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NCLEX NCLEX-RN Exam Questions
National Council Licensure Examination - NCLEX-RN (Page 58 )

Updated On: 17-Feb-2026
Page 58 of 345
PDF with 862 Questions

In performing the initial nursing assessment on a client at the prenatal clinic, the nurse will know that which of the following alterations is abnormal during pregnancy?

  1. Striae gravidarum
  2. Chloasma
  3. Dysuria
  4. Colostrum

Answer(s): C

Explanation:

(A) Striae gravidarum are the normal stretch marks that frequently occur on the breasts, abdomen, and thighs as pregnancy progresses. (B) Chloasma is the "mask of pregnancy" that normally occurs in many pregnant women. (C) Dysuria is an abnormal danger sign during pregnancy and may indicate a urinary tract infection. (D) Colostrum is a yellow breast secretion that is normally present during the last trimester of pregnancy.



In performing the initial nursing assessment on a client at the prenatal clinic, the nurse will know that which of the following alterations is abnormal during pregnancy?

  1. Striae gravidarum
  2. Chloasma
  3. Dysuria
  4. Colostrum

Answer(s): C

Explanation:

(A) Striae gravidarum are the normal stretch marks that frequently occur on the breasts, abdomen, and thighs as pregnancy progresses. (B) Chloasma is the "mask of pregnancy" that normally occurs in many pregnant women. (C) Dysuria is an abnormal danger sign during pregnancy and may indicate a urinary tract infection. (D) Colostrum is a yellow breast secretion that is normally present during the last trimester of pregnancy.



To prevent fungal infections of the mouth and throat, the nurse should teach clients on inhaled steroids to:

  1. Rinse the plastic holder that aerosolizes the drug with hydrogen peroxide every other day
  2. Rinse the mouth and gargle with warm water after each use of the inhaler
  3. Take antacids immediately before inhalation to neutralize mucous membranes and prevent infection
  4. Rinse the mouth before each use to eliminate colonization of bacteria

Answer(s): B

Explanation:

(A) It is sufficient to rinse the plastic holders with warm water at least once per day. (B) It is important to rinse the mouth after each use to minimize the risk of fungal infections by reducing the droplets of the glucocorticoid left in the oral cavity. (C) Antacids act by neutralizing or reducing gastric acid, thus decreasing the pH of the stomach. "Neutralizing" the oral mucosa prior to inhalation of a steroid inhaler does not minimize the risk of fungal infections. (D) Rinsing prior to the use of the glucocorticoid will not eliminate the droplets left on the oral mucous membranes following the use of the inhaler.



To prevent fungal infections of the mouth and throat, the nurse should teach clients on inhaled steroids to:

  1. Rinse the plastic holder that aerosolizes the drug with hydrogen peroxide every other day
  2. Rinse the mouth and gargle with warm water after each use of the inhaler
  3. Take antacids immediately before inhalation to neutralize mucous membranes and prevent infection
  4. Rinse the mouth before each use to eliminate colonization of bacteria

Answer(s): B

Explanation:

(A) It is sufficient to rinse the plastic holders with warm water at least once per day. (B) It is important to rinse the mouth after each use to minimize the risk of fungal infections by reducing the droplets of the glucocorticoid left in the oral cavity. (C) Antacids act by neutralizing or reducing gastric acid, thus decreasing the pH of the stomach. "Neutralizing" the oral mucosa prior to inhalation of a steroid inhaler does not minimize the risk of fungal infections. (D) Rinsing prior to the use of the glucocorticoid will not eliminate the droplets left on the oral mucous membranes following the use of the inhaler.



A mother came to the pediatric clinic with her 17- month-old child. The mother would like to begin toilet training. What should the nurse teach her about implementing toilet training?

  1. Take two or three favorite toys with the child.
  2. Have a child-sized toilet seat or training potty on hand.
  3. Explain to the child she is going to "void" and "defecate."
  4. Show disapproval if she does not void or defecate.

Answer(s): B

Explanation:

(A) Giving her toys will distract her and interfere with toilet training because of inappropriate reinforcement. (B) A child-sized toilet seat or training potty gives a child a feeling of security. (C) She should use words that are age appropriate for the child. (D) Children should be praised for cooperative behavior and/or successful evacuation.






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