NCLEX-RN

NCLEX-RN Review Study Guide

87. During a sickle cell crisis, what is the primary concern? a. Education b. Pain management c. Hydration d. Oxygenation 88. Which of the following would be included in the care of a patient with a myelomeningocele? a. Prevention of infection b. Maintain position of the infant c. Sterile, moist, and non-adherent dressings d. All of the above 89. Which supplement is believed to help prevent neural tube defects and ideally should be started about a month pre-conception? a. Vitamin C b. Folic Acid c. Vitamin B6 d. Zinc 90. Magnesium sulfate is often given for preterm labor, but it can be toxic. What is the antagonist for Magnesium sulfate? a. Calcium gluconate b. Atropine sulfate c. Epinephrine d. Narcan

91. A patient who recently delivered vaginally is complaining of severe perineal pain. What would be the nurse’s first intervention? a. Call the doctor b. Inspect the perineum c. Apply ice packs to the perineum d. Apply a heating pad to the perineum 92. Which of the following findings would the nurse report to the physician? a. Edema at the episiotomy site 12 hours post-partum b. Inflammation at the episiotomy site 48 hours post-partum c. Breast tenderness 72 hours post- partum d. Lochia serosa three days post-partum 93. Which of the following represents appropriate umbilical cord care? a. Cover the cord with the diaper b. Wash the cord when giving the baby a tub bath c. Clean the area 2-3 times a day and keep dry d. Report to the physician when the cord falls off 94. The nurse is seeing a teenage patient with chlamydia. Which of the following would be an appropriate short-term goal for this patient? a. The teen will not have to identify all sexual partners b. The teen will join a peer group to discuss STDs c. The teen will be taught the effects of this disorder if it is not treated d. The teen will be taught about the methods of contraception

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