NCLEX EXAM vc
Exam Solution vc
Comprehensive Review for the NCLEX PN EXAM Materni vc vc vc vc vc vc vc
ty 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
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D VERIFIED ANSWERS (DB93D)
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QUESTION 1 vc
20 minutes after a continuous epidural anesthetic is administered, a laboring clients blo
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od pressure drops from 120/80 to 90/60 mmHG. What action should the practical nurse
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take immediately? vc
A) notify the registered nurse or anesthesiologist
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B) continue to assess the blood-pressure q5 minutes
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C) place the client in a lateral position
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D) turn off the continuous epidural
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ANSWER
C) place the client in a lateral position Rationale: placing a client in the lateral position and placing a pill
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ow or wedge under one hip will deflect the uterus
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QUESTION 2 vc
The total bilirubin level of a 36 hour, breast-
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feeding newborn is 14 mg/dL. Based on this finding, which intervention should the pract
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ical nurse implement?
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A) provide phototherapy for 30 minutes q8h
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B) Feed the newborn with sterile water hourly
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C) encourage the mother to breast-feed frequently
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D) assess the newborns blood glucose level
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ANSWER
C) encourage the mother to breast feed frequently Rationale: breast milk provides calories and enhance
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s G.I. motility, which will assist the bowel in eliminating bilirubin. The total bilirubin level is 6 to 12 mg/
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dL after day one of life. The infants bilirubin level is beginning to climb, and the infant should be monito
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red to prevent further complications.
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, QUESTION 3 vc
Before discharge, what information should the practical nurse give to parents regarding
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the newborn's umbilical cord care at home?
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A) wash the cord frequently with mild soap and water
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B) Cover the cord with a sterile dressing
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C) allow the cord to air dry as much as possible
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D) apply baby lotion after the baby's daily bath
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ANSWER
C) allow the cord to air dry as much as possible Rationale: recent studies indicate that air drying or plai
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n water application may be equal to or more effective than alcohol in the cord healing process
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QUESTION 4 vc
The nurse is preparing a 3-day-
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old, full term newborn for discharge home. The baby's mother is HIV-
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positive. For which procedure should the practical nurse wear gloves? (Select all that ap
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ply)
A) diaper changes
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B) obtaining vital signs
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C) formula feeding
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D) newborn hearing screening
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E) heel stick for metabolic screening F) discharge bath
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ANSWER
A,
E) diaper changes and heel stick for metabolic screening Rationale: after the infant has been given the a
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dmission bath, the PN should wear gloves only in those situations in which there is a potential for the p
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resence of HIV positive blood and body fluids.
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QUESTION 5 vc
The nurse is taking the temperature of a client who is 6 hours postpartum. The nurse no
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tes that the clients temperature is 100.4°F. Which intervention should the nurse implem
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ent?
A) encourage fluids to increase hydration
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B) recheck the temperature and 15 minutes
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C) place an ice pack on the clients forhead
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D) call the physician for an order for acetaminophen (Tylenol)
vc vc vc vc vc vc vc vc vc
ANSWER
A) encourage fluids to increase hydration Rationale: it is normal for the postpartum client to have a tem
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
perature up to 100.4°F because of dehydration caused by labor. The most appropriate intervention is to
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encourage fluids to rehydrate the patient.
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Exam Solution vc
Comprehensive Review for the NCLEX PN EXAM Materni vc vc vc vc vc vc vc
ty 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
vc vc vc vc vc vc vc
D VERIFIED ANSWERS (DB93D)
vc vc vc
QUESTION 1 vc
20 minutes after a continuous epidural anesthetic is administered, a laboring clients blo
vc vc vc vc vc vc vc vc vc vc vc vc
od pressure drops from 120/80 to 90/60 mmHG. What action should the practical nurse
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
take immediately? vc
A) notify the registered nurse or anesthesiologist
vc vc vc vc vc vc
B) continue to assess the blood-pressure q5 minutes
vc vc vc vc vc vc vc
C) place the client in a lateral position
vc vc vc vc vc vc vc
D) turn off the continuous epidural
vc vc vc vc vc
ANSWER
C) place the client in a lateral position Rationale: placing a client in the lateral position and placing a pill
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ow or wedge under one hip will deflect the uterus
vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
The total bilirubin level of a 36 hour, breast-
vc vc vc vc vc vc vc vc
feeding newborn is 14 mg/dL. Based on this finding, which intervention should the pract
vc vc vc vc vc vc vc vc vc vc vc vc vc
ical nurse implement?
vc vc
A) provide phototherapy for 30 minutes q8h
vc vc vc vc vc vc
B) Feed the newborn with sterile water hourly
vc vc vc vc vc vc vc
C) encourage the mother to breast-feed frequently
vc vc vc vc vc vc
D) assess the newborns blood glucose level
vc vc vc vc vc vc
ANSWER
C) encourage the mother to breast feed frequently Rationale: breast milk provides calories and enhance
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
s G.I. motility, which will assist the bowel in eliminating bilirubin. The total bilirubin level is 6 to 12 mg/
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dL after day one of life. The infants bilirubin level is beginning to climb, and the infant should be monito
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
red to prevent further complications.
vc vc vc vc
, QUESTION 3 vc
Before discharge, what information should the practical nurse give to parents regarding
vc vc vc vc vc vc vc vc vc vc vc vc
the newborn's umbilical cord care at home?
vc vc vc vc vc vc
A) wash the cord frequently with mild soap and water
vc vc vc vc vc vc vc vc vc
B) Cover the cord with a sterile dressing
vc vc vc vc vc vc vc
C) allow the cord to air dry as much as possible
vc vc vc vc vc vc vc vc vc vc
D) apply baby lotion after the baby's daily bath
vc vc vc vc vc vc vc vc
ANSWER
C) allow the cord to air dry as much as possible Rationale: recent studies indicate that air drying or plai
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n water application may be equal to or more effective than alcohol in the cord healing process
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
The nurse is preparing a 3-day-
vc vc vc vc vc
old, full term newborn for discharge home. The baby's mother is HIV-
vc vc vc vc vc vc vc vc vc vc vc
positive. For which procedure should the practical nurse wear gloves? (Select all that ap
vc vc vc vc vc vc vc vc vc vc vc vc vc
ply)
A) diaper changes
vc vc
B) obtaining vital signs
vc vc vc
C) formula feeding
vc vc
D) newborn hearing screening
vc vc vc
E) heel stick for metabolic screening F) discharge bath
vc vc vc vc vc vc vc vc
ANSWER
A,
E) diaper changes and heel stick for metabolic screening Rationale: after the infant has been given the a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dmission bath, the PN should wear gloves only in those situations in which there is a potential for the p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
resence of HIV positive blood and body fluids.
vc vc vc vc vc vc vc
QUESTION 5 vc
The nurse is taking the temperature of a client who is 6 hours postpartum. The nurse no
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
tes that the clients temperature is 100.4°F. Which intervention should the nurse implem
vc vc vc vc vc vc vc vc vc vc vc vc
ent?
A) encourage fluids to increase hydration
vc vc vc vc vc
B) recheck the temperature and 15 minutes
vc vc vc vc vc vc
C) place an ice pack on the clients forhead
vc vc vc vc vc vc vc vc
D) call the physician for an order for acetaminophen (Tylenol)
vc vc vc vc vc vc vc vc vc
ANSWER
A) encourage fluids to increase hydration Rationale: it is normal for the postpartum client to have a tem
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
perature up to 100.4°F because of dehydration caused by labor. The most appropriate intervention is to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
encourage fluids to rehydrate the patient.
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