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

Questions 149

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NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

Correct Answer: A

Rationale: Unilateral neglect involves ignoring one side, such as shaving only one side of the face.

Question 2 of 5

At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:

Correct Answer: C

Rationale: Most infants begin to sleep through the night by 3-4 months as their sleep patterns mature.

Question 3 of 5

One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?

Correct Answer: A

Rationale: Sock and mitten burns (circumferential burns on hands and feet) are inconsistent with a fall into a bathtub and suggest immersion, raising suspicion of abuse.

Question 4 of 5

The physician has diagnosed a client with cirrhosis characterized by asterixis. If the nurse assesses the client with asterixis, he can expect to find:

Correct Answer: A

Rationale: Asterixis is characterized by irregular, flapping movements of the wrist due to hepatic encephalopathy, often seen in cirrhosis.

Question 5 of 5

The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

Correct Answer: C

Rationale: Rest periods help manage fatigue and muscle weakness, common in post-polio syndrome.

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