Blog about quiz / question and answer NCLEX (National Council Licensure Examination) For Nursing Student, Example Question NCLEX RN and NCLEX PN. Exam for Nurse
1. A nurse discusses infant feeding options with the human immunodeficiency virus (HIV)-positive client following a vaginal delivery of a 6-lb full-term infant. The nurse tells the client that the appropriate method of feeding is:
A. Breast-feeding for 6 months
B. Breast-feeding for 9 months
C. Nasogastric tube feeding
D. Bottle-feeding with a tolerated formula
Answer: D. Bottle-feeding with a tolerated formula
Rationale: Perinatal transmission of HIV can occur during the antenatal period, during labor and birth, or in the postpartum period if the client is breast-feeding. This information will assist the client to choose a feeding method that will support parenting and the normal physiological development of her infant. Option 4 represents the best choice when considering current knowledge of HIV transmission during pregnancy.
Test-Taking Strategy: Use the process of elimination and knowledge regarding the transmission of HIV infection to answer this question. Eliminate option 3 first because it is an unnecessary invasive technique for the infant. Next, eliminate options 1 and 2 because they are similar. Review infant feeding techniques for the mother with HIV if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Maternity/Postpartum
References: Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, pp. 110, 225. Leifer, G. (2005). Maternity nursing (9th ed.). Philadelphia: W.B. Saunders, p. 177.
2. A nurse encourages the human immunodeficiency virus (HIV)-positive childbearing woman to avoid alcohol and cigarettes during pregnancy and to obtain adequate rest. These interventions are implemented primarily to:
A. Prevent further stress on the maternal immune system
B. Reduce the risks of anemia during pregnancy
C. Minimize the possibility of preterm labor
D. Minimize the risk of premature rupture of membranes
Answer: A. Prevent further stress on the maternal immune system
Rationale: The pregnant client with HIV needs to avoid practices that can compromise the maternal immune system and interfere with medical treatments that may be in place. Collectively, such practices may place both the mother and fetus at additional risk during the pregnancy. Option 1 represents the primary nursing management issue for the HIV-infected client.
Test-Taking Strategy: Use the process of elimination and note the key word primarily. Recalling the relationship of HIV to the immune system will direct you to option A. Review the effects of HIV if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
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. 666.
3. During the antenatal period, the nurse weighs and plots the weight gain pattern of the human immunodeficiency virus (HIV)-infected client routinely and discusses the findings. The primary purpose of this action is to:
A. Document trends in weight gain patterns
B. Observe for early signs of pregnancy-induced hypertension
C. Identify adequate weight gain throughout pregnancy to ensure appropriate fetal development
D. Compare weight gain patterns among HIV-positive clients.
Answer: C. Identify adequate weight gain throughout pregnancy to ensure appropriate fetal development
Rationale: Pregnant HIV-positive clients are at risk for alterations in nutritional status, especially when consuming less than body requirements. Plotting weight gain patterns throughout pregnancy will help to support adequate fetal development and reassure the client that a safe environment is being promoted for her developing fetus. Option 3 represents one of the primary purposes to monitor weight gain pattern.
Test-Taking Strategy: Focus on the issue of the question, the HIV-infected client, and recall that during pregnancy the nurse is concerned about both the mother and the fetus. This thought process will direct you to option C. Also note that this option is the umbrella (global) one. Review the effects of HIV on the mother and fetus if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Implementation
Content Area: Maternity/Antepartum
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, p. 665.
4. During an initial prenatal visit, the client’s hemoglobin (Hgb) level is drawn, and the results are recorded in the client’s record. The nurse determines the findings to be abnormal and indicative of iron deficiency anemia. Which additional client data would also support this finding?
A. Pink mucous membranes
B. Daily headaches and fatigue
C. Increased vaginal secretions
D. Increased frequency of voiding
Answer: B. Daily headaches and fatigue
Rationale: Anemia is a common problem in pregnancy and is characterized by an Hgb level of less than 10.5 to 11 g/dL. Iron deficiency anemia and folic acid deficiency are two common types of anemia that present a concern during pregnancy. Options 1, 3, and 4 are findings that are normal during the first trimester of pregnancy. Option 2 is abnormal and may reflect complications caused by decreased oxygen supply to vital organs, thus supporting the laboratory findings.
Test-Taking Strategy: Focus on the issue of the question, iron deficiency anemia. Use the process of elimination, knowledge of the manifestations that occur in this type of anemia, and knowledge regarding the normal and abnormal findings in pregnancy to answer the question. Note that option 2 is the only abnormal finding. Review the associated manifestations of iron deficiency anemia if you had difficulty with this question.
Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Maternity/Antepartum
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, p. 657.
Thank you for your attention with reading our article Free 1000 NCLEX Question & Answer 125th Edition 2020 / 2021 (Maternity/ Antepartum/ Postpartum). Thanks for your participation, like and share if this is usefull.
0 Response to "Free 1000 NCLEX Question & Answer 125th Edition 2020 / 2021"
Post a Comment