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

Questions 227

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Extract:


Question 1 of 5

The nurse cares for an 8 lb, 8 oz newborn boy. The infant's history indicates that his mother was given magnesium sulfate IV 4 g in 250 ml D5W several hours before delivery. The nurse would be MOST concerned if which of the following was observed?

Correct Answer: C

Rationale: magnesium sulfate can cause slowing of respirations and hyporeflexia; normal respirations 30-60/min

Question 2 of 5

Prior to a cesarean section delivery, a 24-year-old woman is treated for abruptio placentae. The nurse is caring for the woman during the postpartum period. Which of the following symptoms would be suggestive of disseminated intravascular coagulation (DIC)?

Correct Answer: D

Rationale: DIC is acquired clotting disorder from overstimulation, prolonged oozing from sites of minor trauma first symptom

Question 3 of 5

The nurse is caring for a client in the ICU. Hemodynamic monitoring is accomplished via a Swan-Ganz catheter. The nurse is aware that this type of monitoring will provide which of the following information?

Correct Answer: B

Rationale: CVP readings measure the pressure in the right ventricle, the Swan-Ganz catheter measures the pulmonary artery wedge pressure, which is an indirect reading of the pressure in the left ventricle

Extract:

A 47-year-old woman comes to the outpatient psychiatric clinic for treatment of a fear of heights.


Question 4 of 5

Which of the following is the best plan of care that would meet the needs of this client INITIALLY?

Correct Answer: D

Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) secondary gain (attention and assistance received) is not the motivation of a phobic patient, remain nonjudgmental (2) ineffective in relieving behavior, may increase anxiety and feelings of guilt (3) should encourage patient to remain independent (4) correct-phobia is fixed channel for discharge of tension from unconscious conflict

Extract:


Question 5 of 5

The nurse observes the following patients in the emergency department (ED). The FIRST patient the nurse should see is the

Correct Answer: A

Rationale: possibility of internal bleeding, life-threatening situation

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