, NCLEX RN EXAM 2026 VERSION
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,
placental debris, and clots. (B) This discharge occurs from days 4-10. The lochia is
brownish, serous, and thin. (C) This discharge occurs from day 10 through the 6th week.
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
Answer: C
,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 is reported 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) There is 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)nCefoperazonenisnindicatedninnthentreatmentnofninfectionnwithnPseudomonasnaerugin
osa.(B)nClindamycinnisnnotnindicatedninnthentreatmentnofninfectionnwithnP.naeruginosa.(
C)nDicloxacillinnisnnotnindicatedninnthentreatmentnofninfectionnwithnP.naeruginosa.(D)n
ErythromycinnisnnotnindicatedninnthentreatmentnofninfectionnwithnP.naeruginosa.
Question:n5
Ancouplenisnexperiencingndifficultiesnconceivingnanbaby.nThennursenexplainsnbasalnbody
ntemperaturen(BBT)nbyninstructingnthenfemalenclientntontakenherntemperature:
A. Orallyninnthenmorningnandnatnbedtime
B. Onlynonentimenduringnthendaynasnlongnasnitnisnalwaysnatnthensamentimenofnday
C. Rectallynatnbedtime
D. Asnsoonnasnshenawakens,npriorntonanynactivity
Answer:nDnE
xplanation:
(A)nMonitoringntemperaturentwicenandaynpredictsnthenbiphasicnpatternnofnovulation.n(B)nPrediction
nofnovulationnreliesnonnconsistencyninntakingntemperature.n(C)Nightlynrectalntemperaturesnarenmor
en accuraten inn predictingn ovulation.n (D)n Activityn changesn then accuracyn ofn basaln bodyn temper
aturenandnabilityntondetectnthenluteinizingnhormonensurge.
Question:n6
Anclientnisnhavingnepisodesnofnhyperventilationnrelatedntonhernsurgerynthatnisnscheduledn
tomorrow.nAppropriatennursingnactionsntonhelpncontrolnhyperventilatingninclude:
A. Administeringndiazepamn(Valium)n1015nmgnponq4hnandnq1hnprnnfornhyperventilatingnepisode
B. Keepingnthentemperatureninnthenclient’snroomnatnanhighnlevelntonreducenrespiratorynstimulation
C. Havingnthenclientnholdnhernbreathnornbreathenintonanpapernbagnwhennhyperventilati
onnnepisodesnnoccur
D. Usingndistractionntonhelpncontrolnthenclient’snhyperventilationnepisodes
Answer:nC
Explanation:
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,
placental debris, and clots. (B) This discharge occurs from days 4-10. The lochia is
brownish, serous, and thin. (C) This discharge occurs from day 10 through the 6th week.
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
Answer: C
,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 is reported 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) There is 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)nCefoperazonenisnindicatedninnthentreatmentnofninfectionnwithnPseudomonasnaerugin
osa.(B)nClindamycinnisnnotnindicatedninnthentreatmentnofninfectionnwithnP.naeruginosa.(
C)nDicloxacillinnisnnotnindicatedninnthentreatmentnofninfectionnwithnP.naeruginosa.(D)n
ErythromycinnisnnotnindicatedninnthentreatmentnofninfectionnwithnP.naeruginosa.
Question:n5
Ancouplenisnexperiencingndifficultiesnconceivingnanbaby.nThennursenexplainsnbasalnbody
ntemperaturen(BBT)nbyninstructingnthenfemalenclientntontakenherntemperature:
A. Orallyninnthenmorningnandnatnbedtime
B. Onlynonentimenduringnthendaynasnlongnasnitnisnalwaysnatnthensamentimenofnday
C. Rectallynatnbedtime
D. Asnsoonnasnshenawakens,npriorntonanynactivity
Answer:nDnE
xplanation:
(A)nMonitoringntemperaturentwicenandaynpredictsnthenbiphasicnpatternnofnovulation.n(B)nPrediction
nofnovulationnreliesnonnconsistencyninntakingntemperature.n(C)Nightlynrectalntemperaturesnarenmor
en accuraten inn predictingn ovulation.n (D)n Activityn changesn then accuracyn ofn basaln bodyn temper
aturenandnabilityntondetectnthenluteinizingnhormonensurge.
Question:n6
Anclientnisnhavingnepisodesnofnhyperventilationnrelatedntonhernsurgerynthatnisnscheduledn
tomorrow.nAppropriatennursingnactionsntonhelpncontrolnhyperventilatingninclude:
A. Administeringndiazepamn(Valium)n1015nmgnponq4hnandnq1hnprnnfornhyperventilatingnepisode
B. Keepingnthentemperatureninnthenclient’snroomnatnanhighnlevelntonreducenrespiratorynstimulation
C. Havingnthenclientnholdnhernbreathnornbreathenintonanpapernbagnwhennhyperventilati
onnnepisodesnnoccur
D. Usingndistractionntonhelpncontrolnthenclient’snhyperventilationnepisodes
Answer:nC
Explanation:
