VERSION QUESTIONS AND VERIFIED CORRECT ANSWERS
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Exam
This document contains the newest NAXLEX NCLEX Exam 2 questions for the 2026–2027
testing cycle, accompanied by verified correct answers. It covers essential NCLEX subject
areas including pharmacology, medical–surgical nursing, maternal and newborn care,
pediatrics, mental health, and priority-setting and delegation scenarios. The material
reflects current NCLEX test plans and provides a complete resource for nursing students
seeking targeted practice aligned with NAXLEX-style review content.
A nurse is reinforcing teaching of a newly licensed nurse about
hypothyroidism during pregnancy.Which of the following
statements should the nurse reinforce in the teaching?
A. Clients who have this disorder may have an increased risk of lipid
and glucose metabolism disorders.
-increased risks of metabolic disorders,
-including lipid and glucose metabolism disorders, which can affect
both the mother and fetus.
A nurse is collecting data on a 1-day-old newborn.Which of the
following findings should the nurse identify as requiring follow-up?
D. A large, deep sacral dimple above the gluteal cleft.
NORMAL:
A. A hymenal tag and white discharge on genitalia.
B. Edema on the scalp that crosses the suture line.
,C. A heart murmur.
A nurse is assisting with the admission of a client who is at 39 weeks
of gestation and has heavy vaginal bleeding.Which of the following
actions should the nurse take?
A. Prepare for cesarean birth.
-could be due to placental abruption or placenta previa, which
necessitates immediate delivery to prevent maternal and fetal
complications.
A nurse is assisting in caring for a client who has pregestational type
1 diabetes mellitus (PDM). Which of the following findings should
the nurse recognize as being associated with this condition?
Polyphagia
-Polyphagia, or increased hunger
A nurse is admitting a client who is at 36 weeks gestation and has
painless, bright red vaginal bleeding.The nurse recognizes this
finding as an indication of which of the following conditions?
A. Placenta previa.
-Threatened abortion is characterized by vaginal bleeding before 20
weeks
-Abruptio placentae involves painful vaginal bleeding
-Preterm labor may present with contractions, cervical changes, and
possible bleeding
A nurse is assisting in the care of a client who is to undergo an
amniotomy.Which of the following is the priority nursing action
following this procedure?
A. Check the fetal heart rate pattern.
A nurse is assisting in the care of a client who gave birth 1 hour ago
and is experiencing excessive vaginal bleeding.Which of the
,following medications should the nurse anticipate the provider will
prescribe?
B. Tranexamic acid.
-ranexamic acid is an antifibrinolytic agent that helps reduce
bleeding by preventing the breakdown of blood clots, making it
suitable for managing postpartum hemorrhage.
-Magnesium sulfate is used to manage preeclampsia and prevent
seizures,
-Betamethasone is a corticosteroid used to mature fetal lungs in
preterm labor,
-Terbutaline is a tocolytic used to delay preterm labor by relaxing
uterine muscles.
A nurse is reinforcing teaching with a client who has a new
prescription for heparin for management of a postpartum deep vein
thrombosis (DVT). Which of the following statements by the client
indicates an understanding of the teaching?
A. I will notify my provider if I notice bruises.
A nurse is assisting in the care of a client at 30 weeks of gestation
who has a blood pressure reading of 160/116 mm Hg and 4 hours
previously it was 164/114 mm Hg. The client reports blurred vision
and a persistent frontal headache.Which of the following
complications of gestation should the nurse suspect?
B. Preeclampsia with severe features.
-Preeclampsia without severe features involves high blood pressure
and proteinuria but without the additional severe symptoms like
blurred vision and headache.
-Chronic hypertension BP 140/90, BEFORE 20 WEEKS.
, -Gestational hypertension is diagnosed when high blood pressure
develops after 20 weeks of pregnancy without other symptoms of
preeclampsia
A nurse in the antepartum unit is assisting with the care of a client
who is at 36 weeks of gestation and reports continuous abdominal
pain and vaginal bleeding.The nurse should identify that the client is
likely experiencing which of the following complications?
A. Abruptio placentae.
-Premature rupture of membranes is characterized by the leaking or
gushing of amniotic fluid,
-Placenta previa is where the placenta covers the cervical opening,
causing painless vaginal bleeding.
-Prolapsed cord occurs when the umbilical cord slips ahead of the
baby during delivery,
A nurse is reviewing the electronic medical record (EMR) of a client
who has a ruptured ectopic tubal pregnancy.Which of the following
findings in the client’s medical record should the nurse identify as a
risk factor for the client's condition?
B. History of pelvic inflammatory disease (PID).
-cocaine use increases the risk for placental abruption,
-previous cesarean births increases the risk of uterine rupture or
placenta previa.
-history of hypertension-complications like preeclampsia and
gestational hypertension.
A nurse is reviewing the medical record of a client who is in active
labor.Which of the following conditions increases the client's risk
for postpartum hemorrhage (PPH)?