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NCLEX-PN

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Extract:


Question 1 of 5

A nurse assessing the newborn of a mother with diabetes understands that hypoglycemia is related to what?

Correct Answer: A

Rationale: Disruption of fetal glucose supply. After delivery, the high glucose levels which crossed the placenta to the fetus are suddenly stopped. The newborn continues to secrete insulin in anticipation of glucose. When oral feedings begin, the newborn will adjust insulin production within a day or two.

Question 2 of 5

A throat culture is positive for Streptococcus. An antibiotic is prescribed. Which question is it essential for the nurse to ask the client before administering the medication?

Correct Answer: D

Rationale: Streptococcal infections are commonly treated with penicillin or related antibiotics. Asking about penicillin allergies is critical to prevent anaphylaxis. Sulfa, vitamins, or alcohol are less relevant.

Question 3 of 5

A woman had a hysterectomy this morning. She asks the nurse why she has to wear 'these uncomfortable stockings on my legs.' How should the nurse reply?

Correct Answer: D

Rationale: Compression stockings prevent deep vein thrombosis by promoting venous return, critical post-surgery.

Question 4 of 5

A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?

Correct Answer: C

Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.

Question 5 of 5

The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?

Correct Answer: D

Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.

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