NCLEX OB Exam Questions with Verified Answers 100% Pass
1. A plan of care is created for a 3 Before further intervention, the reason
term small-for-gestational-age for the inadequate weight gain should be
(SGA) neonate who was ad- evaluated. Evaluation should take place
mitted to the neonatal inten- before changing the plan or altering the
sive care unit (NICU). The goal goal.
was for the newborn to reach
5 pounds by a specified date. 1 This intervention is premature.
On the specified date the infant
weighs 4 pounds, 2 ounces. 2 This intervention is premature.
What should the nurse do
next? 4 This is unsafe; the reason for the lack of
goal attainment must be identified.
1. Increase the daily number of
calories
2. Change the goal to a more
realistic number
3. Reassess the problem be-
fore altering the plan
4. Postpone the evaluation
date for another month
2. A 17-year-old client, who is 3 The data indicate a life-threatening emer-
at 38 weeks' gestation, is be- gency, and if the client is unable to sign an
ing prepared for an emer- informed consent it is the legal responsi-
gency cesarean birth because bility of the surgeon and the health care
there is an abruptio placentae provider to sign the consent form so that
and severe fetal compromise. further injury to the client and her fetus may
The client received nalbuphine be prevented.
(Nubain) 10 mg IV 30 minutes
ago. Because the client is too 1 There is not enough time to obtain a
sedated to sign the consent verbal consent.
form, the nurse should:
2 It is illegal to perform the surgery without
1. Call the client's mother and a signed consent.
request a verbal consent
4 Legally, a nurse is not allowed to counter-
, NCLEX OB Exam Questions with Verified Answers 100% Pass
2. Proceed with the preparation sign an informed consent unless the client
and forgo written consent has signed it first.
3. Have the surgeon and at-
tending practitioner sign the
consent form
4. Sign the consent form and
have the nurse manager coun-
tersign the form
3. A female client is sched- 3 Legally, the person performing the
uled for a hysterectomy. When surgery is responsible to inform the client
discussing the preoperative adequately; the nurse may clarify infor-
preparation, the nurse identi- mation, witness the client's signature and
fies that the client has inad- cosign the consent form.
equate understanding of the
surgery. What is the next nurs- 1 This is beyond the scope of nursing prac-
ing intervention? tice.
1. Describe the proposed 2 The nurse may face criminal charges
surgery to the client of assault and battery if proceeding when
there is a lack of informed consent.
2. Proceed with implementing
the preoperative plan 4 This places blame on the client; it is the
responsibility of the surgeon to impart the
3. Notify the surgeon that the vital information required for consent
client needs more information
4. Explain gently that she
should have asked more ques-
tions
4. A client in labor is being pre- 2 This is the priority before anesthesia is
pared for a cesarean birth. administered. Anesthesia depresses the
What is the most important central nervous system and the client can-
nursing intervention before not participate in decision making.
anesthesia is administered?
1 This can be done later; it is not the prior-
, NCLEX OB Exam Questions with Verified Answers 100% Pass
1. Prepare the abdomen ity.
2. Obtain informed consent 3 This can be done later; it is not the prior-
ity.
3. Initiate an intravenous infu-
sion 4 This can be done later; it is not the prior-
ity.
4. Insert an indwelling urinary
catheter
5. New parents are asked to sign 2 This response permits exploration of
the consent for their son to be the parents' wishes and leads to assisting
circumcised. They ask for the them in making their own decision.
nurse's opinion of the proce-
dure. How should the nurse re- 1 This response blocks further discussion;
spond? the nurse can answer some of the ques-
tions and refer those that cannot be an-
1. "You should talk to the swered to the practitioner.
physician about this if you
have any questions." 3 This is a value judgment; it denies the
parents' right to decide.
2. "Let's talk about it because
there are advantages and dis- 4 This response might frighten the parents;
advantages." it denies the parents their power of deci-
sion.
3. "It is a safe procedure and
it is best for male infants to be
circumcised."
4. "Although it may be a some-
what painful experience for the
baby, I would allow it if I were
you."
6. A new mother tells the nurse A return demonstration can validate that
that her baby "spits up" af- desired learning has taken place from ear-
ter each formula feeding. The lier teaching.
nurse teaches her how to po-
sition her newborn after feed- 1 Teaching was already done and now
, NCLEX OB Exam Questions with Verified Answers 100% Pass
ings. Following the next feed- must be evaluated.
ing the nurse observes that the
mother positions the baby cor- 3 This is not necessary; a return demon-
rectly. The nurse observed this stration provides feedback for evaluation.
activity to:
4 This is not necessary; a return demon-
1. Prepare a basic teaching stration provides feedback for evaluation.
plan
2. Validate that learning has oc-
curred
3. Ascertain the mother's
knowledge base
4. Determine the mother's
readiness to learn
7. When obtaining informed con- 3 The client must be intellectually compe-
sent for sterilization from tent;that is, able to comprehend the out-
a developmentally challenged come of the procedure to give informed
adult client, the nurse must be consent.
sure that the:
1 This avenue may be pursued after the
1. Parent or guardian signs the client is deemed unable to provide in-
consent formed consent. The parent or guardian
must be designated by the court to perform
2. Client is able to explain what this function.
the procedure entails
2 This may be unrealistic for this client; it
3. Client is able to comprehend is more important for the client to demon-
the outcome of the procedure strate that the outcome of the procedure is
understood.
4. Parent or guardian has en-
couraged the client to make 4 The client should be free from the influ-
the decision ence of others who might press to have the
procedure performed. This is an individual
decision by a client who is capable of mak-
ing this decision.
