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Question 64

A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing assessment, which lab value should elicit further assessment and requires notification of physician?

Options:

A.

pH 7.39

B.

White blood cell (WBC) count 10,000 WBCs/mm3

C.

Hematocrit 60%

D.

Bleeding time of 4 minutes

Question 65

A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

Options:

A.

Bonding

B.

Maintain normal blood sugar

C.

Maintain normal nutrition

D.

Monitor intake and output

Question 66

A client has been admitted to the labor and delivery unit in active labor. After assessing her, the RN notes that the client’s fetus position is left occipital posterior. Which of the following statements best describes what this means to the labor process:

Options:

A.

Decreases the overall time of the labor process

B.

Prolongs the client’s first stage of labor

C.

Decreases the time of the client’s first stage of labor

D.

Prolongs the client’s third stage of labor

Question 67

The client has been in active labor for the last 12 hours. During the last 3 hours, labor has been augmented with oxytocin because of hypoactive uterine contractions. Her physician assesses her cervix as 95% effaced, 8 cm dilated, and the fetus is at 0 station. Her oral temperature is 100.2F at this time. The physician orders that she be prepared for a cesarean delivery. In preparing the client for the cesarean delivery, which one of the following physician’s orders should the RN question?

Options:

A.

Administer meperidine (Demerol) 100 mg IM 1 hour prior to the delivery.

B.

Discontinue the oxytocin infusion.

C.

Insert an indwelling Foley catheter prior to delivery.

D.

Prepare abdominal area from below the nipples to below the symphysis pubis area.

Page: 16 / 32
Exam Code: NCLEX-RN
Exam Name: National Council Licensure Examination(NCLEX-RN)
Last Update: Dec 22, 2024
Questions: 860
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