NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 33 of 35, with answer review and explanations.

Question 161

A nurse should carefully monitor a client for the following side effect of MgSO4:

  1. Visual blurring
  2. Tachypnea
  3. Epigastric pain
  4. Respiratory depression

Question 162

MgSO4 blood levels are monitored and the nurse would be prepared to administer the following antidote for MgSO4 side effects or toxicity:

  1. Magnesium oxide
  2. Calcium hydroxide
  3. Calcium gluconate
  4. Naloxone (Narcan)

Question 163

A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:

  1. The client is restless.
  2. The elevated blood pressure causes photophobia.
  3. Noise or bright lights may precipitate a convulsion.
  4. External stimuli are annoying to the client with PIH.

Question 164

A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:

  1. To hold her breath during contractions
  2. To be flat on her back
  3. Not to push with her contractions
  4. To push before becoming fully dilated

Question 165

In addition to changing the mothers position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:

  1. Immediately pour sterile saline on the cord, and repeat this every 15 minutes to prevent drying.
  2. Cover the cord with a wet sponge.
  3. Apply a cord clamp to the exposed cord, and cover with a sterile towel.
  4. Keep the cord warm and moist by continuous applications of warm, sterile saline compresses.