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

Questions 149

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Extract:


Question 1 of 5

The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

Correct Answer: D

Rationale: Fluid volume deficit is a priority in early labor due to decreased intake and increased fluid needs.

Question 2 of 5

The mother of a child with cystic fibrosis tells the nurse that her child makes 'snoring' sounds when breathing. The nurse is aware that many children with cystic fibrosis have:

Correct Answer: B

Rationale: Nasal polyps are common in cystic fibrosis due to chronic sinus inflammation, causing snoring-like breathing sounds.

Question 3 of 5

If a client's waist measurement is 38 inches and the hip measurement is 45 inches, what is the client's waist-to-hip ratio. Record your answer rounded to two decimal places.

Correct Answer: 0.84

Rationale: Waist-to-hip ratio = Waist/ Hip = 38/ 45 ≈ 0.844, rounded to 0.84.

Question 4 of 5

A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:

Correct Answer: B

Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.

Question 5 of 5

A client has signed the consent form for a right radical mastectomy. Shortly before the client is to be taken to surgery, she tells the nurse, 'I'm not really sure that this is what I want to do. Everything was so sudden.' Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: This response encourages the client to express her concerns, facilitating informed consent and addressing her doubts.

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