2024 TEST BANK FOR NCLEX RN (NEXT GENERATION
FORMAT) LATEST UPDATED WITH OVER 1600
CORRECTLY ANSWERED QUESTIONS & DETAILED
ANSWERS WITH RATIONALES |VERIFIED & GRADED
A+|GUARANTEED PASS|
Question: 1
On the third postpartum day, the nurse would expect the lochia to be:
A. Rubra
B. Serosa
C. Alba
D. Scant
Answer: A
Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood,
placentaldebris, and clots.This discharge occurs from days 4-10. The lochia is brownish, serous,
and thin. (C) This dischargeoccurs from day 10 through the 6thweek. The lochia is yellowish
white. (D) This is not a classification of lochia but relates to the amount of discharge.
Question: 2
A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm,
lasting 20 seconds, every time the fetus moves. The nurse explains that:
A. The test is inconclusive and should be repeated
B. Further testing is needed
C. The test is normal and the fetus is reacting appropriately
D. The fetus is distressed
,Explanation:
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There
are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST
isreported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at
least 15 seconds during a 15-minute period. (D) The NST results were normal, so there was no fetal
distress.
Question: 3
Which stage of labor lasts from delivery of the baby to delivery of the placenta?
A. Second
B. Third
C. Fourth
D. Fifth
Answer: B
Explanation:
(A) This stage is from complete dilatation of the cervix to delivery of the fetus. (B) This is the correct
stage for the definition. (C) This stage lasts for about 2 hours after the delivery of the placenta. (D)
Thereis no fifth stage of labor.
Question: 4
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas
aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P.
aeruginosa such as:
A. Cefoperazone (Cefobid)
B. Clindamycin (Cleocin)
C. Dicloxacillin (Dycill)
D. Erythromycin (Erythrocin)
Answer: A
Explanation:
,(A) Cefoperazone is indicated in the treatment of infection withPseudomonas aeruginosa.(B)
Clindamycin is not indicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not
indicated in the treatment of infection withP. aeruginosa.(D) Erythromycin is not indicated in the
treatment of infection withP. aeruginosa.
Question: 5
A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT)
by instructing the female client to take her temperature:
A. Orally in the morning and at bedtime
B. Only one time during the day as long as it is always at the same time of day
C. Rectally at bedtime
D. As soon as she awakens, prior to any activity
Answer: D
Explanation:
(A) Monitoring temperature twice a day predicts the biphasic pattern of ovulation. (B) Prediction of
ovulation relies on consistency in taking temperature. (C)Nightly rectal temperatures are more
accurate in predicting ovulation. (D) Activity changes the accuracy of basal body temperature and
ability to detectthe luteinizing hormone surge.
Question: 6
A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow.
Appropriate nursing actions to help control hyperventilating include:
A. Administering diazepam (Valium) 1015 mg po q4h and q1h prn for hyperventilating episode
B. Keeping the temperature in the client’s room at a high level to reduce respiratory stimulation
C. Having the client hold her breath or breathe into a paper bag when hyperventilation episodes
occur
D. Using distraction to help control the client’s hyperventilation episodes
Answer: C
Explanation:
, (A) An adult diazepam dosage for treatment of anxiety is 210 mg PO 24 times daily. The order as
writtenwould place a client at risk for overdose. (B) A high room temperature could increase
hyperventilating episodes by stimulating the respiratory system. (C) Breath holding and breathing
into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2
retention. (D) Distraction will not prevent or control hyperventilation caused by anxiety or fear.
Question: 7
A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
A. State, "You have an angel in heaven."
B. Discourage the parents from seeing the baby.
C. Provide an opportunity for the parents to see and hold the baby for an undetermined amount of
time.
D. Reassure the parents that they can have other children.
Answer: C
Explanation:
(A) This is not a supportive statement. There are also no data to indicate the family’s religious beliefs.
(B)Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say
"good-bye." (C) Parents need time to get to know their baby. (D) This is not a comforting statement
when a baby has died. There
are also no guarantees that the couple will be able to have another child.
