NCLEX RN Questions on Reproductive Health
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Question 1 of 5.
The nurse has taught a client who has been ordered a high in phosphorus diet about appropriate food choices. Which of the following food choices by the client would indicate a correct understanding of the teaching?
A. Leafy greens
B. Garlic
C. Nuts
D. Butter
E. Turkey
Explanation: Nuts and turkey are high in phosphorus, suitable for a high-phosphorus diet.
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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