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

Questions 158

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Nursing Exam Questions

Extract:


Question 1 of 5

An adolescent client hospitalized with anorexia nervosa is described by her parents as 'the perfect child.' When planning care for the client, the nurse should:

Correct Answer: B

Rationale: Anorexia nervosa is often linked to issues of control and identity; activities fostering self-identity help address underlying psychological factors.

Question 2 of 5

A client with a history of a stroke is being taught to use a quad cane. The nurse should teach the client to:

Correct Answer: C

Rationale: The quad cane should be used on the weak side to support the affected leg post-stroke, improving balance. Holding in the strong hand or advancing with the strong leg is incorrect.

Question 3 of 5

The client is admitted with a diagnosis of preterm labor at 32 weeks gestation. The physician orders a tocolytic. The nurse should monitor for which complication?

Correct Answer: B

Rationale:
Tocolytics (e.g. nifedipine terbutaline) can cause maternal tachycardia as a side effect due to their effects on smooth muscle relaxation or beta-adrenergic stimulation. Fetal hypoglycemia macrosomia and maternal hypokalemia are not typical complications.

Question 4 of 5

A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessment was initiated by the nurse. Which skill would cause the nurse to be concerned about the infant's developmental progression?

Correct Answer: A

Rationale: The 9-month-old infant can sit alone for long periods. Sitting briefly alone with assistance at this age suggests a developmental delay, warranting further evaluation.

Question 5 of 5

The patient states, 'My stomach hurts about two hours after I eat.' Based upon this information, the nurse suspects the patient likely has a:

Correct Answer: B

Rationale: Pain 2–3 hours after eating is characteristic of a duodenal ulcer, as acid irritates the ulcerated mucosa in the duodenum post-digestion. Gastric ulcer pain typically occurs sooner after meals, peptic ulcer is a general term, and Curling’s ulcer is stress-related.

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