NCLEX Practice Exam for Pharmacology: Maternal & Newborn Medications

Practice Mode

Welcome to your NCLEX Practice Exam for Pharmacology: Maternal & Newborn Medications! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 14 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Focus on the role of vitamin K in the clotting process and its importance for newborns.

1 / 14

1. Nurse Instructor Davis is supervising a student nurse who is about to administer a vitamin K injection to a newborn. The student nurse asks about the purpose of the injection. What is the correct explanation Nurse Davis should provide?

💡 Hint

Consider the vital sign that, when decreased, is a critical indicator of magnesium sulfate toxicity.

2 / 14

2. Nurse Thompson is monitoring a pregnant client undergoing magnesium sulfate therapy to manage preeclampsia. During her assessment, she must be vigilant for signs of toxicity from the medication. Which finding should alert Nurse Thompson to potential toxicity?

💡 Hint

Think about the comfort and safety practices for a patient receiving labor-inducing medication.

3 / 14

3. Nurse Harris is preparing to administer Dinoprostone to a client to induce labor. She reviews the standard protocols with the medical team. Which of the following nursing interventions should be questioned?

💡 Hint

Think about the grading scale where a decreased response is noted but not completely absent.

4 / 14

4. Nurse Alex is monitoring the patellar reflex of Mrs. Thompson, a patient undergoing magnesium sulfate therapy. During the assessment of deep tendon reflexes, which grade indicates a diminished response?

💡 Hint

Think about which condition could be exacerbated by a medication that causes vasoconstriction.

5 / 14

5. Nurse Patel is preparing to administer methylergonovine (Methergine) to a patient experiencing postpartum bleeding. Before proceeding, she reviews the patient's medical history and identifies a condition that requires her to contact the prescribing physician. Which condition documented in the patient's chart should prompt this action?

💡 Hint

Consider the role of RhoGAM in preventing a specific blood-related condition that can occur in future pregnancies.

6 / 14

6. Nurse Patel is providing postpartum care to Lisa, who has just given birth and is receiving Rho(D) immune globulin (RhoGAM). To ensure Lisa understands the purpose of the medication, Nurse Patel asks her to explain why it is being given. Lisa demonstrates proper understanding if she states that RhoGAM will protect her baby from which of the following?

💡 Hint

Consider which medication is specifically used to counteract the effects of opioid-induced respiratory depression.

7 / 14

7. Nurse Thompson is attending to Maria, a pregnant patient in labor who has been administered an opioid analgesic for pain management. To ensure safety, Nurse Thompson must be prepared for any potential respiratory depression. Which medication should Nurse Thompson have ready for immediate use?

💡 Hint

Think about whether it's appropriate to remove the medication from the eyes after administration.

8 / 14

8. Nurse Davis is supervising a student nurse during a clinical rotation in the maternity ward. The student is tasked with explaining the correct procedure for administering erythromycin ointment to the eyes of a newborn. Which statement by the student indicates a need for further research?

💡 Hint

Consider the medication's effect on the vascular system and what needs to be monitored to prevent adverse reactions.

9 / 14

9. Before administering Methylergonovine, Nurse Sarah needs to prioritize her assessment. Which of the following should she check first?

💡 Hint

Think about the direct application of the surfactant to the area of the body it is designed to treat.

10 / 14

10. Nurse Lee is administering lung surfactant to a newborn, 36 weeks gestational age, who is experiencing respiratory distress syndrome. Which route should Nurse Lee use to administer the surfactant effectively?

💡 Hint

Think about the position that can compromise uteroplacental blood flow and worsen the situation.

11 / 14

11. Nurse Carla is caring for a patient undergoing oxytocin therapy who suddenly begins experiencing hypertonic contractions. Which of the following actions should Nurse Carla avoid?

💡 Hint

Consider the condition that can lead to decreased oxygen supply to the fetus and potential uterine rupture.

12 / 14

12. Nurse Smith is monitoring a patient who is receiving oxytocin (Pitocin) to induce labor. She knows to terminate the oxytocin infusion if she observes which of the following during her assessment?

