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

Questions 149

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Question 1 of 5

A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:

Correct Answer: B

Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.

Question 2 of 5

As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?

Correct Answer: D

Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.

Question 3 of 5

The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

Correct Answer: C

Rationale: Assuming a wide, regular, rapid rhythm (common in critical scenarios), ventricular tachycardia is the most likely arrhythmia, requiring immediate intervention.

Question 4 of 5

A woman with hypothyroidism has been taking levothyroxine (Synthroid) for 5 years. She has just been prescribed warfarin (Coumadin). The nurse immediately calls the health care provider to review these orders and anticipates the physician will

Correct Answer: A

Rationale: Levothyroxine increases warfarin’s anticoagulant effect, raising bleeding risk. The physician will likely order lab work (e.g., INR) to monitor and adjust warfarin dosing.

Question 5 of 5

In terms of cognitive development, a 2-year-old would be expected to:

Correct Answer: B

Rationale: A 2-year-old engages in magical thinking, believing their thoughts or actions can influence events, typical of their egocentric developmental stage.

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