Example NCLEX PN Questions 63th Edition
Example NCLEX PN Questions 63th Edition
1. A nurse is providing instructions to a client about preterm labor. The nurse would do which of the following as the most effective method for teaching the client to monitor for preterm uterine contractions?
A. Palpate for uterine contractions at the same time as the client
B. Provide a simple pamphlet with multiple illustrations
C. Ask about contractions at each visit
D. Attach the monitor to the client’s abdomen and have her palpate at the same time
Answer: A. Palpate for uterine contractions at the same time as the client
Rationale: Option 1 uses teaching and learning principles. It includes the most direct way to determine the level of client understanding. The client may not be able to read well. The client may not understand what to feel for and may answer only to please the nurse. A monitor would be cost-prohibitive and does not give human feedback.
Test-Taking Strategy: Use the process of elimination, recalling the basic principles related to teaching and learning theory. The correct option provides for demonstration and return demonstration as teaching methods, and promotes interaction between the nurse and client. Review teaching/learning principles if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Content Area: Maternity/Antepartum
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, p. 28.
2. A client and her husband are being discharged from the hospital after giving birth to a fetal demise. They ask about the possibility of attending a bereavement support group in the community. The nurse is aware that this request from the parents is an indication of:
A. Denial
B. Prolonged sadness
C. Normal grieving
D. Anger
Answer: C. Normal grieving
Rationale: A perinatal bereavement support group can help the parents work through their pain by nonjudgmental sharing of feelings. It is a necessary part of normal grieving. Options 1, 2, and 4 are incorrect.
Test-Taking Strategy: Use the process of elimination, focusing on the parents’ request. This should indicate that this is a normal part of grieving and direct you to the correct option. Review the normal grieving process if you had difficulty with this question.
Level of Cognitive Ability: Analysis
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Maternity/Postpartum
Reference: Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 232.
3. A postpartum client is at high risk for infection. A goal has been developed that states, “The client will not develop an infection during her hospital stay.” Which of the following data would support that the goal has been met?
A. Presence of chills
B. Abdominal tenderness
C. Absence of fever
D. Loss of appetite
Answer: C. Absence of fever
Rationale: Fever is the first indication of an infection. An absence of fever would indicate that the goal stated in the question has been met. Chills, abdominal tenderness, and loss of appetite indicate the presence of an infection.
Test-Taking Strategy: Focus on the key words goal has been met. Knowledge of the signs and symptoms of infection will easily direct you to option C. Review the signs of infection if you had difficulty with this question.
Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Maternity/Postpartum
Reference: Lowdermilk, D., & Perry, A. (2004). Maternity & women’s health care (8th ed.). St. Louis: Mosby, pp. 1046-1047.
4. A postpartum client suspected of having an infection is informed that she will be unable to have the newborn present in the room with her. The nurse plans care knowing that which of the following is the highest priority problem at this time?
A. Social isolation
B. Risk for ineffective mother-infant bonding
C. Ineffective individual coping
D. Denial
Answer: B. Risk for ineffective mother-infant bonding
Rationale: There is a period shortly after birth that is uniquely important to attachment and mother-infant bonding. Option 2 identifies the problem that could exist if the client is unable to have the newborn infant present in the room. Options 1, 3, and 4 do not relate to the information provided in the question.
Test-Taking Strategy: Use the process of elimination. Focus on the information provided in the question to assist in directing you to option B. The information provided in the question is insufficient to support the other options. Review the concepts related to mother-infant bonding if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Planning
Content Area: Maternity/Postpartum
Reference: Murray, S., McKinney, E., & Gorrie, T. (2002). Foundations of maternal-newborn nursing (3rd ed.). Philadelphia: W.B. Saunders, p. 463.
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