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

Questions 148

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Extract:


Question 1 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 2 of 5

During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

Correct Answer: B

Rationale: A painful blister on the vulva is most consistent with genital herpes, caused by the herpes simplex virus.

Question 3 of 5

A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8 mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:

Correct Answer: C

Rationale: Zofran (ondansetron) is an antiemetic used to prevent nausea and vomiting associated with chemotherapy.

Question 4 of 5

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

Order the Items

Source Container

auscultation
palpation
inspection
percussion

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 5 of 5

The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?

Correct Answer: C

Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.

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