NAXLEX NCLEX nursing EXAM LATEST
VERSION QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST REleased
A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism
during pregnancy.Which of the following statements should the nurse reinforce in
the teaching?
A. Clients who have this disorder may have an increased risk of lipid and glucose
metabolism disorders.
-increased risks of metabolic disorders,
-including lipid and glucose metabolism disorders, which can affect both the mother and
fetus.
A nurse is collecting data on a 1-day-old newborn.Which of the following findings
should the nurse identify as requiring follow-up?
D. A large, deep sacral dimple above the gluteal cleft.
NORMAL:
,A. A hymenal tag and white discharge on genitalia.
B. Edema on the scalp that crosses the suture line.
C. A heart murmur.
A nurse is assisting with the admission of a client who is at 39 weeks of gestation
and has heavy vaginal bleeding.Which of the following actions should the nurse
take?
A. Prepare for cesarean birth.
-could be due to placental abruption or placenta previa, which necessitates immediate
delivery to prevent maternal and fetal complications.
A nurse is assisting in caring for a client who has pregestational type 1 diabetes
mellitus (PDM). Which of the following findings should the nurse recognize as
being associated with this condition?
Polyphagia
-Polyphagia, or increased hunger
A nurse is admitting a client who is at 36 weeks gestation and has painless,
bright red vaginal bleeding.The nurse recognizes this finding as an indication of
which of the following conditions?
A. Placenta previa.
-Threatened abortion is characterized by vaginal bleeding before 20 weeks
-Abruptio placentae involves painful vaginal bleeding
-Preterm labor may present with contractions, cervical changes, and possible bleeding
A nurse is assisting in the care of a client who is to undergo an amniotomy.Which
of the following is the priority nursing action following this procedure?
A. Check the fetal heart rate pattern.
,A nurse is assisting in the care of a client who gave birth 1 hour ago and is
experiencing excessive vaginal bleeding.Which of the following medications
should the nurse anticipate the provider will prescribe?
B. Tranexamic acid.
-ranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the
breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
-Magnesium sulfate is used to manage preeclampsia and prevent seizures,
-Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor,
-Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles.
A nurse is reinforcing teaching with a client who has a new prescription for
heparin for management of a postpartum deep vein thrombosis (DVT). Which of
the following statements by the client indicates an understanding of the
teaching?
A. I will notify my provider if I notice bruises.
A nurse is assisting in the care of a client at 30 weeks of gestation who has a
blood pressure reading of 160/116 mm Hg and 4 hours previously it was 164/114
mm Hg. The client reports blurred vision and a persistent frontal headache.Which
of the following complications of gestation should the nurse suspect?
B. Preeclampsia with severe features.
-Preeclampsia without severe features involves high blood pressure and proteinuria but
without the additional severe symptoms like blurred vision and headache.
-Chronic hypertension BP 140/90, BEFORE 20 WEEKS.
-Gestational hypertension is diagnosed when high blood pressure develops after 20
weeks of pregnancy without other symptoms of preeclampsia
, A nurse in the antepartum unit is assisting with the care of a client who is at 36
weeks of gestation and reports continuous abdominal pain and vaginal
bleeding.The nurse should identify that the client is likely experiencing which of
the following complications?
A. Abruptio placentae.
-Premature rupture of membranes is characterized by the leaking or gushing of amniotic
fluid,
-Placenta previa is where the placenta covers the cervical opening, causing painless
vaginal bleeding.
-Prolapsed cord occurs when the umbilical cord slips ahead of the baby during delivery,
A nurse is reviewing the electronic medical record (EMR) of a client who has a
ruptured ectopic tubal pregnancy.Which of the following findings in the client’s
medical record should the nurse identify as a risk factor for the client's
condition?
B. History of pelvic inflammatory disease (PID).
-cocaine use increases the risk for placental abruption,
-previous cesarean births increases the risk of uterine rupture or placenta previa.
-history of hypertension-complications like preeclampsia and gestational hypertension.
A nurse is reviewing the medical record of a client who is in active labor.Which of
the following conditions increases the client's risk for postpartum hemorrhage
(PPH)?
