NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

A 20-year-old woman who has been laboring at home for several hours has been admitted to the labor and delivery unit at the hospital. The nurse has come in to assess her progress. Which of the following is indicative of being in the active phase of labor?

Correct Answer: A

Rationale: The active phase of labor involves cervical dilation of 4-7 cm with contractions 3-5 minutes apart lasting 40-60 seconds. Option A fits this description.

Question 2 of 5

The nurse knows the best intervention for preventing a postoperative infection is

Correct Answer: D

Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.

Question 3 of 5

An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:

Correct Answer: B

Rationale: Monitoring pulse and respirations helps assess cardiac function and detect complications early in a client with cardiac disease.

Question 4 of 5

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Correct Answer: A

Rationale: Atropine reverses cholinergic effects during a Tensilon test.

Question 5 of 5

The home health nurse is visiting an elderly client following a hip replacement. Which finding requires further teaching?

Correct Answer: C

Rationale: A soft, low sofa can make it difficult for a client with a hip replacement to stand up safely, increasing the risk of falls or injury.

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