Question: 8
A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is
worried about having this surgery, has not slept well lately, and is afraid that her husband will not find
her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in
her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid
and deep. Assessment reveals that the client is:
A. Having a heart attack
B. Wanting attention from the nurses
C. Suffering from complete upper airway obstruction
D. Hyperventilating
FORMAT) LATEST UPDATED WITH OVER 1600
CORRECTLY ANSWERED QUESTIONS & DETAILED
ANSWERS WITH RATIONALES |VERIFIED & GRADED
A+|GUARANTEED PASS|
Question: 1
On the third postpartum day, the nurse would expect the lochia to be:
A. Rubra
B. Serosa
C. Alba
D. Scant
Answer: A
Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood,
placentaldebris, and clots.This discharge occurs from days 4-10. The lochia is brownish, serous,
and thin. (C) This dischargeoccurs from day 10 through the 6thweek. The lochia is yellowish
white. (D) This is not a classification of lochia but relates to the amount of discharge.
Question: 2
A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm,
lasting 20 seconds, every time the fetus moves. The nurse explains that:
A. The test is inconclusive and should be repeated
B. Further testing is needed
C. The test is normal and the fetus is reacting appropriately
D. The fetus is distressed
,Explanation:
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There
are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST
isreported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at
least 15 seconds during a 15-minute period. (D) The NST results were normal, so there was no fetal
distress.
Question: 3
Which stage of labor lasts from delivery of the baby to delivery of the placenta?
A. Second
B. Third
C. Fourth
D. Fifth
Answer: B
Explanation:
(A) This stage is from complete dilatation of the cervix to delivery of the fetus. (B) This is the correct
stage for the definition. (C) This stage lasts for about 2 hours after the delivery of the placenta. (D)
Thereis no fifth stage of labor.
Question: 4
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas
aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P.
aeruginosa such as:
A. Cefoperazone (Cefobid)
B. Clindamycin (Cleocin)
C. Dicloxacillin (Dycill)
D. Erythromycin (Erythrocin)
Answer: A
Explanation:
,(A) Cefoperazone is indicated in the treatment of infection withPseudomonas aeruginosa.(B)
Clindamycin is not indicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not
indicated in the treatment of infection withP. aeruginosa.(D) Erythromycin is not indicated in the
treatment of infection withP. aeruginosa.
Question: 5
A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT)
by instructing the female client to take her temperature:
A. Orally in the morning and at bedtime
B. Only one time during the day as long as it is always at the same time of day
C. Rectally at bedtime
D. As soon as she awakens, prior to any activity
Answer: D
Explanation:
(A) Monitoring temperature twice a day predicts the biphasic pattern of ovulation. (B) Prediction of
ovulation relies on consistency in taking temperature. (C)Nightly rectal temperatures are more
accurate in predicting ovulation. (D) Activity changes the accuracy of basal body temperature and
ability to detectthe luteinizing hormone surge.
Question: 6
A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow.
Appropriate nursing actions to help control hyperventilating include:
A. Administering diazepam (Valium) 1015 mg po q4h and q1h prn for hyperventilating episode
B. Keeping the temperature in the client’s room at a high level to reduce respiratory stimulation
C. Having the client hold her breath or breathe into a paper bag when hyperventilation episodes
occur
D. Using distraction to help control the client’s hyperventilation episodes
Answer: C
Explanation:
, (A) An adult diazepam dosage for treatment of anxiety is 210 mg PO 24 times daily. The order as
writtenwould place a client at risk for overdose. (B) A high room temperature could increase
hyperventilating episodes by stimulating the respiratory system. (C) Breath holding and breathing
into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2
retention. (D) Distraction will not prevent or control hyperventilation caused by anxiety or fear.
Question: 7
A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
A. State, "You have an angel in heaven."
B. Discourage the parents from seeing the baby.
C. Provide an opportunity for the parents to see and hold the baby for an undetermined amount of
time.
D. Reassure the parents that they can have other children.
Answer: C
Explanation:
(A) This is not a supportive statement. There are also no data to indicate the family’s religious beliefs.
(B)Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say
"good-bye." (C) Parents need time to get to know their baby. (D) This is not a comforting statement
when a baby has died. There
are also no guarantees that the couple will be able to have another child.
Question: 8
A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is
worried about having this surgery, has not slept well lately, and is afraid that her husband will not find
her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in
her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid
and deep. Assessment reveals that the client is:
A. Having a heart attack
B. Wanting attention from the nurses
C. Suffering from complete upper airway obstruction
D. Hyperventilating
