NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
The nurse at a summer camp for diabetics is assisting a 15-year-old girl with adjusting her daily insulin dosage. Which factor will have the greatest impact on insulin needs?
Correct Answer: B
Rationale: Increased physical activity significantly lowers blood glucose, requiring insulin dose adjustments.
Question 2 of 5
A 6-year-old child with tetralogy of Fallot is being admitted for surgery. What is most important to teach the child during the preoperative period?
Correct Answer: B
Rationale: Teaching coughing and deep breathing prepares the child for postoperative recovery, reducing respiratory complications.
Question 3 of 5
An 11-year-old boy is admitted to the pediatric unit in traction with a fractured femur sustained in a motorcycle accident. His uncle, who was driving the cycle when the accident occurred, received only minor injuries. The child tells the nurse that his uncle was not to blame for the accident. He is 'the best motorcycle rider in the world.' The nurse interprets this to mean that the child is exhibiting which defense mechanism?
Correct Answer: A
Rationale: The child's insistence that his uncle is faultless reflects denial, a defense mechanism to cope with the trauma of the accident.
Question 4 of 5
Which nursing action has the highest priority for a client in the second stage of labor?
Correct Answer: A
Rationale: Helping the mother push effectively is critical in the second stage to facilitate delivery.
Question 5 of 5
The nurse is discussing breast self-examination with a group of women in a clinic. One woman asks, 'When should I do this examination?' What is the best response for the nurse?
Correct Answer: B
Rationale: Performing breast self-examination a few days after menstruation, when breasts are less tender, ensures accuracy.