BOARD VITALS NCLEX PREP RN 126 PRACTICE
GUIDE ASSESSMENT SET ANSWERED
MATERIAL EXCELLENCE 2026
◉ The practical nurse is checking the episiotomy Site of a client 10
hours after delivery. The nurse notes of the side is swollen and slightly
red. The most appropriate next action is: Answer: Applying ice pack to
the area
◉ A Nurse is preparing to administer capital METHERGINE to a client
to treat postpartum hemorrhage. Before administering the drug priority
action of the nurse is to check: Answer: Blood pressure
◉ Inners is caring for a client who is receiving a magnesium sulfate IV
infusion and exhibiting manifestations of magnesium toxicity. Which of
the following medication should the nurse expect to administer? Answer:
Calcium gluconate
◉ The nurse is working in labor and delivery. The neonate that is
delivered does not breathe spontaneously. The nurse knows that the
following tasks Will be performed in what order: Answer: B. The
newborn Will be stimulated to cry
C. The newborn will be suctioned
D. The newborns heart rate will be assessed
A. The umbilical cord will be cut
,◉ The nurse should know that the drug that can be safely administered
during pregnancy: Answer: Levothyroxine
◉ A nurse is caring for a client in preterm labor who is scheduled to
undergo amniocentesis to evaluate fetal well-being and loan maturity.
Which of the following test does the nurse understand will be used to
assess feed a long maturity? Answer: Lecithin/sphingomyelin (L/S) ratio
test
◉ A young woman reports to the prenatal clinic for her 32 weeks
gestational visit. Which of the following comments made by the woman
must be reported to the physician? Answer: "I can't get my wedding ring
on this morning because my fingers are so swollen. "
◉ A nurse is caring for a client who is pregnant and has a torch infection
which of the following findings should the nurse expect? Select all that
apply Answer: Joint pain
rash
Decreased appetite
◉ A postpartum client asked the nurse how long her vaginal discharge
will last. The nurses best response would be to explain that it will last:
Answer: Until the placental site has healed
,◉ A new mother is two days postpartum. She is breast-feeding and is
ready for discharge. She states she plans to use the diaphragm she was
using prior to becoming pregnant for contraception. The nurses should
base for a response on which of the following? Answer: Diaphragms
need to be refitted after the birth of a baby
◉ A nurse is teaching a client who is pregnant about a new prescription
for iron supplements. With which of the following beverages should the
nurse instruct the client to take the iron supplement? Answer: Orange
juice
◉ The nurse massages the uterus of a postpartum client. Which
assessment findings is the best indication that the intended effect of this
nursing action has been achieved? Answer: The uterus becomes firm
◉ The nurse is caring for a new mother who is breast-feeding her first
baby. The nurse should tell the new mother that the colostrum will
change to milk within: Answer: 2-3 days
◉ The nurse is working in a clinic and is talking To a pregnant woman
about using a seatbelt during the second trimester of pregnancy. The
clients comment that would indicate she needs further teaching is:
Answer: "I should only wear the shoulder belt to prevent abdominal
injury "
, ◉ The nurse is assisting a breast-feeding mother. The nurse knows that
all of the following are true except: Answer: Breast-feeding of a
newborn should occur every 6 hours
◉ A client at 28 weeks gestation has been admitted to the obstetric unit
for preeclampsia. Her blood pressure has been ranging from 140/100 to
160/110. She has 3+ proteinuria and Generalized edema, and has been
complaining of a headache. Which care environment would be most
appropriate for this client? Answer: Private room, bed rest with
bathroom privileges, vital signs with fetal heart tones every four hours,
regular diet
◉ A pregnant client in the third trimester calls the OB office and report
to the nurse that she has had a severe headache for the past two days
what nursing action is most appropriate? Answer: Request that the client
come to the office immediately
◉ A laboring woman prefers to lie in the supine position during labor.
