NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Extract:

The homecare nurse is visiting an infant who had a myelomeningocele repair.


Question 1 of 5

The homecare nurse determines that the parents are accepting of their infant if which of the following is observed?

Correct Answer: C

Rationale: Strategy: Think about each statement and how it relates to myelomeningocele. (1) child has a chronic problem (2) indicates the parents' lack of interest and inability to care for the child (3) correct-parents' participation in care may be first sign of acceptance; head circumference measurement is important due to risk of hydrocephalus following surgery; even simple care like bathing child could bring acceptance (4) shows a lack of understanding about myelomeningocele

Extract:


Question 2 of 5

The nurse is caring for a client with a history of congestive heart failure (CHF). Which of the following findings would indicate to the nurse that the client's condition is worsening?

Correct Answer: B

Rationale: weight gain is a sign of fluid retention, indicating worsening CHF

Question 3 of 5

The nurse is preparing a client for a magnetic resonance imaging (MRI). Which of the following client statements indicates to the nurse that teaching has been successful?

Correct Answer: C

Rationale: procedure takes approximately 90 minutes, not painful

Question 4 of 5

A 20-year-old woman calls the outpatient clinic to schedule her first Papanicolaou's smear. The nurse should instruct the client to

Correct Answer: B

Rationale: douching would affect appearance of cells in vaginal smear, would make test inaccurate

Question 5 of 5

A patient received meperidine (Demerol) 75 mg IM 2 hours ago for complaints of pain. The patient turns on his call light and tells the nurse he has to go to the bathroom. The physician has ordered BPR (bathroom privileges). The nurse should

Correct Answer: B

Rationale: side effects of medication include decreased BP, orthostatic hypotension, bradycardia

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