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NCLEX PN· Maternal-Newborn · NCLEX Maternal Newborn

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A pregnant 16-year-old asks the nurse if she should have an abortion. How should the nurse respond initially?

A. You should ask your parents for advice.'

B. Abortion is the deliberate killing of a human being.'

C. An abortion would let you finish growing up before you have children.'

D. What are your feelings about abortion?'

Expert Explanatory Rationale

Correct Answer: What are your feelings about abortion?'

Question 2 of 5

A 3-month-old infant is hospitalized for repair of a cleft lip. Following surgery, the baby returns to the unit with a Logan bow in place. The baby is awake and beginning to whimper. The baby's color is pink, and pulse is 120 with respirations of 38. An IV is ordered in the baby's right hand at 15 cc per hour. The fluid is not infusing well. Her right hand is edematous. The jacket restraint has loosened, and one arm has partially come out. What is the priority nursing action?

A. Recheck the baby's vital signs

B. Check the baby's IV site for infiltration

C. Check to see if the baby has voided

D. Replace the restraints securely

Expert Explanatory Rationale

Correct Answer: Check the baby's IV site for infiltration

Question 3 of 5

The nurse at a summer camp for diabetics is assisting a 15-year-old girl with adjusting her daily insulin dosage. Which factor will have the greatest impact on insulin needs?

A. The weather forecast calls for high temperature and high humidity.

B. Activities scheduled for the day include a hike in the woods, swim time, and tennis.

C. The girl started her period the previous evening.

D. Daily insulin dose should never be changed because consistency is important.

Expert Explanatory Rationale

Correct Answer: Activities scheduled for the day include a hike in the woods, swim time, and tennis.

Question 4 of 5

The nurse is caring for a child who had a tonsillectomy this morning. The child is observed to be swallowing continuously. What is the most appropriate initial nursing action?

A. Administer acetaminophen for pain

B. Place an ice collar around her throat

C. Call the charge nurse or surgeon immediately

D. Encourage the child to suck on ice chips

Expert Explanatory Rationale

Correct Answer: Call the charge nurse or surgeon immediately

Question 5 of 5

A child with an asthma attack has received epinephrine. The child is also to receive isoproterenol (Isuprel) via intermittent positive pressure breathing. When should the isoproterenol be given in relation to the epinephrine?

A. Isoproterenol should be given 30 minutes prior to the administration of epinephrine.

B. Isoproterenol should never be given in conjunction with epinephrine. Check with the physician.

C. Isoproterenol should not be given within one hour after the administration of epinephrine.

D. Isoproterenol should be given at the same time as epinephrine for maximum benefit.

Expert Explanatory Rationale

Correct Answer: Isoproterenol should not be given within one hour after the administration of epinephrine.

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