NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a 10-year-old boy with hemophilia. The nurse suspects the child has developed hemarthrosis when she observes

Correct Answer: D

Rationale: Hemarthrosis (joint bleeding) in hemophilia presents with redness, swelling, and warmth over the joint due to blood accumulation.

Question 2 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

Question 3 of 5

The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?

Correct Answer: C

Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis

Question 4 of 5

The nurse identifies ventricular tachycardia on the heart monitor. The nurse should immediately:

Correct Answer: C

Rationale: Ventricular tachycardia requires immediate treatment with an antiarrhythmic like lidocaine to restore normal rhythm.

Question 5 of 5

The nurse is preparing to discharge a client following a trabeculoplasty for the treatment of glaucoma. The nurse should instruct the client to:

Correct Answer: D

Rationale: Eye protection prevents injury and supports healing post-trabeculoplasty.

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