PN NCLEX Postpartum Care Practice Exam
Question...A 62 year old woman who lives alone tripped on a rug in her home and fractured her hip at
the proximal end of the femur. Which predisposing factor should the PN identify that most likely
contributed to the fracture? - (ANSWER)Answer... osteoporosis resulting from declining hormone levels.
Question... While caring for a client with trigeminal neuralgia the PN observes the client experience
facial spasms. What action should the PN implement? - (ANSWER)Answer... Notify the charge nurse of
the finding
Question...A client with cancer who has been receiving fentanyl (Duragesic) for several weeks reports to
the PN that the medication is not effectively controlling the pain. Which intervention should the PN
take? - (ANSWER)Answer...Notify the RN or health care provider of the need for dose adjustment.
Question...When turning an immobile bedfast client without assistance, which action by the PN best
ensures client safety? - (ANSWER)Answer...Put the bed rails up on the opposite side of the bed.
Question... A mother is being discharged following the birth of her second child. The mother tells the PN
that her first child dies at 6 weeks of age due to SIDS, and she fears that this infant will also develop
SIDS. Which response is best for the PN to provide this mother? - (ANSWER)Answer... The fear of losing
another child to SIDS is very realistic. Have you thought about what you are going to do?
Question... A client is admitted to the hospital after an injury in a motor vehicle collision and has the
right knee in skeletal traction. The PN reviews the plan of care and identifies the client's priority nursing
diagnosis is "potential for impairment of skin integrity related to immobility from traction." Which
nursing intervention should the PN implement for this nursing diagnosis? - (ANSWER)Answer... Provide
back and skin care while maintaining the traction.
Question... The PN is reinforcing discharge instructions for a 22-year old male client diagnosed with
Beurger disease (thromboangitis obliterans). Which referral is most important for this client? -
(ANSWER)Answer... Smoking cessation program
Question... Urinary catheterization is prescribed for a postoperative female client who has been unable
to void for 8 hours. The PN inserts the catheter, but no urine is seen in the tubing. What action should
the PN take next? - (ANSWER)Answer... Leave the catheter in place and reattempt with another
catheter.
, PN NCLEX Postpartum Care Practice Exam
Question... During the admission process, the PN determines that a male client who is scheduled for
surgery in the morning has a blood pressure of 160/85. He is drinking coffee and says his blood pressure
has never been that high. The PN plans to retake the blood pressure in 30 minutes. This action indicates
that the PN recognizes that the elevated blood pressure is likely due to which factor? -
(ANSWER)Answer... Preoperative anxiety
Question... The PN is caring for a client with symptoms of paranoia and psychosis. Which intervention is
most important for the PN to implement for the nursing diagnosis, "Impaired social interactions related
to inability to trust?" - (ANSWER)answer... Greet the client by first name during each social interaction.
Question... An adolescent female client with a diagnosis of anorexia nervosa wants to help serve dinner
trays to other clients on a psychiatric unit. What action should the PN take? - (ANSWER)Answer...
Suggest another way for this client to participate in the unit's activities.
Question... A client in a long-term care facility reports to the PN that he has not had a bowel movement
in 2 days. Which intervention should the PN implement first? - (ANSWER)Answer... Access the client's
medical records to determine the client's normal bowel pattern.
Question... What types of medications should the PN expect to administer to a client during an acute
respiratory distress episode? - (ANSWER)Answer... Bronchodilators and steroids
Question... A mother who is breastfeeding her baby receives instructions from the PN. Which instruction
is most effective in preventing nipple soreness? - (ANSWER)Answer... Ensure the baby is positioned
correctly for latch-on
Question... The PN observes that a male client has removed the covering from the ice pack applied to his
knee. What action should the PN take first? - (ANSWER)Answer... Observe the appearance of the skin
under the ice pack.
Question... A primipara presents to the perinatal unit describing spontaneous rupture of the membranes
(SROM) that occurred 12 hours before coming to the hospital. 8 hours after admission, the client's
contractions are irregular and mild. What vital sign should the PN monitor with greater frequency that
the typical protocol? - (ANSWER)Answer... Maternal temperature
Question...A 62 year old woman who lives alone tripped on a rug in her home and fractured her hip at
the proximal end of the femur. Which predisposing factor should the PN identify that most likely
contributed to the fracture? - (ANSWER)Answer... osteoporosis resulting from declining hormone levels.
