A nurse is caring for a client who has an abruptio placentae. Which of the following findings should the nurse expect?

First trimester bleeding

Nausea

Delayed menses

Severe abdominal pain

Answer and Explanation

The Correct Answer is D

Rationale:

A. First trimester bleeding: Abruptio placentae typically occurs in the third trimester, not the first. First trimester bleeding is more commonly associated with conditions like miscarriage or ectopic pregnancy.

B. Nausea: Nausea is a non-specific symptom of pregnancy and not a hallmark of abruptio placentae. It does not help distinguish this condition from other obstetric complications.

C. Delayed menses: Delayed menses is an early sign of pregnancy, not a finding related to abruptio placentae. It occurs long before the placenta forms and has no diagnostic value in placental abruption.

D. Severe abdominal pain: Abruptio placentae involves premature separation of the placenta from the uterine wall, leading to intense, persistent abdominal pain, uterine tenderness, and often vaginal bleeding. It is a medical emergency requiring immediate intervention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:

A. “I will apply sunscreen before and after swimming.” Sunscreen should be applied at least 15–30 minutes before sun exposure and reapplied after swimming or sweating, even if labeled water-resistant, to maintain UV protection.

B. “I will use sunblock with an SPF of 10 when I am outdoors.” SPF 10 offers minimal protection and is below the recommended minimum of SPF 30 for effective skin cancer prevention. Higher SPF levels provide greater protection against harmful UV rays.

C. “I will use an indoor tanning bed instead of going outside.” Indoor tanning beds emit concentrated UV radiation and are strongly associated with increased risk for skin cancer, including melanoma. They should not be used as a safer alternative to sun exposure.

D. “I will plan to spend time tanning between 10 a.m. and 2 p.m.” UV radiation is most intense between 10 a.m. and 2 p.m., making this the highest-risk period for skin damage. Sun exposure during these hours should be minimized or avoided to prevent skin cancer.

A. Institutional policies and procedures B. written prescription from the provider C. State Nurse Practice Act D. verbal direction from the nurse manager

Correct Answer is C

Explanation

Rationale:

A. Institutional policies and procedures: While helpful in guiding facility-specific protocols, policies do not override state regulations. An institution may allow tasks that exceed or fall short of legal scope, so this should not be the primary reference.

B. Written prescription from the provider: A provider’s order does not define or expand a nurse’s legal scope of practice. Even with a valid order, the nurse must independently verify whether they are legally permitted to carry out the task.

C. State Nurse Practice Act: The Nurse Practice Act (NPA) is the legal authority that defines what licensed nurses are permitted to do in their state. It is the most authoritative resource to determine whether a task is within the nurse’s legal scope of practice.

D. Verbal direction from the nurse manager: Even when given by a superior, verbal instructions must still comply with state law. A nurse manager’s guidance cannot authorize a task that lies outside the nurse’s legal scope.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who has an abruptio placentae. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about skin cancer prevention. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A newly licensed nurse is unsure if an assigned task is within their scope of practice. Which of the following resources should the nurse consult?

Correct Answer is C

Explanation

A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?

A nurse is planning educational materials for a client who has a new pacemaker. Which of the following information should the nurse include?

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who is at 38 weeks of gestation, is in active labor, and has ruptured membranes. Which of the following actions should the nurse take?

A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh. Which of the following actions should the nurse take?

A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor?

A nurse is monitoring a client who is 36 hr postoperative following gastric banding. Which of the following findings should the nurse expect?