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 who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

Correct Answer: D

Rationale: The mother's desire to breastfeed is the primary factor influencing breastfeeding success.

Question 2 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective, quantifiable data for assessing hydrocephalus, unlike subjective symptoms like anorexia or vomiting.

Question 3 of 5

The physician has ordered Dilantin (phenytoin) 100 mg intravenously for a client with generalized tonic clonic seizures. The nurse should administer the medication:

Correct Answer: C

Rationale: Phenytoin should be administered slowly over 2-3 minutes to prevent cardiovascular complications such as hypotension and arrhythmias.

Question 4 of 5

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Correct Answer: A

Rationale: Atropine reverses cholinergic effects during a Tensilon test.

Question 5 of 5

Whole blood is primarily indicated for which of the following purposes?

Correct Answer: A

Rationale: Whole blood is primarily used to treat extreme loss of blood volume (
A), such as in hemorrhagic shock, as it restores both volume and oxygen-carrying capacity. Clotting factors (
B), anemia (
C), and acute bleeding (
D) may require specific blood components instead.

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