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

Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a child with Down syndrome. Which characteristics are commonly found in the child with Down syndrome?

Correct Answer: B

Rationale: Down syndrome is characterized by epicanthal folds, broad hands, and transpalmar creases.

Question 2 of 5

A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:

Correct Answer: D

Rationale: Rising blood pressure is a sign of renal transplant rejection due to impaired kidney function and fluid retention.

Question 3 of 5

The nurse is caring for a client with a history of schizophrenia who is experiencing auditory hallucinations. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: listening to music can distract the client and reduce the intensity of auditory hallucinations

Question 4 of 5

The nurse is doing hourly rounds when he finds a 73-year-old female client unconscious on the floor next to the bed. An incident report must be filled out. What is the best statement for the nurse to write on the incident report?

Correct Answer: B

Rationale: The incident report should state objective findings: 'Client was found unresponsive on floor next to the bed.' Speculative statements (slipped, attempted to ambulate) are inappropriate.

Question 5 of 5

The physician has prescribed Coumadin (sodium warfarin) for a client having transient ischemic attacks. Which laboratory test measures the therapeutic level of Coumadin?

Correct Answer: A

Rationale: Prothrombin time (PT/INR) measures the therapeutic level of warfarin, ensuring effective anticoagulation.

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