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

Questions 158

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Question 1 of 5

Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:

Correct Answer: A

Rationale: Because the eustachian tube is short and straight in the infant, formula that pools in the back of the throat attacks bacteria which can enter the middle ear and cause an infection. Asthma is not associated with propping the bottle. Conjunctivitis is an eye infection and not associated with propping the bottle.
Tonsillitis is usually a result of pharyngitis and not propping the bottle.

Question 2 of 5

The nurse is assessing a client with suspected preeclampsia. Which finding is most indicative of this condition?

Correct Answer: A

Rationale: Proteinuria is a hallmark of preeclampsia, reflecting renal involvement due to endothelial damage. Hypertension (not hypotension), weight gain, and oliguria (not polyuria) are also common.

Question 3 of 5

Which statement is true regarding a patient with a Sengstaken-Blakemore tube?

Correct Answer: D

Rationale: A Sengstaken-Blakemore tube is used for esophageal variceal bleeding. Scissors must be kept at the bedside to cut the tube in case of airway obstruction from balloon migration. The gastric balloon (not esophageal) controls bleeding the tube has three lumens and esophageal balloon pressure is typically 20-25 mmHg.

Question 4 of 5

During the intake assessment,a client reports that she has a painful blister on the labia. The client's symptoms are likely the result of infection with:

Correct Answer: B

Rationale: Herpes simplex virus type II (HSV-II) typically causes painful blisters or vesicles on the genitalia such as the labia. Syphilis causes painless chancres gonorrhea causes discharge and condylomata (HPV-related warts) are usually painless.

Question 5 of 5

The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?

Correct Answer: A

Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.

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