NCLEX Questions, NCLEX Trainer Test 9 Questions, NCLEX-PN Questions, Nurselytic

Questions 155

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Extract:


Question 1 of 5

A baby boy is delivered after a rapid labor of three hours. What nursing action takes priority in the immediate newborn period?

Correct Answer: A

Rationale: Suctioning with a bulb syringe clears airways, ensuring respiratory patency, the priority in the immediate newborn period to prevent aspiration.

Question 2 of 5

The nurse is caring for a child with celiac disease. The nurse's discharge teaching plan should include:

Correct Answer: A

Rationale: Celiac disease requires a gluten-free diet, so dietary instructions and a list of foods to avoid are essential, making A correct. Hand-washing , antibiotics , and immunity are not relevant to celiac disease management.

Question 3 of 5

A client is admitted with a tentative diagnosis of bladder cancer. Which finding most likely contributed to the development of bladder cancer?

Correct Answer: A

Rationale: Cigarette smoking is a significant risk factor for bladder cancer due to the exposure to carcinogenic chemicals excreted in urine. Answer A (two packs per day for 25 years) is the most likely contributor. Answers B, C, and D are less directly associated with bladder cancer development.

Extract:

A staff member informs the nurse that his six-year-old child has head lice.


Question 4 of 5

It is MOST important for the nurse to take which of the following actions?

Correct Answer: A

Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require assessment? Yes. Is there an appropriate assessment? Yes. (1) correct-observe for movement (louse) or small whitish oval specks that adhere to the hair shaft (nits); treat with gamma-benzene hexachloride (Kwell) (2) confirm the presence of lice before excluding from duty; if lice present, exclude from patient care until appropriate treatment has been received and shown to be effective (3) should assess first (4) should assess first, apply shampoo to dry hair and work into lather for 4-5 minutes

Extract:


Question 5 of 5

A client diagnosed with chronic depression is maintained on tranylcypromine (Parnate). An important nursing intervention is to teach the client to avoid which of the following foods?

Correct Answer: A

Rationale: These foods are tyramine-rich and ingestion of these foods while taking monoamine oxidase inhibitors (MAOIs) can precipitate a life-threatening hypertensive crisis.

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