NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

A nurse prepares to care for a 4 year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body?

Correct Answer: A

Rationale: the muscles. Rhabdomyosarcoma is the most common children's soft tissue sarcoma. It originates in striated (skeletal) muscles and can be found anywhere in the body. The clue is in the middle of the word -- 'myo' --which typically means muscle.

Question 2 of 5

A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see first?

Correct Answer: A

Rationale: Tingling (
A) suggests neurovascular compromise, requiring urgent assessment. Itching (
B), moderate pain (
C), and throbbing (
D) are less critical.

Question 3 of 5

A nurse is participating in an obstetrical emergency simulation in which the health care provider announces shoulder dystocia. Which of the following interventions should the assisting nurse implement?

Correct Answer: C,E

Rationale: Shoulder dystocia requires urgent interventions like the McRoberts maneuver (flexing legs back,
C) and suprapubic pressure (
C) to dislodge the fetal shoulder. Additional assistance (E) is critical. Fundal pressure (
A) can worsen impaction. Documentation (
B) is secondary to immediate action. Forceps (
D) are not typically used for shoulder dystocia.

Question 4 of 5

Which of the following instructions should be included for the client taking calcium supplements?

Correct Answer: A

Rationale: Taking calcium supplements with meals enhances absorption and reduces gastrointestinal upset.

Question 5 of 5

The nurse is caring for a client diagnosed with a deep venous thrombosis 1 day ago. Which action by the client would require an immediate intervention by the nurse?

Correct Answer: D

Rationale: Massaging the leg (
D) risks dislodging the clot, causing embolism, requiring immediate intervention. Ambulation (
A), warm compresses (
B), and elevation (
C) are appropriate.

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