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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6–12%
Topic 2: Health Promotion and Maintenance6–12%
Topic 3: Safe and Effective Care Environment17–33%- Management of Care
- Safety and Infection Control
Topic 4: Physiological Integrity43–67%- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Basic Care and Comfort
- Physiological Adaptation

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q725-Q730):

NEW QUESTION # 725
During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus.
This may be due to:

Answer: B

Explanation:
Section: Questions Set B
Explanation:
(A, B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. (C) Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. (D) Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.


NEW QUESTION # 726
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.


NEW QUESTION # 727
The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Perineal hygiene is a clean procedure and does not require the client to wear gloves. A care provider should wear gloves to adhere to universal precautions. (B) The pad should be applied from front to back to prevent contamination of the birth canal or urinary tract from rectal bacteria. (C) Wiping from front to back and discarding the wipe prevents contamination of the urinary tract and birth canal from rectal bacteria. (D) The inner surface of the pad should not be touched to maintain asepsis.


NEW QUESTION # 728
Which stage of labor lasts from delivery of the baby to delivery of the placenta?

Answer: C

Explanation:
(A) This stage is from complete dilatation of the cervix to delivery of the fetus. (B) This is the correct stage for the definition. (C) This stage lasts for about 2 hours after the delivery of the placenta. (D) There is no fifth stage of labor.


NEW QUESTION # 729
When assessing the client 6 hours postpartum, the fundus is found to be U +3, displaced to the right of midline, and slightly boggy. The nurse would first:

Answer: C

Explanation:
(A)Oxytocin may not be necessary if the bladder is emptied and if the uterus remains firm, midline, and at about U11 after massage. (B) The same rationale as for answer "A" applies.
(C)A full bladder is the most common cause of uterine atony. If the bladder is full, it should be emptied and the uterus reassessed before further intervention. (D) If the bladder is full, the uteruswill not stay contracted or return to a normal position. Overly vigorous massage also encourages uterine atony.


NEW QUESTION # 730
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