NCLEX-RN Certification Exam Questions with AI Explanations

QUESTION: 38

The predominant purpose of the first Apgar scoring of a newborn is to:

Determine gross abnormal motor function
Obtain a baseline for comparison with the infant's future adaptation to the environment
Evaluate the infant's vital functions
Determine the extent of congenital malformations

Answer(s): C

Explanation:

(A) Apgar scores are not related to the infant's care, but to the infant's physical condition. (B) Apgar scores assess the current physical condition of the infant and are not related to future environmental adaptation. (C) The purpose of the Apgar system is to evaluate the physical condition of the newborn at birth and to determine if there is an immediate need for resuscitation. (D) Congenital malformations are not one of the areas assessed with Apgar scores.

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QUESTION: 39

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

70 mg/dL and 120 mg/dL
100 mg/dL and 200 mg/dL
40 mg/dL and 130 mg/dL
90 mg/dL and 200 mg/dL

Answer(s): A

Explanation:

(A) The recommended range is 70120 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.

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QUESTION: 39

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

70 mg/dL and 120 mg/dL
100 mg/dL and 200 mg/dL
40 mg/dL and 130 mg/dL
90 mg/dL and 200 mg/dL

Answer(s): A

Explanation:

(A) The recommended range is 70120 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.

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QUESTION: 40

After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

Suicide
Exacerbation of depressive symptoms
Violence toward others
Psychotic behavior

Answer(s): A

Explanation:

(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.

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QUESTION: 40

After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

Suicide
Exacerbation of depressive symptoms
Violence toward others
Psychotic behavior

Answer(s): A

Explanation:

(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.

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QUESTION: 38

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QUESTION: 39

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QUESTION: 39

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QUESTION: 40

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QUESTION: 40

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