Questions 82

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Maternity Questions

Extract:


Question 1 of 5

A nurse is counseling a client about the use of spermicides. Which of the following client statements indicates a need for further teaching?

Correct Answer: C

Rationale: Spermicide is effective for about 1 hour after application, not 24 hours, indicating a need for further teaching. The other statements are correct.

Question 2 of 5

A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. The nurse documents the patellar reflexes as which of the following?

Correct Answer: C

Rationale: Hyperactive reflexes are documented as 3+.

Question 3 of 5

A nurse is counseling a client about the use of spermicides. Which of the following client statements indicates a need for further teaching?

Correct Answer: C

Rationale: Spermicide is effective for about 1 hour after application, not 24 hours, indicating a need for further teaching. The other statements are correct.

Question 4 of 5

Which of the following measures would the nurse expect to include in the teaching plan for a multiparous client who delivered 24 hours ago and is receiving intravenous antibiotic therapy for cystitis?

Correct Answer: D

Rationale: Avoiding acidic juices reduces bladder irritation during cystitis treatment.

Question 5 of 5

The nurse is performing effleurage for a primigravid client in early labor. The nurse should do which of the following?

Correct Answer: C

Rationale: Effleurage is a light, stroking massage of the skin surface (often the abdomen) to promote relaxation and pain relief during labor. Deep kneading, grasping, or prolonged pressure describe other massage techniques not specific to effleurage.

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