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

Questions 149

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Question 1 of 5

During the second stage of labor, the baby's head becomes compressed because the mother has a narrow, bony pelvis. Which of the following is the most common result for the infant from this type of compression?

Correct Answer: C

Rationale: Cranial molding (
C) is the most common result of head compression during labor due to a narrow pelvis, as the infant's skull adapts to the birth canal. Cerebral palsy (
A), intellectual disability (
B), and epilepsy (
D) are not directly caused by this.

Question 2 of 5

During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?

Correct Answer: D

Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.

Question 3 of 5

The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?

Correct Answer: D

Rationale: Sitting or high Fowler's position maximizes lung expansion and diaphragmatic movement, critical for myasthenia gravis patients with respiratory weakness.

Question 4 of 5

The mother of a child with cystic fibrosis tells the nurse that her child makes 'snoring' sounds when breathing. The nurse is aware that many children with cystic fibrosis have:

Correct Answer: B

Rationale: Nasal polyps are common in cystic fibrosis due to chronic sinus inflammation, causing snoring-like breathing sounds.

Question 5 of 5

A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?

Correct Answer: A

Rationale: Diabetes insipidus causes excessive water loss due to low ADH, leading to polyuria. The other symptoms are unrelated.

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