NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective, quantifiable data for assessing hydrocephalus, unlike subjective symptoms like anorexia or vomiting.

Question 2 of 5

The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?

Correct Answer: C

Rationale: A hemoglobin of 7 gm indicates significant blood loss, requiring immediate physician notification.

Question 3 of 5

A client with multiple sclerosis has an order to receive Solu Medrol 200 mg IV push. The available dose is Solu Medrol 250 mg per mL. How much medication will the nurse administer?

Correct Answer: B

Rationale: Dose: 200 mg ÷ 250 mg/mL = 0.8 mL, the amount to administer.

Question 4 of 5

Which of the following clients has the highest risk for pulmonary complications after surgery?

Correct Answer: B

Rationale: Open cholecystectomy involves an upper abdominal incision, increasing the risk of pulmonary complications due to pain limiting deep breathing and coughing.

Question 5 of 5

A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?

Correct Answer: C

Rationale: complete nursing history includes biopsychosocial data; client’s psychosocial and physical status are evaluated along with an assessment of the client’s family system and social support network; evaluation of the client’s cognitive ability is important during the physiological status assessment

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