1. A plan of care is created for a 3 Before further intervention, the reason
term small-for-gestational-age for the inadequate weight gain should be
(SGA) neonate who was ad- evaluated. Evaluation should take place
mitted to the neonatal inten- before changing the plan or altering the
sive care unit (NICU). The goal goal.
was for the newborn to reach
5 pounds by a specified date. 1 This intervention is premature.
On the specified date the infant
weighs 4 pounds, 2 ounces. 2 This intervention is premature.
What should the nurse do
next? 4 This is unsafe; the reason for the lack of
goal attainment must be identified.
1. Increase the daily number of
calories
2. Change the goal to a more
realistic number
3. Reassess the problem be-
fore altering the plan
4. Postpone the evaluation
date for another month
2. A 17-year-old client, who is 3 The data indicate a life-threatening emer-
at 38 weeks' gestation, is be- gency, and if the client is unable to sign an
ing prepared for an emer- informed consent it is the legal responsi-
gency cesarean birth because bility of the surgeon and the health care
there is an abruptio placentae provider to sign the consent form so that
and severe fetal compromise. further injury to the client and her fetus may
The client received nalbuphine be prevented.
(Nubain) 10 mg IV 30 minutes
ago. Because the client is too 1 There is not enough time to obtain a
sedated to sign the consent verbal consent.
form, the nurse should:
2 It is illegal to perform the surgery without
1. Call the client's mother and a signed consent.
request a verbal consent
4 Legally, a nurse is not allowed to counter-
, NCLEX OB Exam Questions with Verified Answers 100% Pass
2. Proceed with the preparation sign an informed consent unless the client
and forgo written consent has signed it first.
3. Have the surgeon and at-
tending practitioner sign the
consent form
4. Sign the consent form and
have the nurse manager coun-
tersign the form
3. A female client is sched- 3 Legally, the person performing the
uled for a hysterectomy. When surgery is responsible to inform the client
discussing the preoperative adequately; the nurse may clarify infor-
preparation, the nurse identi- mation, witness the client's signature and
fies that the client has inad- cosign the consent form.
equate understanding of the
surgery. What is the next nurs- 1 This is beyond the scope of nursing prac-
ing intervention? tice.
1. Describe the proposed 2 The nurse may face criminal charges
surgery to the client of assault and battery if proceeding when
there is a lack of informed consent.
2. Proceed with implementing
the preoperative plan 4 This places blame on the client; it is the
responsibility of the surgeon to impart the
3. Notify the surgeon that the vital information required for consent
client needs more information
4. Explain gently that she
should have asked more ques-
tions
4. A client in labor is being pre- 2 This is the priority before anesthesia is
pared for a cesarean birth. administered. Anesthesia depresses the
What is the most important central nervous system and the client can-
nursing intervention before not participate in decision making.
anesthesia is administered?
1 This can be done later; it is not the prior-
, NCLEX OB Exam Questions with Verified Answers 100% Pass
1. Prepare the abdomen ity.
2. Obtain informed consent 3 This can be done later; it is not the prior-
ity.
3. Initiate an intravenous infu-
sion 4 This can be done later; it is not the prior-
ity.
4. Insert an indwelling urinary
catheter
5. New parents are asked to sign 2 This response permits exploration of
the consent for their son to be the parents' wishes and leads to assisting
circumcised. They ask for the them in making their own decision.
nurse's opinion of the proce-
dure. How should the nurse re- 1 This response blocks further discussion;
spond? the nurse can answer some of the ques-
tions and refer those that cannot be an-
1. "You should talk to the swered to the practitioner.
physician about this if you
have any questions." 3 This is a value judgment; it denies the
parents' right to decide.
2. "Let's talk about it because
there are advantages and dis- 4 This response might frighten the parents;
advantages." it denies the parents their power of deci-
sion.
3. "It is a safe procedure and
it is best for male infants to be
circumcised."
4. "Although it may be a some-
what painful experience for the
baby, I would allow it if I were
you."
6. A new mother tells the nurse A return demonstration can validate that
that her baby "spits up" af- desired learning has taken place from ear-
ter each formula feeding. The lier teaching.
nurse teaches her how to po-
sition her newborn after feed- 1 Teaching was already done and now
, NCLEX OB Exam Questions with Verified Answers 100% Pass
ings. Following the next feed- must be evaluated.
ing the nurse observes that the
mother positions the baby cor- 3 This is not necessary; a return demon-
rectly. The nurse observed this stration provides feedback for evaluation.
activity to:
4 This is not necessary; a return demon-
1. Prepare a basic teaching stration provides feedback for evaluation.
plan
2. Validate that learning has oc-
curred
3. Ascertain the mother's
knowledge base
4. Determine the mother's
readiness to learn
7. When obtaining informed con- 3 The client must be intellectually compe-
sent for sterilization from tent;that is, able to comprehend the out-
a developmentally challenged come of the procedure to give informed
adult client, the nurse must be consent.
sure that the:
1 This avenue may be pursued after the
1. Parent or guardian signs the client is deemed unable to provide in-
consent formed consent. The parent or guardian
must be designated by the court to perform
2. Client is able to explain what this function.
the procedure entails
2 This may be unrealistic for this client; it
3. Client is able to comprehend is more important for the client to demon-
the outcome of the procedure strate that the outcome of the procedure is
understood.
4. Parent or guardian has en-
couraged the client to make 4 The client should be free from the influ-
the decision ence of others who might press to have the
procedure performed. This is an individual
decision by a client who is capable of mak-
ing this decision.
