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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

Correct Answer: B

Rationale: Swaddling helps reduce irritability and overstimulation in newborns with narcotic abstinence syndrome.

Question 2 of 5

A 45-year-old female comes into the clinic for a yearly physical. The nurse calculates her body mass index (BMI) as 32. The nurse would chart this as

Correct Answer: A

Rationale: BMI 30-39.9 is classified as obese. BMI 32 indicates obesity, increasing health risks.

Question 3 of 5

The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:

Correct Answer: B

Rationale: Sponge baths are recommended until the umbilical cord separates to prevent infection and promote healing of the umbilical stump.

Question 4 of 5

The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

Correct Answer: C

Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.

Question 5 of 5

The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?

Correct Answer: B

Rationale: Numbness and tingling in the extremities are specific to pernicious anemia due to vitamin B12 deficiency affecting peripheral nerve function.

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