B. Von Willebrand disease.
-G6PD deficiency is an inherited condition affecting red blood cells
VERSION QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST REleased
A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism
during pregnancy.Which of the following statements should the nurse reinforce in
the teaching?
A. Clients who have this disorder may have an increased risk of lipid and glucose
metabolism disorders.
-increased risks of metabolic disorders,
-including lipid and glucose metabolism disorders, which can affect both the mother and
fetus.
A nurse is collecting data on a 1-day-old newborn.Which of the following findings
should the nurse identify as requiring follow-up?
D. A large, deep sacral dimple above the gluteal cleft.
NORMAL:
,A. A hymenal tag and white discharge on genitalia.
B. Edema on the scalp that crosses the suture line.
C. A heart murmur.
A nurse is assisting with the admission of a client who is at 39 weeks of gestation
and has heavy vaginal bleeding.Which of the following actions should the nurse
take?
A. Prepare for cesarean birth.
-could be due to placental abruption or placenta previa, which necessitates immediate
delivery to prevent maternal and fetal complications.
A nurse is assisting in caring for a client who has pregestational type 1 diabetes
mellitus (PDM). Which of the following findings should the nurse recognize as
being associated with this condition?
Polyphagia
-Polyphagia, or increased hunger
A nurse is admitting a client who is at 36 weeks gestation and has painless,
bright red vaginal bleeding.The nurse recognizes this finding as an indication of
which of the following conditions?
A. Placenta previa.
-Threatened abortion is characterized by vaginal bleeding before 20 weeks
-Abruptio placentae involves painful vaginal bleeding
-Preterm labor may present with contractions, cervical changes, and possible bleeding
A nurse is assisting in the care of a client who is to undergo an amniotomy.Which
of the following is the priority nursing action following this procedure?
A. Check the fetal heart rate pattern.
,A nurse is assisting in the care of a client who gave birth 1 hour ago and is
experiencing excessive vaginal bleeding.Which of the following medications
should the nurse anticipate the provider will prescribe?
B. Tranexamic acid.
-ranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the
breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
-Magnesium sulfate is used to manage preeclampsia and prevent seizures,
-Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor,
-Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles.
A nurse is reinforcing teaching with a client who has a new prescription for
heparin for management of a postpartum deep vein thrombosis (DVT). Which of
the following statements by the client indicates an understanding of the
teaching?
A. I will notify my provider if I notice bruises.
A nurse is assisting in the care of a client at 30 weeks of gestation who has a
blood pressure reading of 160/116 mm Hg and 4 hours previously it was 164/114
mm Hg. The client reports blurred vision and a persistent frontal headache.Which
of the following complications of gestation should the nurse suspect?
B. Preeclampsia with severe features.
-Preeclampsia without severe features involves high blood pressure and proteinuria but
without the additional severe symptoms like blurred vision and headache.
-Chronic hypertension BP 140/90, BEFORE 20 WEEKS.
-Gestational hypertension is diagnosed when high blood pressure develops after 20
weeks of pregnancy without other symptoms of preeclampsia
, A nurse in the antepartum unit is assisting with the care of a client who is at 36
weeks of gestation and reports continuous abdominal pain and vaginal
bleeding.The nurse should identify that the client is likely experiencing which of
the following complications?
A. Abruptio placentae.
-Premature rupture of membranes is characterized by the leaking or gushing of amniotic
fluid,
-Placenta previa is where the placenta covers the cervical opening, causing painless
vaginal bleeding.
-Prolapsed cord occurs when the umbilical cord slips ahead of the baby during delivery,
A nurse is reviewing the electronic medical record (EMR) of a client who has a
ruptured ectopic tubal pregnancy.Which of the following findings in the client’s
medical record should the nurse identify as a risk factor for the client's
condition?
B. History of pelvic inflammatory disease (PID).
-cocaine use increases the risk for placental abruption,
-previous cesarean births increases the risk of uterine rupture or placenta previa.
-history of hypertension-complications like preeclampsia and gestational hypertension.
A nurse is reviewing the medical record of a client who is in active labor.Which of
the following conditions increases the client's risk for postpartum hemorrhage
(PPH)?
B. Von Willebrand disease.
-G6PD deficiency is an inherited condition affecting red blood cells
