For internationally educated nurses preparing for the NCLEX-RN
NCLEX practice that explains every option.
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Why this answer fits. Why the others do not.
Two hours after a vaginal birth, a client saturates a pad in 10 minutes and reports dizziness and weakness. The uterus is boggy and enlarging. Blood pressure is 88/54 mm Hg and heart rate is 126/min. Which action should the nurse take first?
Choose one answer
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Two hours after a vaginal birth, a client saturates a pad in 10 minutes and reports dizziness and weakness. The uterus is boggy and enlarging. Blood pressure is 88/54 mm Hg and heart rate is 126/min. Which action should the nurse take first?
A. Document the lochia and reassess in 15 minutes.
The proposed delay leaves the urgent findings unaddressed.
B. Activate the hemorrhage response promptly and massage the boggy uterine fundus at once.Best option
This pairs immediate escalation with an action directed at the boggy uterus. Massage is part of the response, not the entire treatment.
C. Offer oral fluids and place the client side-lying.
This does not address the bleeding or activate an urgent response.
D. Notify the provider after finishing the routine assessment.
Escalation is relevant, but the routine assessment should not delay it here.
Decisive cue: Heavy bleeding, hypotension, tachycardia and a boggy uterus occur together.
Compare the action AND its timing. Do not turn this example into “always massage first.”
WHO: 2025 postpartum-hemorrhage response bundleOriginal educational example, not an official NCLEX item or clinical care protocol. Sources were checked with automated review; credentialed clinician sign-off is not claimed.
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Clear reasoning, in your language
Understand the reasoning in English or Taglish.
Choose the language that helps you work through the explanation. Practise in English too when preparing for an English-language exam appointment.
English · Same public example
The proposed delay leaves the urgent findings unaddressed.Try practice in English
Taglish · Same public example
Hindi natutugunan ng paghihintay na ito ang urgent findings.Try practice in Taglish
Questions and explanations follow your language choice. Shared long-form guide articles remain English.
A starting guide for international nurses27 public questions and decisions · No account needed
Start with a topic you want to understand better.
Eight short topic sets and one guided patient case. Choose an answer, compare every option, and follow the cue behind the decision.
Prioritization
Compare actions and timing when the condition changes.
Try three questionsDelegation & assignment
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Original educational questions with clear explanations. No official affiliation or guaranteed exam outcome is claimed.
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