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

Questions 158

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The client is diagnosed with a hiatal hernia. Which instruction should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Avoiding lying down after meals prevents acid reflux in hiatal hernia. Small meals, elevating the head of the bed, and avoiding caffeine are also recommended.

Question 2 of 5

The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements,if made by the mother would require a need for further instruction?

Correct Answer: C

Rationale: Hot dogs pose a choking hazard for a two-year-old due to their size and texture indicating a need for further instruction. The other food choices are age-appropriate and safe.

Question 3 of 5

During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:

Correct Answer: D

Rationale: (A,
B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.

Question 4 of 5

Parents of a toddler are dismayed when they learn that their child has Duchenne's muscular dystrophy. Which statement describes the inheritance pattern of the disorder?

Correct Answer: D

Rationale: Duchenne's muscular dystrophy is an X-linked recessive disorder, with the affected gene on the mother's X chromosome, primarily affecting males.

Question 5 of 5

The nurse is caring for a client with a diagnosis of postpartum depression. Which symptom is most likely to be present?

Correct Answer: B

Rationale: Postpartum depression is characterized by persistent sadness low mood and lack of interest. Fever foul-smelling lochia and uterine tenderness suggest infection not depression.

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