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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client has autoimmune thrombocytopenic purpura. To determine the client's response to treatment, the nurse would monitor:

Correct Answer: A

Rationale: Platelet count is the primary indicator of treatment response in autoimmune thrombocytopenic purpura, as the condition is characterized by low platelets.

Question 2 of 5

A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT

Correct Answer: C

Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.

Question 3 of 5

A client has signed the consent form for a right radical mastectomy. Shortly before the client is to be taken to surgery, she tells the nurse, 'I'm not really sure that this is what I want to do. Everything was so sudden.' Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: This response encourages the client to express her concerns, facilitating informed consent and addressing her doubts.

Question 4 of 5

The unit manager believes that each member of the care team should have input regarding unit goals and problem solving techniques. The manager is concerned for each individual member and serves primarily as a resource person for the unit. The unit nurse understands that this style of leadership is which of the following?

Correct Answer: C

Rationale: Democratic leadership involves team input and resource support, aligning with the manager’s described style.

Question 5 of 5

A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:

Correct Answer: B

Rationale: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%; assuming only the anterior trunk is affected (18%), the total TBSA is 27%, but 35% is the closest reasonable estimate for partial and full-thickness burns.

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