NUR 4455 MOD 5 NCLEX QUIZ
1. Methylergonovine is prescribed for a woman to treat postpartum
hemorrhage. Before the administration of methylergonovine, the
nurse should check which priority item?
a. Uterine tone
b. BP
c. Amount of lochia
d. Deep tendon reflexes
Answer: B
Rationale: Methylergonovine, which is an ergot alkaloid, is an agent
that is used to prevent or control postpartum hemorrhage by
contracting the uterus. It may elevate BP, therefore the priority before
giving the medication is checking the blood pressure of the patient.
2. The nurse is monitoring a preterm labor client who is receiving
mag sulfate IV. The nurse should monitor for which adverse
effects? Select all that apply:
a. Flushing
b. HTN
c. Increased Urine output
d. Depressed RR
e. Extreme muscle weakness
f. Hyperactive deep tendon reflexes
Answer: A, D, E
Rationale: Mag sulfate is a central nervous system depressant and it
relaxes the smooth muscle, including the uterus. It is used to stop
,preterm labor contractions, and it is used for preeclamptic clients to
prevent seizures.
3. A pregnant patient is receiving mag sulfate for the mgt of
preeclampsia. The nurse determines that the patient is
experiencing toxicity from the medication, if which is noted on
data collection?
a. Proteinuria of 3 plus
b. Deep tendon reflexes
c. Serum mag level of 6mEq/L
d. RR of 10/min
Answer: D
Rationale: Mag toxicity can occur because of mag sulfate therapy. Signs
of mag sulfate toxicity relate to the central nervous system depressant
effects of the medication and include respiratory depression (RR less
then 12/min).
4. Epidural analgesia is administered to a woman for pain relief after
a cesarean birth. The nurse assigned to care for the woman
ensures that which medication is readily available if respiratory
depression occurs?
a. Betamethasone
b. Morphine sulfate
c. Narcan
d. Meperidine hydrochloride (Demerol)
Answer: C
Rationale: Opioids are used for epidural analgesia. An adverse
effect of epidural analgesia is a delayed respiratory depression.
, Narcan, is opioid antagonist, which reverse the effects of
opioids and is given for respiratory depression.
5. Rh (D) immune globulin (RhoGam) is prescribed for woman after
delivery of newborn infant, and the nurse provides info to the
woman about the purpose of the medication. The nurse
determines that the woman understands the purpose of this
medication if the woman states that it will protect her next baby
from which condition?
a. Having Rh-positive blood
b. Developing rubella infection
c. Developing physiological jaundice
d. Being affected by Rh incompatibility
Answer: D
Rationale: Rh incompatibility can occur when a Rh-negative mother
becomes sensitized to Rh antigen. Sensitization may develop when a
Rh-negative woman becomes pregnant with a fetus that is Rh positive.
6. A woman suffering from preeclampsia is receiving mag sulfate.
Which indicates to the nurse that the mag therapy is effective?
a. Scotomas are present
b. Seizures do not occur
c. Ankle clonus is noted
d. The blood pressure decreases
Answer: B
Rationale: for a client with preeclampsia, the goal of care is directed at
preventing eclampsia (seizures). Mag sulfate is an anticonvulsant rather
than an antihypertensive agent. Although a decrease in blood pressure
may be noted initially this effect is usually transient.
, 7. Methylergonovine is prescribed for a patient with postpartum
hemorrhage Before administering the medication, the nurse
should question administration of the medication if which
condition is documented in the client’s medical history?
a. Hypotension
b. Hypothyroidism
c. DM
d. Peripheral vascular disease
Answer: D
Rationale: Methylergonovine is an ergot alkaloid that is used to treat
postpartum hemorrhage. Ergot alkaloids are avoided in clients with
significant cardiovascular disease, peripheral vascular disease,
hypertension, eclampsia, or preeclampsia because these conditions are
worsened by the vasoconstrictive.
