Exam (elaborations)

ACTUAL TESTS NCLEX-RN - P1 2022/2023 QUESTIONS WITHVERIFIED ANSWERS

0 purchase

Course
Nursing

Institution
Nursing

ACTUAL TESTS NCLEX-RN - P1 2022/2023 QUESTIONS WITHVERIFIED ANSWERS ACTUAL TESTS NCLEX-RN - P1 2022/2023 QUESTIONS WITHVERIFIED ANSWERS NCLEX-RN QUESTION 1 A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitione...

[Show more]

Preview 4 out of 424 pages

View example

Uploaded on December 6, 2022
Number of pages 424
Written in 2022/2023
Type Exam (elaborations)
Contains Questions & answers

actual tests n
actual tests nclex rn p1 2021questions withverified answers
actual tests nclex rn p1 2021questions withverified answers actual tests nclex rn p1 2021questions withverified answers

AloyceNotes

Member since 2 year 9 documents sold

$16.49

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

ACTUAL TESTS NCLEX-RN - P1
2021QUESTIONS WITHVERIFIED
ANSWERS

,NCLEX-RN

QUESTION 1
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of
her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule
is:

A. March 27
B. February 1
C. February 27
D. January 3

Correct Answer: C
Section: (none)
Explanation

Explanation/Reference:
Explanation:

(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated date of confinement using
Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 is a miscalculation.

QUESTION 2
The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client about symptoms of physical
changes that she will experience during her first trimester, such as:

A. Nausea and vomiting
B. Quickening
C. A 68 lb weight gain
D. Abdominal enlargement

Correct Answer: A
Section: (none)
Explanation

Explanation/Reference:
Explanation:

(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of elevated human chorionic
gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mother's perception of fetal movement and generally does not occur until 1820

,weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. (C) During the first trimester there should be only a
modest weight gain of 24 lb. It is not uncommon for women to lose weight during the first trimester owing to nausea and/or vomiting. (D) Physical changes are not
apparent until the second trimester, when the uterus rises out of the pelvis.

QUESTION 3
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse should be alert to which
condition related to her age?

A. Iron-deficiency anemia
B. Sexually transmitted disease (STD)
C. Intrauterine growth retardation
D. Pregnancy-induced hypertension (PIH)

Correct Answer: D
Section: (none)
Explanation

Explanation/Reference:
Explanation:

(A) Iron-deficiency anemia can occur throughout pregnancy and is not age related. (B) STDs can occur prior to or during pregnancy and are not age related. (C)
Intrauterine growth retardation is an abnormal process where fetal development and maturation are delayed. It is not age related. (D) Physical risks for the pregnant
client older than 35 include increased risk for PIH, cesarean delivery, fetal and neonatal mortality, and trisomy.

QUESTION 4
A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The results of her physical examination are normal. How does the nurse
interpret the effectiveness of the instruction about diet and weight control?

A. She is compliant with her diet as previously taught.
B. She needs further instruction and reinforcement.
C. She needs to increase her caloric intake.

, D. She needs to be placed on a restrictive diet immediately.

Correct Answer: B
Section: (none)
Explanation

Explanation/Reference:
Explanation:

(A) She is probably not compliant with her diet and exercise program. Recommended weight gain during second and third trimesters is approximately 12 lb. (B)
Because of her excessive weight gain of 10 lb in 2 months, she needs re-evaluation of her eating habits and reinforcement of proper dietary habits for pregnancy. A
2200-calorie diet is recommended for most pregnant women with a weight gain of 2730 lb over the 9-month period. With rapid and excessive weightgain, PIH
should also be suspected. (C) She does not need to increase her caloric intake, but she does need to re-evaluate dietary habits. Ten pounds in 2 months is
excessive weight gain during pregnancy, and health teaching is warranted. (D) Restrictive dieting is not recommended during pregnancy.

QUESTION 5
Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows
the recommended serum glucose range during pregnancy is:

A. 70 mg/dL and 120 mg/dL
B. 100 mg/dL and 200 mg/dL
C. 40 mg/dL and 130 mg/dL
D. 90 mg/dL and 200 mg/dL

Correct Answer: A
Section: (none)
Explanation

Explanation/Reference:
Explanation:

(A) The recommended range is 70120 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose,
the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.

QUESTION 6
When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the
nurse take?

A. Continue monitoring because this is a normal occurrence.
B. Turn client on right side.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller AloyceNotes. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $16.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Seller

Exam (elaborations) ·

Exam (elaborations)

ACTUAL TESTS NCLEX-RN - P1 2022/2023 QUESTIONS WITHVERIFIED ANSWERS

Document information

Subjects

Written for