NCLEX Questions, NCLEX PN Test Questions, NCLEX-PN Questions, Nurselytic

Questions 210

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Question 1 of 5

A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?

Correct Answer: A

Rationale: Edema in the lower extremities may indicate a Premarin (over-dosage).

Question 2 of 5

The nurse is collecting data from an 18-month-old client. The nurse should suggest referral for a developmental screening test if the client

Correct Answer: D

Rationale: An 18-month-old should have a vocabulary of 10-20 words. A vocabulary of only 5 words indicates a potential speech delay, warranting developmental screening. Noticing others' emotions develops later, finger-eating is normal, and following 1-step commands is age-appropriate.

Question 3 of 5

The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respiratory rate of 24/min. Which of the following actions would be a priority for the nurse to take?

Correct Answer: B

Rationale: Placing the client in Fowler or high Fowler position improves lung expansion and oxygenation, addressing shortness of breath and tachycardia caused by anxiety or potential respiratory distress. Lorazepam requires a prescription, bronchodilators are not indicated without wheezing, and reassurance alone does not address physical symptoms.

Question 4 of 5

A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63 mmHg, HCO3 23, and oxygenation saturation (SaO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?

Correct Answer: D

Rationale: Low PO2 (63 mmHg) and SaO2 (93%) indicate hypoxia, despite normal pH, PCO2, and HCO3. TB, pneumonia, or pleural effusion may cause hypoxia but are not the direct etiology shown by ABGs. Physiological Adaptation

Question 5 of 5

Which of the following observations indicates the possibility of a birth injury related to forceps delivery?

Correct Answer: A

Rationale: Asymmetry of the mouth may indicate facial nerve injury, a potential complication of forceps delivery due to pressure on the facial nerve.

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