NCLEX Exam Practice Question of the Week - 7/25/12

Elsevier NCLEX Exam Review

Question: Shortly after an amniotomy, the nurse determines that the fetal heart rate has decreased from 140 to 80 beats per minute. What is the priority nursing action?

1. Inspect the vagina
2. Administer oxygen
3. Notify the practitioner
4. Place in the knee-chest position

NCLEX Exam Practice Question of the Week - 7/18/12

Elsevier NCLEX Exam Review

Question: A nurse assesses a client admitted to the hospital with rib fractures so as to identify the risk for potential complications. The nurse notes that the client has a history of emphysema.
After the assessment, the nurse ensures that which of the following interventions is documented in the plan of care? Select all that apply.

1. Collect sputum specimens at the hour of sleep.
2. Maintain the client in a position of comfort.
3. Offer medication to suppress the cough as needed.
4. Administer small, frequent meals with plenty of fluids.
5. Have the client cough and breathe deeply 20 minutes after pain medication is given.
6. Administer 4 to 6 liters of oxygen when the client’s pulse oximetry drops below 90%.

NCLEX Exam Practice Question of the Week - 7/11/12

Elsevier NCLEX Exam Review

Question: A 32-year-old multigravida client who is at 40 weeks gestation is in early labor. The nurse assesses a fetal heart rate of 90 beats per minute for the last half of the previous three contractions. Which action should the nurse take?

1. Place her in the supine position and prepare an oxytocin infusion.
2. Place her on her left side and administer oxygen.
3. Place her in the knee-chest position and continue to monitor.
4. Place her in the lithotomy position and perform a vaginal examination.

NCLEX Exam Practice Question of the Week - 7/4/12

Elsevier NCLEX Exam Review

Question: A nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of:

1.  Myxedema
2.  Graves' disease
3.  Addison's disease
4.  Cushing's syndrome