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

Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

Place the steps for an abdominal assessment in the correct order.

Correct Answer: C,A,D,B

Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).

Question 2 of 5

The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.

Question 3 of 5

Twenty-four hours after an uncomplicated labor and delivery, a client's WBC is 12,000 cu/mm. The elevation in the client's WBC is most likely an indication of:

Correct Answer: A

Rationale: A WBC of 12,000 cu/mm post-delivery is a normal physiological response to the stress of labor and delivery.

Question 4 of 5

After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?

Correct Answer: B

Rationale: Pityriasis rosea is a potentially contagious rash, warranting a private room to prevent spread. The other conditions are not infectious.

Question 5 of 5

While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

Correct Answer: A

Rationale: A fundus displaced to the right suggests bladder distention, which can be resolved by asking the client to void.

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