NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse has attended a staff education program about obtaining blood specimens from newborns via heel stick. Which of the following statements by the nurse would require follow-up?

Correct Answer: B

Rationale: The center of the heel (
B) should be avoided to prevent bone injury; lateral or medial aspects are used. Sucking (
A), wiping the first drop (
C), and warming (
D) are correct.

Question 2 of 5

The nurse is assessing a client at 11 weeks gestation. The first day of the client's last menstrual period was September 7. Which of the following findings should the nurse expect to obtain?

Correct Answer: B,D,E

Rationale: At 11 weeks, increased urinary frequency (
B) is expected due to hormonal changes. The Naegele rule (LMP + 1 year - 3 months + 7 days) gives June 14 (
D). Fetal heart tones are detectable by Doppler (E). Fetal movement (
A) is felt later (16-20 weeks), and fundal height of 24 cm (
C) occurs around 24 weeks.

Extract:

Laboratory reference ranges
1-hour glucose screen - Gestational diabetes
<140 mg/dL
(<7.8 mmol/L)
Hemoglobin (pregnant)
>11.0 g/dL
(>110 g/L)
WBC (pregnant)
5000-15,000/mm3
(5-15 × 109/L)


Question 3 of 5

The licensed practical nurse (LPN) is collecting data on several clients in the antepartum unit. Which of the following clients should the LPN report to the registered nurse for further assessment?

Correct Answer: B

Rationale: Hemoglobin of 9 g/dL (
B) indicates anemia, requiring further assessment. Normal glucose (
A), reactive nonstress test (
C), and slightly elevated WBC (
D) are less urgent.

Extract:


Question 4 of 5

The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these describes the normal pathway?

Correct Answer: D

Rationale: SA node, AV node, Bundle of His, Purkinje fibers. This is the normal pathway of an electrical impulse through the heart.

Question 5 of 5

A woman is pregnant for the first time and is Rh negative. Her husband is Rh positive. She tells the nurse that he is very worried about her baby. Which information should the nurse plan to include when talking with this woman?

Correct Answer: A

Rationale: The first Rh-positive baby is typically unaffected as maternal antibodies develop post-delivery. RhoGAM is given after birth to prevent issues in future pregnancies, not after the second baby.

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