NCLEX RN Questions on Reproductive Health
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse is caring for a 23-year-old male in the psychiatry clinic Item 1 of 1 History and Physical Chief Complaint – 23-year-old male presents with his mother, who insists, 'he needs some help; all he does is work and play video games and doesn't socialize with anyone.' History of Present Illness – 23-year-old Caucasian male presents with his mother with reports of his asociality starting to impact his life. He reports that while in high school, he had a degree of anxiety about socializing with his peers. He thought that as the years passed, it would get better. He states his anxiety has declined, but he gets paranoid around individuals because they may want to 'do him wrong.' He cannot point to an example of maleficence caused by his friends. He states he doesn't have a problem with his self-esteem, but sometimes social situations are avoided because 'I can see ahead into the future, and I want to avoid people who can bring me harm through their negative energy.' The client reports that he spends his time playing video games, stating he likes games that are fantasy related because 'they take me a while.' He states he has a strong interest in tarot card readings, and for his close friends, he does provide readings. He did offer the examiner a tarot card reading. His interest in tarot cards came from his self-described ability to interpret the spirits of individuals and their auras. He states that occasionally, he will browse social media and identify a quote or lyric that he feels 'was directed towards me.' The client is employed as an overnight hotel clerk, and his highest level of education is a high school diploma. The client has never been married and has no children. His last relationship was seven years ago, which was brief. He identifies himself as heterosexual. He has a distant criminal history of petty theft and identity theft. No history of violent crimes. He has never been incarcerated. He denies drinking alcohol. However, he does smoke marijuana 2-3x a week. He lives in the basement with his Mother and declines to move out because he has no plans. Medical History – No past medical history, no past psychiatric history. The client has never been hospitalized—no family history of psychiatric illness. Mental Status Examination – Alert and fully oriented; Fair concentration; No psychomotor retardation or agitation; Cooperative behavior; Adequately groomed; unkept hair that is bright green in color. He has multiple facial piercings (nose, eyebrow, lip). Speech is at a normal rate with a slightly increased volume Affect is bright, and he describes his mood as 'okay.' Denies suicidal or homicidal ideations. Intact insight and judgment
Complete the sentence below by choosing from the list of options. The client is at highest risk of developing ___ as evidenced by the client's ___
A. antisocial personality disorder
B. bipolar disorder
C. schizotypal personality disorder
D. dependent personality disorder
E. illogical thought content
F. criminal history
G. self-esteem
Explanation: The client's paranoia, magical thinking (tarot cards, auras), and social avoidance suggest schizotypal personality disorder, evidenced by illogical thought content.
Question 2 of 5.
The nurse is caring for assigned clients and is reviewing laboratory data. Which laboratory data requires follow-up? A client with a
A. serum total cholesterol 180 mg/dl (4.65 mmol/L)
B. glycosylated hemoglobin (A1C) 7.5%
C. serum calcium 9.2 mg/dl (2.30 mmol/L)
D. serum creatinine 1.0 mg/dL (88.4 µmol/L)
Explanation: An A1C of 7.5% is elevated for a client with diabetes mellitus (DM), as the target is typically ≤7%. This requires follow-up to assess glycemic control.
Question 3 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the emergency department (ED) is caring for a pregnant client. Item 1 of 1 Nurses' Notes Emergency Department 0735: Client reports sudden onset of nausea and vomiting, heavy vaginal bleeding with dark red blood, frequent low-intensity contractions, lower abdominal pain rated 9/10 on the Numerical Rating Scale for past two hours, and dull lower back pain rated 2/10 on the Numerical Rating Scale for the past 24 hours. Client is 30 weeks gestation (G=4 T=3 P=0 A=0 L=3) and is Rh-positive. Vital signs: T 99.8 â° F (37.7 â° C), P 99, RR 16, BP 112/76, pulse oximetry reading 94% on room air. Uterine tenderness present with gentle palpation. Client states they are a one-pack per day cigarette smoker and denies any alcohol or illicit drug use.
The nurse reviews the client's admission data to begin the plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two (2) actions the nurse should take to address that condition, and two (2) parameters the nurse should monitor to assess the client's progress.
Action To take
- A.initiate electronic fetal monitoring (EFM)
- B. administer Rh immune globulin
- C. assess for signs of hyperemesis gravidarum
- D. start peripheral access device
- E. perform an ultrasound examination
Potential Condition
- A.placenta previa
- B. preterm labor
- C. placental abruption
- D. preeclampsia
Parameter to Monitor
- A.continuous electronic fetal monitoring (EFM)
- B. 24-hour urine specimen
- C. strict intake & output
- D. vital signs
- E. serum creatinine levels
Explanation: The client's heavy vaginal bleeding, severe abdominal pain, and frequent contractions at 30 weeks suggest placental abruption. EFM and peripheral access are critical interventions, and monitoring fetal heart rate and vital signs assesses progress.
Question 4 of 5.
The nurse is admitting a new client and begins to review information regarding advanced directives. The client becomes agitated and refuses to discuss the issue or accept a handout about the topic. Which is the appropriate nursing action?
A. Leave the handout on the client's bedside table instructing him that he must review the content.
B. Document the client's refusal, using the client's own words, in quotes.
C. Explain to the client that he must make decisions about accepting or refusing treatment while in the hospital.
D. Request an assessment of the client's competency related to making decisions about advanced directives.
Explanation: Respecting the client's autonomy, the nurse should document the refusal accurately, using the client's words, without forcing the issue.
Question 5 of 5.
The nurse is caring for a client who has been prescribed prednisone. Which of the following statements, if made by the nurse, would be correct?
A. This medication may make you gain weight.
B. It is best to take this medication in the morning with food.
C. If you have pain, it is okay to take ibuprofen.
D. Your blood pressure may decrease while taking this medication.
E. You may experience mood changes while on this medicine.
Explanation: Prednisone can cause weight gain, should be taken in the morning with food to reduce GI upset, and may cause mood changes. Ibuprofen should be avoided due to increased GI risk, and prednisone may increase, not decrease, blood pressure.
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