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

Questions 149

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Extract:


Question 1 of 5

Cardiac muscles follow a certain order of electrical conduction in order for the heart to contract. What is the correct sequence of electrical impulse?

Correct Answer: D,B,A,C,E

Rationale: Cardiac conduction: sinoatrial node (
D), atrioventricular node (
B), bundle of His (
A), bundle branches (
C), Purkinje fibers (E).

Question 2 of 5

The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?

Correct Answer: C

Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.

Question 3 of 5

A client with paranoid schizophrenia is brought to the hospital by her elderly parents. During the assessment, the client's mother states, 'Sometimes she is more than we can manage.' Based on the mother's statement, the most appropriate nursing diagnosis is:

Correct Answer: B

Rationale: The mother's statement suggests caregiver role strain due to the ongoing stress of managing the client's schizophrenia symptoms.

Question 4 of 5

The nurse has a client complaining of chest pain. Where should the nurse place the V5 lead for a 12-lead EKG?

Correct Answer: A

Rationale: The V5 lead is placed in the left anterior axillary line at the fifth intercostal space for a 12-lead EKG.

Question 5 of 5

The client has an order for Claforan 665 mg. The directions say to reconstitute with 10 mL of bacteriostatic water to yield a concentration of 95 mg/mL. How many milliliters of solution should the nurse administer to give the dose of 665 mg?

Correct Answer: 7 mL

Rationale: Dose: 665 mg. Concentration: 95 mg/mL. Volume: 665 mg ÷ 95 mg/mL = 7 mL.

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