8. The nursing instructor asks a nursing student to describe the
procedure for administering erythromycin ointment to the eyes of
a neonate. The instructor determines that the student needs to
research this procedure further fi the student makes which
statement?
a. I will flush the eyes after instilling the ointment
b. I will cleanse the neonate’s eyes before instilling the
ointment
c. The administration of the eye ointment is within 1 hour after
delivery
d. I will instill the eye ointment into each of the neonate’s
conjunctival sacs
Answer: A
1. Methylergonovine is prescribed for a woman to treat postpartum
hemorrhage. Before the administration of methylergonovine, the
nurse should check which priority item?
a. Uterine tone
b. BP
c. Amount of lochia
d. Deep tendon reflexes
Answer: B
Rationale: Methylergonovine, which is an ergot alkaloid, is an agent
that is used to prevent or control postpartum hemorrhage by
contracting the uterus. It may elevate BP, therefore the priority before
giving the medication is checking the blood pressure of the patient.
2. The nurse is monitoring a preterm labor client who is receiving
mag sulfate IV. The nurse should monitor for which adverse
effects? Select all that apply:
a. Flushing
b. HTN
c. Increased Urine output
d. Depressed RR
e. Extreme muscle weakness
f. Hyperactive deep tendon reflexes
Answer: A, D, E
Rationale: Mag sulfate is a central nervous system depressant and it
relaxes the smooth muscle, including the uterus. It is used to stop
,preterm labor contractions, and it is used for preeclamptic clients to
prevent seizures.
3. A pregnant patient is receiving mag sulfate for the mgt of
preeclampsia. The nurse determines that the patient is
experiencing toxicity from the medication, if which is noted on
data collection?
a. Proteinuria of 3 plus
b. Deep tendon reflexes
c. Serum mag level of 6mEq/L
d. RR of 10/min
Answer: D
Rationale: Mag toxicity can occur because of mag sulfate therapy. Signs
of mag sulfate toxicity relate to the central nervous system depressant
effects of the medication and include respiratory depression (RR less
then 12/min).
4. Epidural analgesia is administered to a woman for pain relief after
a cesarean birth. The nurse assigned to care for the woman
ensures that which medication is readily available if respiratory
depression occurs?
a. Betamethasone
b. Morphine sulfate
c. Narcan
d. Meperidine hydrochloride (Demerol)
Answer: C
Rationale: Opioids are used for epidural analgesia. An adverse
effect of epidural analgesia is a delayed respiratory depression.
, Narcan, is opioid antagonist, which reverse the effects of
opioids and is given for respiratory depression.
5. Rh (D) immune globulin (RhoGam) is prescribed for woman after
delivery of newborn infant, and the nurse provides info to the
woman about the purpose of the medication. The nurse
determines that the woman understands the purpose of this
medication if the woman states that it will protect her next baby
from which condition?
a. Having Rh-positive blood
b. Developing rubella infection
c. Developing physiological jaundice
d. Being affected by Rh incompatibility
Answer: D
Rationale: Rh incompatibility can occur when a Rh-negative mother
becomes sensitized to Rh antigen. Sensitization may develop when a
Rh-negative woman becomes pregnant with a fetus that is Rh positive.
6. A woman suffering from preeclampsia is receiving mag sulfate.
Which indicates to the nurse that the mag therapy is effective?
a. Scotomas are present
b. Seizures do not occur
c. Ankle clonus is noted
d. The blood pressure decreases
Answer: B
Rationale: for a client with preeclampsia, the goal of care is directed at
preventing eclampsia (seizures). Mag sulfate is an anticonvulsant rather
than an antihypertensive agent. Although a decrease in blood pressure
may be noted initially this effect is usually transient.
, 7. Methylergonovine is prescribed for a patient with postpartum
hemorrhage Before administering the medication, the nurse
should question administration of the medication if which
condition is documented in the client’s medical history?
a. Hypotension
b. Hypothyroidism
c. DM
d. Peripheral vascular disease
Answer: D
Rationale: Methylergonovine is an ergot alkaloid that is used to treat
postpartum hemorrhage. Ergot alkaloids are avoided in clients with
significant cardiovascular disease, peripheral vascular disease,
hypertension, eclampsia, or preeclampsia because these conditions are
worsened by the vasoconstrictive.
8. The nursing instructor asks a nursing student to describe the
procedure for administering erythromycin ointment to the eyes of
a neonate. The instructor determines that the student needs to
research this procedure further fi the student makes which
statement?
a. I will flush the eyes after instilling the ointment
b. I will cleanse the neonate’s eyes before instilling the
ointment
c. The administration of the eye ointment is within 1 hour after
delivery
d. I will instill the eye ointment into each of the neonate’s
conjunctival sacs
Answer: A
