NCLEX Questions, NCLEX-RN Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Question 1 of 5

A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

Correct Answer: B

Rationale: The infant will be at risk for hypoglycemia because of excess insulin production.

Question 2 of 5

A client with AIDS has a viral load of 200 copies per mL. The nurse should interpret this finding as:

Correct Answer: C

Rationale: A viral load of 200 copies per mL is very low indicating effective antiretroviral therapy and minimal circulating virus. It does not directly assess opportunistic disease risk communicability or T-cell count.

Question 3 of 5

A client with a history of epilepsy is admitted with complaints of aura. The nurse should give priority to:

Correct Answer: A

Rationale: An aura signals an impending seizure, so ensuring safety (e.g., padding, side-lying position) is the priority.

Question 4 of 5

The nurse is assessing a client with suspected hyperthyroidism. Which finding is most consistent with this diagnosis?

Correct Answer: C

Rationale: Tremors are a common sign of hyperthyroidism due to increased metabolic rate and sympathetic activity. Weight gain, bradycardia, and constipation are more typical of hypothyroidism.

Question 5 of 5

A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:

Correct Answer: A

Rationale: The water seal prevents air from entering the pleural space, maintaining negative pressure for lung re-expansion.

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