NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse instructs a client on the difference between true labor and false labor. The nurse explains, 'In true labor:

Correct Answer: B

Rationale: In true labor, uterine contractions strengthen and become more regular with activity like walking, facilitating cervical dilation and fetal descent.

Question 2 of 5

A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

Correct Answer: B

Rationale: Conception is most likely during ovulation triggered by a surge in luteinizing hormone (LH). Low estrogen thin endometrium or low progesterone are not associated with ovulation.

Question 3 of 5

The nurse is caring for an eight-year-old following a routine tonsillectomy. Which finding should be reported immediately?

Correct Answer: D

Rationale: Respiratory stridor post-tonsillectomy suggests airway obstruction, a life-threatening complication requiring immediate reporting. The other findings are normal or less urgent.

Question 4 of 5

The nurse is preparing a teaching session for a client with hepatitis B who has been prescribed lamivudine (Epivir). Which does the nurse include as adverse effects of the drug?

Question Image

Correct Answer: A, B, D

Rationale: Lamivudine side effects include nausea (
A), vomiting (
B), and neutropenia (
D). Steatorrhea (
C) and amnesia (E) are not common.

Question 5 of 5

A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:

Correct Answer: A

Rationale: The client with hypothyroidism is the most suitable roommate, as this condition is non-infectious and poses no risk to the immunocompromised vascular surgery client. Gastroenteritis and bacterial pneumonia are infectious, and diabetic ulcers may involve infection, increasing cross-contamination risk.

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