NCLEX-RN

NCLEX-RN Review Study Guide

162.If a patient in labor, on Oxytocin, is experiencing late decelerations and minimal variability, what would be your first intervention? a. Do nothing, as these are normal findings b. Stop the Oxytocin c. Call the doctor d. Put the patient on her left side 163.A 25-year-old female delivered her first child a few hours ago. Your technician tells you that the patient’s temperature is 100.3 degrees. What should be your first intervention? a. Call the doctor b. Do nothing, this is a normal finding c. Give Tylenol d. Encourage fluids and reassess in an hour 164.Your post-partum patient is diagnosed with a thrombophlebitis. Which of the following interventions should NOT be performed? a. Instruct the patient to wear loose clothing b. Instruct the patient to avoid prolonged sitting with legs in a dependent position c. Massage the calves d. Apply support hose as ordered 165.Some infants are born with acrocyanosis. What is this? a. Pink with bluish extremities b. Pink with blue lips c. Blue with pink extremities d. Pink with episodic cyanosis

166.What is the greatest predictor of premature infant survivability? a. Skin color b. Lung maturity c. Circulatory function d. None of the above 167.Premature infants born with the inability to produce ____________ can cause distress and death. a. Gastrointestinal bacterial flora b. Surfactant c. Bilirubin d. None of the above 168.Your patient’s newborn infant is born jaundiced. Your response to this is based on the knowledge that: a. Jaundice sometimes occurs in newborns and with phototherapy, he will be fine b. Jaundice on the first day of birth represents a pathological problem c. Further testing will need to be done in order to determine whether or not this is normal d. The patient will need to spend three months in the hospital 169.Which of the following is known to be the highest cause of preventable fetal mental retardation? a. Tobacco use by the pregnant mother b. Alcohol use by the pregnant mother c. Caffeine use by the pregnant mother d. HIV infection by the pregnant mother

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