1|Page
NCLEX-PN Package Deal Newest 2026 ||VERIFIED
EXAM!!!| EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE 2026||NEWEST EXAM!!!
The nurse is caring for a client at 12 weeks gestation who
has a rubella titer status of nonimmune. Which of the
following action should the nurse anticipate implementing?
A) administering measles-mumps-rubella (MMR) vaccine
now
B) administering measles-mumps-rubella (MMR) vaccine
immediately postpartum
C) administering measles-mumps-rubella (MMR) vaccine
in the third trimester
D) informing the client that a measles-mumps-rubella
(MMR) vaccine is not indicated. - ANSWER-B
Recommended vaccines during pregnancy: Tdap,
INACTIVATED influenza, Rho(D) immunoglobulin
Contra: HPV, MMR, live activated influenza, varicela
A negative or non immune response shows that the client
is susceptible to rubella and requires vaccine. Live vaccine
are contraindicated during pregnancy as they can be
teratogenic for the fetus.
,2|Page
The nurse is observing a staff member care for a newborn
with a myelomeningocele. The nurse should intervene if a
staff member is observed.
A) obtaining a rectal temp
B) placing the newborn in a prone position
C) avoiding the use of diapers on the newborn
D) covering the sac with moist, sterile dressing -
ANSWER-A
myelomeningocele is open spina bifida, rectal temps can
cause rectal prolapse
prone to prevent rupture, no diapers, a sterile dressing
until surgical repair can occur
A client who is pregnant at 30 weeks gestation comes to
the prenatal clinic. Which of the following vaccines may be
administered safely at this prenatal visit? SATA
A) influenza injection
B) influenza nasal spray
C) measles, mumps, and rubella (MMR)
D) tetanus, diphtheria, and pertussis
E) varicella - ANSWER-A, D
,3|Page
The nurse has attended a staff education program about
mediation refusal. Which of the following statements by
the nurse would indicate a understanding of the program?
A) refused doses of an opiod should be disposed of in a
puncture-resistant bin at the clients bedside
B) client's should be offered previously refused
medications again after the nurse has explored and
addressed the reasons for refusal.
C) refused doses of an antibiotic do not need to be
documented if the nurse notifies the client's HCP
D) client's do not have the right to refuse medications if the
consent for treatment was signed on admission -
ANSWER-B
Which components are used in determining the standards
of professional nursing practice? SATA
A) Care given with good intentions to the best of one's
ability
B) Clinical practice statements of professional
organizations
C) Health care institution's policies and procedures
D) Nurse Practice Act of the state or province/territory
E) Nurse's usual custom and practice - ANSWER-B, C, D
, 4|Page
The standards of nursing care are defined by what
reasonable, prudent nurses would do in specific
circumstances. Based on objective, third-party
authoritative sources, including literature, laws (Nursing
Practice Act), and professional organizations.
An individuals actions do not replace the universal
standard and it is not INTENTION based.
The nurse is reinforcing teaching to a client with Raynaud
phenomenon about ways to prevent recurrent episodes.
Which instructions should the nurse include? SATA
A) Avoid excess caffeine
B) Immerse hands in cold water
C) Practice yoga or tai chi
D) Refrain from using tobacco products
E) Wear gloves when handling cold objects - ANSWER-A,
C, D, E
Raynaud is a vasospastic disorder resulting in vascular
response to cold temps or emotional stress. Women ages
15-40. Treat by immersing hands in warm water.
CCBs may be prescribed to relax smooth muscle and
prevent episodes
NCLEX-PN Package Deal Newest 2026 ||VERIFIED
EXAM!!!| EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE 2026||NEWEST EXAM!!!
The nurse is caring for a client at 12 weeks gestation who
has a rubella titer status of nonimmune. Which of the
following action should the nurse anticipate implementing?
A) administering measles-mumps-rubella (MMR) vaccine
now
B) administering measles-mumps-rubella (MMR) vaccine
immediately postpartum
C) administering measles-mumps-rubella (MMR) vaccine
in the third trimester
D) informing the client that a measles-mumps-rubella
(MMR) vaccine is not indicated. - ANSWER-B
Recommended vaccines during pregnancy: Tdap,
INACTIVATED influenza, Rho(D) immunoglobulin
Contra: HPV, MMR, live activated influenza, varicela
A negative or non immune response shows that the client
is susceptible to rubella and requires vaccine. Live vaccine
are contraindicated during pregnancy as they can be
teratogenic for the fetus.
,2|Page
The nurse is observing a staff member care for a newborn
with a myelomeningocele. The nurse should intervene if a
staff member is observed.
A) obtaining a rectal temp
B) placing the newborn in a prone position
C) avoiding the use of diapers on the newborn
D) covering the sac with moist, sterile dressing -
ANSWER-A
myelomeningocele is open spina bifida, rectal temps can
cause rectal prolapse
prone to prevent rupture, no diapers, a sterile dressing
until surgical repair can occur
A client who is pregnant at 30 weeks gestation comes to
the prenatal clinic. Which of the following vaccines may be
administered safely at this prenatal visit? SATA
A) influenza injection
B) influenza nasal spray
C) measles, mumps, and rubella (MMR)
D) tetanus, diphtheria, and pertussis
E) varicella - ANSWER-A, D
,3|Page
The nurse has attended a staff education program about
mediation refusal. Which of the following statements by
the nurse would indicate a understanding of the program?
A) refused doses of an opiod should be disposed of in a
puncture-resistant bin at the clients bedside
B) client's should be offered previously refused
medications again after the nurse has explored and
addressed the reasons for refusal.
C) refused doses of an antibiotic do not need to be
documented if the nurse notifies the client's HCP
D) client's do not have the right to refuse medications if the
consent for treatment was signed on admission -
ANSWER-B
Which components are used in determining the standards
of professional nursing practice? SATA
A) Care given with good intentions to the best of one's
ability
B) Clinical practice statements of professional
organizations
C) Health care institution's policies and procedures
D) Nurse Practice Act of the state or province/territory
E) Nurse's usual custom and practice - ANSWER-B, C, D
, 4|Page
The standards of nursing care are defined by what
reasonable, prudent nurses would do in specific
circumstances. Based on objective, third-party
authoritative sources, including literature, laws (Nursing
Practice Act), and professional organizations.
An individuals actions do not replace the universal
standard and it is not INTENTION based.
The nurse is reinforcing teaching to a client with Raynaud
phenomenon about ways to prevent recurrent episodes.
Which instructions should the nurse include? SATA
A) Avoid excess caffeine
B) Immerse hands in cold water
C) Practice yoga or tai chi
D) Refrain from using tobacco products
E) Wear gloves when handling cold objects - ANSWER-A,
C, D, E
Raynaud is a vasospastic disorder resulting in vascular
response to cold temps or emotional stress. Women ages
15-40. Treat by immersing hands in warm water.
CCBs may be prescribed to relax smooth muscle and
prevent episodes
