NCLEX EXAM vc
Exam Solution
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NCLEX PN Maternity / Pediatric NGN 2026 A+ GRADE AS
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SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER vc vc vc vc vc
S (A071F)
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QUESTION 1 vc
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN)
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obtains an axillary temperature of 97.2 F and places the newborn under a radiant heat w
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armer. Which additional finding should the PN observe in the newborn?
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ANSWER
Tremors of the hands during crying.
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QUESTION 2 vc
Which information should the practical nurse (PN) provide the parents about the purpos
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e of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes.
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ANSWER
Prophylactic treatment for gonorrheal and chlamydia infection.
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QUESTION 3 vc
What is the most important action by the practical nurse (PN) in preventing neonatal inf
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ection?
ANSWER
Hand washing. vc
QUESTION 4 vc
,a client who took iron supplements during pregnancy delivers and infant by cesarean se
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ction. On the second postpartum day, the client reports having a constipated stool that is
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greenish-black in color. Which action should the practical nurse (PN) implement?
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ANSWER
Record color and consistency of the stool.
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QUESTION 5 vc
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is posi
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tive. She asks what she should be concerned about during the weeks before her first visit
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. Which signs and symptoms should the practical nurse (PN) tell the client to report imm
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ediately to the healthcare provider? (select all that apply)
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ANSWER
A. Vaginal bleeding
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D. Membrane rupture
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E. Severe headaches
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QUESTION 6 vc
A 3-day- vc
old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs
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6 pound and 15 ounces. Which action should the practical nurse take?
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ANSWER
Document the weight loss vc vc vc
QUESTION 7 vc
Which medication is prescribed for the prevention of ophthalmia neonatorum?
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ANSWER
Erythromycin (iilotycin) vc
QUESTION 8 vc
A multiparous client's membranes rupture after 8 hours of labor. which action should th
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e practical nurse implement at this time?
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ANSWER
Assess the fetal heart rate (FHR) and pattern.
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,QUESTION 9 vc
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client
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who has just given birth to an 8-
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pound boy when dark red blood comes from the client's vagina. What action is most imp
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ortant for the PN to implement?
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ANSWER
Continue to massage the fundus until firm.
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QUESTION 10 vc
Which client should the practical nurse (PN) closely monitor for severe after pains?
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ANSWER
A multigravida who is breastfeeding.
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QUESTION 11 vc
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
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pound 3- vc
ounce newborn and determines the client's bladder is distended. Which additional findi
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ng should the PN report to the charge nurse?
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ANSWER
Excessive bleeding on the perineal pad.
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QUESTION 12 vc
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperatu
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re of 97.2 F under the radiant heat warmer. Which rationale supports the PN's action?
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ANSWER
The newborn's thin layer of subcutaneous fat provides poor insulation.
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QUESTION 13 vc
Which strategy should the practical nurse (PN) implement to prevent a puerperal infecti
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on for a client during the first postpartum week?
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ANSWER
Implement strict medical and aseptic technique.
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, QUESTION 14 vc
Which client is a candidate for the administration of human immune globulin (RhoGam)
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after delivery? vc
ANSWER
The Rh-negative mother who delivers a Rh-positive baby.
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QUESTION 15 vc
Which physiological cause(s) for constipation during pregnancy should the practical nur
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se (PN) explain to a client in the first trimester? (Select all that apply.)
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ANSWER
A. Displacement of the colon.
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E. Decrease in peristalsis.
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QUESTION 16 vc
A 14-
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week gestational client, who weighed 125 pounds before pregnancy, comes into the healt
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h clinic for a prenatal appointment. The client's weight today is 129 pounds. What action
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should the practical nurse (PN) implement?
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ANSWER
Document the finding in the medical record. vc vc vc vc vc vc
QUESTION 17 vc
The practical nurse (PN) is reviewing the informational packets with a client who is at ri
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sk for preeclampsia. Which information is most important for the PN reinforce with the c
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lient?
ANSWER
Notify the clinic if any vision changes are experienced.
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QUESTION 18 vc
A primigravida at 33-
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weeks gestation is admitted after being involved in a motor vehicle collision (MVC). The
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client has no complaints of abdominal pain and no evidence of vaginal bleeding. Which a
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ction should the practical nurse (PN) anticipate implementing for the client?