Question... While caring for a client with trigeminal neuralgia the PN observes the client experience
facial spasms. What action should the PN implement? - (ANSWER)Answer... Notify the charge nurse of
the finding
Question...A client with cancer who has been receiving fentanyl (Duragesic) for several weeks reports to
the PN that the medication is not effectively controlling the pain. Which intervention should the PN
take? - (ANSWER)Answer...Notify the RN or health care provider of the need for dose adjustment.
Question...When turning an immobile bedfast client without assistance, which action by the PN best
ensures client safety? - (ANSWER)Answer...Put the bed rails up on the opposite side of the bed.
Question... A mother is being discharged following the birth of her second child. The mother tells the PN
that her first child dies at 6 weeks of age due to SIDS, and she fears that this infant will also develop
SIDS. Which response is best for the PN to provide this mother? - (ANSWER)Answer... The fear of losing
another child to SIDS is very realistic. Have you thought about what you are going to do?
Question... A client is admitted to the hospital after an injury in a motor vehicle collision and has the
right knee in skeletal traction. The PN reviews the plan of care and identifies the client's priority nursing
diagnosis is "potential for impairment of skin integrity related to immobility from traction." Which
nursing intervention should the PN implement for this nursing diagnosis? - (ANSWER)Answer... Provide
back and skin care while maintaining the traction.
Question... The PN is reinforcing discharge instructions for a 22-year old male client diagnosed with
Beurger disease (thromboangitis obliterans). Which referral is most important for this client? -
(ANSWER)Answer... Smoking cessation program
Question... Urinary catheterization is prescribed for a postoperative female client who has been unable
to void for 8 hours. The PN inserts the catheter, but no urine is seen in the tubing. What action should
the PN take next? - (ANSWER)Answer... Leave the catheter in place and reattempt with another
catheter.
, PN NCLEX Postpartum Care Practice Exam
Question... During the admission process, the PN determines that a male client who is scheduled for
surgery in the morning has a blood pressure of 160/85. He is drinking coffee and says his blood pressure
has never been that high. The PN plans to retake the blood pressure in 30 minutes. This action indicates
that the PN recognizes that the elevated blood pressure is likely due to which factor? -
(ANSWER)Answer... Preoperative anxiety
Question... The PN is caring for a client with symptoms of paranoia and psychosis. Which intervention is
most important for the PN to implement for the nursing diagnosis, "Impaired social interactions related
to inability to trust?" - (ANSWER)answer... Greet the client by first name during each social interaction.
Question... An adolescent female client with a diagnosis of anorexia nervosa wants to help serve dinner
trays to other clients on a psychiatric unit. What action should the PN take? - (ANSWER)Answer...
Suggest another way for this client to participate in the unit's activities.
Question... A client in a long-term care facility reports to the PN that he has not had a bowel movement
in 2 days. Which intervention should the PN implement first? - (ANSWER)Answer... Access the client's
medical records to determine the client's normal bowel pattern.
Question... What types of medications should the PN expect to administer to a client during an acute
respiratory distress episode? - (ANSWER)Answer... Bronchodilators and steroids
Question... A mother who is breastfeeding her baby receives instructions from the PN. Which instruction
is most effective in preventing nipple soreness? - (ANSWER)Answer... Ensure the baby is positioned
correctly for latch-on
Question... The PN observes that a male client has removed the covering from the ice pack applied to his
knee. What action should the PN take first? - (ANSWER)Answer... Observe the appearance of the skin
under the ice pack.
Question... A primipara presents to the perinatal unit describing spontaneous rupture of the membranes
(SROM) that occurred 12 hours before coming to the hospital. 8 hours after admission, the client's
contractions are irregular and mild. What vital sign should the PN monitor with greater frequency that
the typical protocol? - (ANSWER)Answer... Maternal temperature
