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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is

Correct Answer: A

Rationale: Urinary output of 30 ml per hour. This indicates adequate fluid replacement without suggesting overload.

Question 2 of 5

The client states, 'My discharge plan leaves me with a lot to do. I don't think I can do it. I'm never good at doing things.' The nurse knows the client lacks:

Correct Answer: D

Rationale: Expressing doubt in ability to manage the discharge plan indicates low self-efficacy, a belief in one's capacity to execute tasks.

Question 3 of 5

The nurse is monitoring the contractions of a woman in labor. A contraction is recorded as beginning at 10:00 A.M and ending at 10:01 A.M. Another begins at 10:15 A.M. What is the frequency of the contractions?

Correct Answer: C

Rationale: 15 minutes. Frequency is measured from the start of one contraction to the start of the next.

Extract:

The nurse is assigned to a patient newly diagnosed with active tuberculosis.


Question 4 of 5

Which of these interventions would be a priority for the nurse to implement?

Correct Answer: D

Rationale: A negative pressure room and masks prevent airborne transmission of tuberculosis, a priority for infection control.

Extract:

Steatorrhea:


Question 5 of 5

Steatorrhea:

Correct Answer: A

Rationale: Steatorrhea involves greasy, fatty stools due to fat malabsorption.

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