Next Generation NCLEX Q Bank

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02/21/2023

A 29-year-old multigravida at 37 weeks’
gestation is being treated for severe preeclampsia
and has magnesium sulfate infusing at 3 g/hour. The
nurse has determined the priority nursing diagnosis
to be: risk for central nervous system injury related
to hypertension, edema of cerebrum. To maintain
safety for this client, the nurse should:
■ 1. Maintain continuous fetal monitoring.
■ 2. Encourage family members to remain at
bedside.
■ 3. Assess refl exes, clonus, visual disturbances,
and headache.
■ 4. Monitor maternal liver studies every 4 hours

02/21/2023

The nurse is instructing a preeclamptic client
about monitoring the movements of her fetus to
determine fetal well-being. Which statement by the
client indicates that she needs further instruction
about when to call the health care provider concern-
ing fetal movement?
■ 1. “If the fetus is becoming less active than
before.”
■ 2. “If it takes longer each day for the fetus to
move 10 times.”
■ 3. “If the fetus stops moving for 12 hours.”
■ 4. “If the fetus moves more often than 3 times an hour.”

02/15/2023

NCLEX Next generation preparation classes

02/01/2023

Which statement by the female client indicates that
the client understands factors that may precipitate seizure
activity?
l 1. “I should not take birth control pills to prevent
pregnancy.”
l 2. “I need to limit my intake of dairy products.”
l 3. “I should not participate in any contact sports.”
l 4. “My menstrual cycle may affect my seizure
disorder.”