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NCLEX RN Practice Questions Quizlet Questions

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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

A client arrives in the emergency room after a motor vehicle accident. Witnesses tell the nurse that they observed the client's head hit the side of the car door. Nursing assessment findings include BP 70/34, heart rate 130, and respirations 22. Which is the client's most appropriate priority nursing diagnosis?

Correct Answer: B

Rationale: Hypotension (BP 70/34) and tachycardia (HR 130) indicate hypovolemic shock, likely from blood loss. Fluid volume deficit is the priority diagnosis to address life-threatening hypovolemia.

Question 3 of 5

During the second stage of labor, the baby's head becomes compressed because the mother has a narrow, bony pelvis. Which of the following is the most common result for the infant from this type of compression?

Correct Answer: C

Rationale: Cranial molding (
C) is the most common result of head compression during labor due to a narrow pelvis, as the infant's skull adapts to the birth canal. Cerebral palsy (
A), intellectual disability (
B), and epilepsy (
D) are not directly caused by this.

Question 4 of 5

The physician has ordered increased oral hydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with the removal of renal calculi is:

Correct Answer: D

Rationale: A fluid intake of 200 mL per hour promotes urine output to facilitate stone passage.

Question 5 of 5

The nurse is caring for a group of clients in an infectious disease unit. The nurse understands that which of the conditions listed are required to be reported by the CDC? Select all that apply.

Correct Answer: A, C, D

Rationale: Tetanus, chlamydia, and Lyme disease are nationally notifiable diseases per CDC guidelines, requiring reporting to monitor public health.

Similar Questions

A client is to wear a Holter monitor for continuous cardiac monitoring for 48 hours. The nurse should advise the client to avoid which of the following activities during the monitoring period? Select all that apply.
A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?
The nurse is caring for a client following a myocardial infarction. Which of the following enzymes are specific to cardiac damage?
A client with an artificial eye is too ill to remove the eye, but the lids are crusted and irritated, so the nurse must remove the prosthesis for cleaning and to inspect the eye socket. The nurse has washed hands and applied disposable gloves. Place the remaining steps to removing the prosthesis (Roman numerals) in the correct order.
The nurse is in the medication room drawing up insulin for a client when a code blue is called. In his haste to respond to the call, the nurse places the syringe of insulin on the counter and responds to the code. Afterward, the nurse returns to the medication room and retrieves the syringe of insulin. Which action by the nurse is correct?

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