NEW GENERATION NCLEX QUESTIONS FOR 2024
EXAM;; HIGHLY RATED // GUARANTEED PASS
A client is in the eighth month of pregnancy. To enhance cardiac output and renal function, the nurse
should advise her to use which body position? - ANSWER Left lateral
During her fourth clinic visit, a client who's 5 months pregnant tells the nurse she was exposed to rubella
during the past week and asks whether she can be immunized now. How should the nurse respond? -
ANSWER No. Because the live viral vaccine is contraindicated during pregnancy.
A client and her spouse, both 25 years old, are having trouble conceiving. Infertility in this couple is
defined as: - ANSWER inability to conceive after 1year of unprotected attempts.
When evaluating a pregnant client's fundal height, the nurse should measure in which way? - ANSWER
from symphysis pubis notch to highest level of fundus.
Which of the following client statements indicates the need for further teaching about percutaneous
umbilical blood sampling (PUBS) to assess fetal hemoglobin and hematocrit? - ANSWER "I will lie on my
back in a cylinder-type machine."
When explaining the risk for having a child with cystic fibrosis to a husband and wife, the nurse should
tell them: - ANSWER the risk is greatest when both clients have the recessive gene.
A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this
client, the nurse's highest priority is to evaluate: - ANSWER maternal vital signs and fetal heart rate
(FHR).
A 34-year-old multiparous client at 16 weeks' gestation who received regular prenatal care for all of her
previous pregnancies tells the nurse that she has already felt the baby move. How does the nurse
interpret this finding? - ANSWER normal because multiparous clients can experience quickening
between 14 and 20 weeks' gestation
, When developing the plan of care for a multigravid client with class III heart disease, the nurse should
expect to assess the client frequently for which problem? - ANSWER Tachycardia
A client at 37 weeks gestation is at a prenatal visit and states that she sometimes feels dizzy when lying
directly on her back. Which of the following is the nurse's best response? - ANSWER "This may be due to
the uterus putting pressure on a blood vessel."
A client is a 43-year-old G2 P1 at 16 weeks' gestation that has completed prenatal testing for
chromosomal abnormalities. The results reveal the infant is a female with Down syndrome. The parents
are seeking information about this syndrome. What should the nurse tell the parents? Select all that
apply. - ANSWER • Down syndrome can occur in mothers of any age.
• Down syndrome occurs more frequently with advanced maternal age.
• Down syndrome results from a trisomy of chromosome 21.
Which task may a nurse delegate to a nursing assistant? - ANSWER Assisting a client who had surgery to
ambulate in the hallway
A client admitted with acute anxiety has the following arterial blood gas (ABG) values: pH, 7.55; partial
pressure of arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 27 mm
Hg; and bicarbonate (HCO3-), 24 mEq/L. Based on these values, the nurse suspects: - ANSWER
respiratory alkalosis.
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia
gravis is confirmed by: - ANSWER a positive edrophonium test.
A nurse is caring for a client admitted to the unit with a seizure disorder. The client seems upset and asks
the nurse, "What will they do to me? I'm scared of the tests and of what they'll find out." The nurse
should focus her teaching plans on which diagnostic tests? - ANSWER EEG, blood cultures, and
neuroimaging studies
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged
from the hospital. The client was given a 1-week supply of clozapine. The client tells the nurse that she
has too much saliva and frequently needs to spit. The nurse interprets the client's statement as being
consistent with which factor? - ANSWER expected adverse effect of clozapine
EXAM;; HIGHLY RATED // GUARANTEED PASS
A client is in the eighth month of pregnancy. To enhance cardiac output and renal function, the nurse
should advise her to use which body position? - ANSWER Left lateral
During her fourth clinic visit, a client who's 5 months pregnant tells the nurse she was exposed to rubella
during the past week and asks whether she can be immunized now. How should the nurse respond? -
ANSWER No. Because the live viral vaccine is contraindicated during pregnancy.
A client and her spouse, both 25 years old, are having trouble conceiving. Infertility in this couple is
defined as: - ANSWER inability to conceive after 1year of unprotected attempts.
When evaluating a pregnant client's fundal height, the nurse should measure in which way? - ANSWER
from symphysis pubis notch to highest level of fundus.
Which of the following client statements indicates the need for further teaching about percutaneous
umbilical blood sampling (PUBS) to assess fetal hemoglobin and hematocrit? - ANSWER "I will lie on my
back in a cylinder-type machine."
When explaining the risk for having a child with cystic fibrosis to a husband and wife, the nurse should
tell them: - ANSWER the risk is greatest when both clients have the recessive gene.
A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this
client, the nurse's highest priority is to evaluate: - ANSWER maternal vital signs and fetal heart rate
(FHR).
A 34-year-old multiparous client at 16 weeks' gestation who received regular prenatal care for all of her
previous pregnancies tells the nurse that she has already felt the baby move. How does the nurse
interpret this finding? - ANSWER normal because multiparous clients can experience quickening
between 14 and 20 weeks' gestation
, When developing the plan of care for a multigravid client with class III heart disease, the nurse should
expect to assess the client frequently for which problem? - ANSWER Tachycardia
A client at 37 weeks gestation is at a prenatal visit and states that she sometimes feels dizzy when lying
directly on her back. Which of the following is the nurse's best response? - ANSWER "This may be due to
the uterus putting pressure on a blood vessel."
A client is a 43-year-old G2 P1 at 16 weeks' gestation that has completed prenatal testing for
chromosomal abnormalities. The results reveal the infant is a female with Down syndrome. The parents
are seeking information about this syndrome. What should the nurse tell the parents? Select all that
apply. - ANSWER • Down syndrome can occur in mothers of any age.
• Down syndrome occurs more frequently with advanced maternal age.
• Down syndrome results from a trisomy of chromosome 21.
Which task may a nurse delegate to a nursing assistant? - ANSWER Assisting a client who had surgery to
ambulate in the hallway
A client admitted with acute anxiety has the following arterial blood gas (ABG) values: pH, 7.55; partial
pressure of arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 27 mm
Hg; and bicarbonate (HCO3-), 24 mEq/L. Based on these values, the nurse suspects: - ANSWER
respiratory alkalosis.
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia
gravis is confirmed by: - ANSWER a positive edrophonium test.
A nurse is caring for a client admitted to the unit with a seizure disorder. The client seems upset and asks
the nurse, "What will they do to me? I'm scared of the tests and of what they'll find out." The nurse
should focus her teaching plans on which diagnostic tests? - ANSWER EEG, blood cultures, and
neuroimaging studies
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged
from the hospital. The client was given a 1-week supply of clozapine. The client tells the nurse that she
has too much saliva and frequently needs to spit. The nurse interprets the client's statement as being
consistent with which factor? - ANSWER expected adverse effect of clozapine