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ANSWER
Exam Solution
vc
NCLEX PN Maternity / Pediatric NGN 2026 A+ GRADE AS
vc vc vc vc vc vc vc vc vc
SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER vc vc vc vc vc
S (A071F)
vc
QUESTION 1 vc
After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN)
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
obtains an axillary temperature of 97.2 F and places the newborn under a radiant heat w
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
armer. Which additional finding should the PN observe in the newborn?
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ANSWER
Tremors of the hands during crying.
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QUESTION 2 vc
Which information should the practical nurse (PN) provide the parents about the purpos
vc vc vc vc vc vc vc vc vc vc vc vc
e of instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes.
vc vc vc vc vc vc vc vc vc vc
ANSWER
Prophylactic treatment for gonorrheal and chlamydia infection.
vc vc vc vc vc vc
QUESTION 3 vc
What is the most important action by the practical nurse (PN) in preventing neonatal inf
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ection?
ANSWER
Hand washing. vc
QUESTION 4 vc
,a client who took iron supplements during pregnancy delivers and infant by cesarean se
vc vc vc vc vc vc vc vc vc vc vc vc vc
ction. On the second postpartum day, the client reports having a constipated stool that is
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greenish-black in color. Which action should the practical nurse (PN) implement?
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ANSWER
Record color and consistency of the stool.
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QUESTION 5 vc
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is posi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tive. She asks what she should be concerned about during the weeks before her first visit
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. Which signs and symptoms should the practical nurse (PN) tell the client to report imm
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ediately to the healthcare provider? (select all that apply)
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ANSWER
A. Vaginal bleeding
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D. Membrane rupture
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E. Severe headaches
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QUESTION 6 vc
A 3-day- vc
old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs
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6 pound and 15 ounces. Which action should the practical nurse take?
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ANSWER
Document the weight loss vc vc vc
QUESTION 7 vc
Which medication is prescribed for the prevention of ophthalmia neonatorum?
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ANSWER
Erythromycin (iilotycin) vc
QUESTION 8 vc
A multiparous client's membranes rupture after 8 hours of labor. which action should th
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e practical nurse implement at this time?
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ANSWER
Assess the fetal heart rate (FHR) and pattern.
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,QUESTION 9 vc
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client
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who has just given birth to an 8-
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pound boy when dark red blood comes from the client's vagina. What action is most imp
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ortant for the PN to implement?
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ANSWER
Continue to massage the fundus until firm.
vc vc vc vc vc vc
QUESTION 10 vc
Which client should the practical nurse (PN) closely monitor for severe after pains?
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
A multigravida who is breastfeeding.
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QUESTION 11 vc
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-
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pound 3- vc
ounce newborn and determines the client's bladder is distended. Which additional findi
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ng should the PN report to the charge nurse?
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ANSWER
Excessive bleeding on the perineal pad.
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QUESTION 12 vc
The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperatu
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
re of 97.2 F under the radiant heat warmer. Which rationale supports the PN's action?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
The newborn's thin layer of subcutaneous fat provides poor insulation.
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QUESTION 13 vc
Which strategy should the practical nurse (PN) implement to prevent a puerperal infecti
vc vc vc vc vc vc vc vc vc vc vc vc
on for a client during the first postpartum week?
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ANSWER
Implement strict medical and aseptic technique.
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, QUESTION 14 vc
Which client is a candidate for the administration of human immune globulin (RhoGam)
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after delivery? vc
ANSWER
The Rh-negative mother who delivers a Rh-positive baby.
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QUESTION 15 vc
Which physiological cause(s) for constipation during pregnancy should the practical nur
vc vc vc vc vc vc vc vc vc vc
se (PN) explain to a client in the first trimester? (Select all that apply.)
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ANSWER
A. Displacement of the colon.
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E. Decrease in peristalsis.
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QUESTION 16 vc
A 14-
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week gestational client, who weighed 125 pounds before pregnancy, comes into the healt
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h clinic for a prenatal appointment. The client's weight today is 129 pounds. What action
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should the practical nurse (PN) implement?
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ANSWER
Document the finding in the medical record. vc vc vc vc vc vc
QUESTION 17 vc
The practical nurse (PN) is reviewing the informational packets with a client who is at ri
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sk for preeclampsia. Which information is most important for the PN reinforce with the c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
lient?
ANSWER
Notify the clinic if any vision changes are experienced.
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QUESTION 18 vc
A primigravida at 33-
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weeks gestation is admitted after being involved in a motor vehicle collision (MVC). The
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client has no complaints of abdominal pain and no evidence of vaginal bleeding. Which a
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ction should the practical nurse (PN) anticipate implementing for the client?
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ANSWER