The nurse instructed her is not a good position during labor for what
reason? Answer: This position may cause her blood pressure to drop,
causing the babies heart rate to decline
◉ A 25-year-old woman at 30 weeks gestation came to the outpatient
department. Which of the findings by the nurse would indicate a
possible complication? Answer: Positive urine test for glucose and
Ketones
GUIDE ASSESSMENT SET ANSWERED
MATERIAL EXCELLENCE 2026
◉ The practical nurse is checking the episiotomy Site of a client 10
hours after delivery. The nurse notes of the side is swollen and slightly
red. The most appropriate next action is: Answer: Applying ice pack to
the area
◉ A Nurse is preparing to administer capital METHERGINE to a client
to treat postpartum hemorrhage. Before administering the drug priority
action of the nurse is to check: Answer: Blood pressure
◉ Inners is caring for a client who is receiving a magnesium sulfate IV
infusion and exhibiting manifestations of magnesium toxicity. Which of
the following medication should the nurse expect to administer? Answer:
Calcium gluconate
◉ The nurse is working in labor and delivery. The neonate that is
delivered does not breathe spontaneously. The nurse knows that the
following tasks Will be performed in what order: Answer: B. The
newborn Will be stimulated to cry
C. The newborn will be suctioned
D. The newborns heart rate will be assessed
A. The umbilical cord will be cut
,◉ The nurse should know that the drug that can be safely administered
during pregnancy: Answer: Levothyroxine
◉ A nurse is caring for a client in preterm labor who is scheduled to
undergo amniocentesis to evaluate fetal well-being and loan maturity.
Which of the following test does the nurse understand will be used to
assess feed a long maturity? Answer: Lecithin/sphingomyelin (L/S) ratio
test
◉ A young woman reports to the prenatal clinic for her 32 weeks
gestational visit. Which of the following comments made by the woman
must be reported to the physician? Answer: "I can't get my wedding ring
on this morning because my fingers are so swollen. "
◉ A nurse is caring for a client who is pregnant and has a torch infection
which of the following findings should the nurse expect? Select all that
apply Answer: Joint pain
rash
Decreased appetite
◉ A postpartum client asked the nurse how long her vaginal discharge
will last. The nurses best response would be to explain that it will last:
Answer: Until the placental site has healed
,◉ A new mother is two days postpartum. She is breast-feeding and is
ready for discharge. She states she plans to use the diaphragm she was
using prior to becoming pregnant for contraception. The nurses should
base for a response on which of the following? Answer: Diaphragms
need to be refitted after the birth of a baby
◉ A nurse is teaching a client who is pregnant about a new prescription
for iron supplements. With which of the following beverages should the
nurse instruct the client to take the iron supplement? Answer: Orange
juice
◉ The nurse massages the uterus of a postpartum client. Which
assessment findings is the best indication that the intended effect of this
nursing action has been achieved? Answer: The uterus becomes firm
◉ The nurse is caring for a new mother who is breast-feeding her first
baby. The nurse should tell the new mother that the colostrum will
change to milk within: Answer: 2-3 days
◉ The nurse is working in a clinic and is talking To a pregnant woman
about using a seatbelt during the second trimester of pregnancy. The
clients comment that would indicate she needs further teaching is:
Answer: "I should only wear the shoulder belt to prevent abdominal
injury "
, ◉ The nurse is assisting a breast-feeding mother. The nurse knows that
all of the following are true except: Answer: Breast-feeding of a
newborn should occur every 6 hours
◉ A client at 28 weeks gestation has been admitted to the obstetric unit
for preeclampsia. Her blood pressure has been ranging from 140/100 to
160/110. She has 3+ proteinuria and Generalized edema, and has been
complaining of a headache. Which care environment would be most
appropriate for this client? Answer: Private room, bed rest with
bathroom privileges, vital signs with fetal heart tones every four hours,
regular diet
◉ A pregnant client in the third trimester calls the OB office and report
to the nurse that she has had a severe headache for the past two days
what nursing action is most appropriate? Answer: Request that the client
come to the office immediately
◉ A laboring woman prefers to lie in the supine position during labor.
The nurse instructed her is not a good position during labor for what
reason? Answer: This position may cause her blood pressure to drop,
causing the babies heart rate to decline
◉ A 25-year-old woman at 30 weeks gestation came to the outpatient
department. Which of the findings by the nurse would indicate a
possible complication? Answer: Positive urine test for glucose and
Ketones