💡 Hint

Consider the medication that promotes fetal lung maturity in preterm infants.

13 / 14

13. Nurse Williams is caring for a client in preterm labor at 32 weeks who is dilated to 5 cm and has been given magnesium sulfate, resulting in the cessation of contractions. If labor can be delayed for the next two days, which medication does Nurse Williams expect to be prescribed?

💡 Hint

Consider the lab test that tracks levels of a substance known to be affected by corticosteroids like dexamethasone.

14 / 14

14. Nurse Lopez is monitoring a pregnant patient who is receiving dexamethasone. Which laboratory test should Nurse Lopez prioritize for regular monitoring?

Exam Mode

Welcome to your NCLEX Practice Exam for Pharmacology: Maternal & Newborn Medications! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 14 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 21 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 21 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 14

1. Nurse Lee is administering lung surfactant to a newborn, 36 weeks gestational age, who is experiencing respiratory distress syndrome. Which route should Nurse Lee use to administer the surfactant effectively?

2 / 14

2. Nurse Williams is caring for a client in preterm labor at 32 weeks who is dilated to 5 cm and has been given magnesium sulfate, resulting in the cessation of contractions. If labor can be delayed for the next two days, which medication does Nurse Williams expect to be prescribed?

3 / 14

3. Nurse Thompson is attending to Maria, a pregnant patient in labor who has been administered an opioid analgesic for pain management. To ensure safety, Nurse Thompson must be prepared for any potential respiratory depression. Which medication should Nurse Thompson have ready for immediate use?

4 / 14

4. Nurse Alex is monitoring the patellar reflex of Mrs. Thompson, a patient undergoing magnesium sulfate therapy. During the assessment of deep tendon reflexes, which grade indicates a diminished response?

5 / 14

5. Nurse Patel is preparing to administer methylergonovine (Methergine) to a patient experiencing postpartum bleeding. Before proceeding, she reviews the patient's medical history and identifies a condition that requires her to contact the prescribing physician. Which condition documented in the patient's chart should prompt this action?

6 / 14

6. Nurse Smith is monitoring a patient who is receiving oxytocin (Pitocin) to induce labor. She knows to terminate the oxytocin infusion if she observes which of the following during her assessment?

7 / 14

7. Nurse Patel is providing postpartum care to Lisa, who has just given birth and is receiving Rho(D) immune globulin (RhoGAM). To ensure Lisa understands the purpose of the medication, Nurse Patel asks her to explain why it is being given. Lisa demonstrates proper understanding if she states that RhoGAM will protect her baby from which of the following?

8 / 14

8. Nurse Lopez is monitoring a pregnant patient who is receiving dexamethasone. Which laboratory test should Nurse Lopez prioritize for regular monitoring?

9 / 14

9. Nurse Harris is preparing to administer Dinoprostone to a client to induce labor. She reviews the standard protocols with the medical team. Which of the following nursing interventions should be questioned?

10 / 14

10. Nurse Thompson is monitoring a pregnant client undergoing magnesium sulfate therapy to manage preeclampsia. During her assessment, she must be vigilant for signs of toxicity from the medication. Which finding should alert Nurse Thompson to potential toxicity?

11 / 14

11. Before administering Methylergonovine, Nurse Sarah needs to prioritize her assessment. Which of the following should she check first?

12 / 14

12. Nurse Instructor Davis is supervising a student nurse who is about to administer a vitamin K injection to a newborn. The student nurse asks about the purpose of the injection. What is the correct explanation Nurse Davis should provide?

13 / 14

13. Nurse Carla is caring for a patient undergoing oxytocin therapy who suddenly begins experiencing hypertonic contractions. Which of the following actions should Nurse Carla avoid?

14 / 14

14. Nurse Davis is supervising a student nurse during a clinical rotation in the maternity ward. The student is tasked with explaining the correct procedure for administering erythromycin ointment to the eyes of a newborn. Which statement by the student indicates a need for further research?