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

Questions 149

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Extract:


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

The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is:

Correct Answer: D

Rationale: A weight loss of up to 10% in the first week is normal due to the passage of meconium and adjustment to feeding.

Question 3 of 5

The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:

Correct Answer: A

Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.

Question 4 of 5

A client states that he takes five grains of aspirin daily, but the hospital issues aspirin in milligrams. How many milligrams are approximately equivalent to five grains of aspirin?

Correct Answer: C

Rationale: One grain of aspirin is approximately 65 mg, so five grains = 5 X 65 = 325 mg (
C).

Question 5 of 5

The nurse is performing a physical assessment on a newly admitted client. The last step in the physical assessment is:

Correct Answer: D

Rationale: Palpation is the last step in a physical assessment, following inspection, auscultation, and percussion, to avoid altering findings with touch.

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