Questions 150

NCLEX-RN

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Question 1 of 5

A 15-month-old child is admitted to the pediatric unit with the diagnosis of pneumonia and is placed in a mass test. Which following toys would be appropriate for this child?

Correct Answer: D

Rationale: Plastic blocks are safe and age-appropriate for a 15-month-old, promoting fine motor skills without posing a choking hazard or requiring mobility restricted by a mist tent.

Question 2 of 5

Assessment of a nulligravid client in active labor reveals the following: complaints of moderate discomfort; cervix dilated $3 \mathrm{~cm}, 0$ station and completely effaced; fetal heart rate of $136 \mathrm{bpm}$. Which of the following should the nurse plan to do next?

Correct Answer: A

Rationale: Moderate discomfort in early labor is managed with non-pharmacologic comfort measures and breathing techniques to promote coping.

Question 3 of 5

The nurse is caring for a client with bipolar disorder in a manic phase. Which intervention is most appropriate?

Correct Answer: B

Rationale: A quiet environment reduces stimuli, helping to calm a client in a manic phase.

Question 4 of 5

The nurse is caring for a client with a venous leg ulcer. Which of the following interventions should be included in the plan of care?

Correct Answer: A

Rationale: Compression bandages promote venous return and healing in venous leg ulcers.

Question 5 of 5

A primiparous client who is breast-feeding develops endometritis on the third postpartum day. Which of the following instructions should the nurse give to the mother?

Correct Answer: B

Rationale: Endometritis is typically treated with I.V. antibiotics to address the infection.

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