enteral feedings at home. Which of the following statements by a family member indicates the need for further teaching?

  1. "If he develops diarrhea lasting for more than 2–3 days, I will contact the doctor or nurse."
  2. "I should anticipate that he will gain about 1 lb/day now that he is on continuous feedings."
  3. "It is important to keep the head of his bed elevated or sit him in the chair during feedings."
  4. "I should use prepared or open formula within 24 hours and store unused portions in the refrigerator."

Question 149

A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as "a cramp in my leg." An appropriate nursing action is to:

  1. Assess for pain with plantiflexion
  2. Assess for edema and heat of the right leg
  3. Instruct him to rub the cramp out of his leg
  4. Elevate right lower extremity with pillows propped under the knee

Question 150

A male client is started on IV anticoagulant therapy with heparin. Which of the following laboratory studies will be ordered to monitor the therapeutic effects of heparin?

  1. Partial thromboplastin time
  2. Hemoglobin
  3. Red blood cell (RBC) count
  4. Prothrombin time