NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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NCLEX Trainer Test 4 Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is receiving a continuous IV infusion of insulin for diabetic ketoacidosis. Which of the following findings would be of GREATest concern to the nurse?

Correct Answer: B

Rationale: Hypokalemia (potassium 3.0 mEq/L) is a serious complication in diabetic ketoacidosis treatment, as insulin drives potassium into cells, risking arrhythmias. Options A, C, and D are less urgent: glucose 200 mg/dL is improving, pH 7.30 is near normal, and sodium 135 mEq/L is normal.

Extract:

A mother brings her 17-month-old son to the well-baby clinic for a routine check-up. She confides to the nurse that she is concerned because her son sucks his thumb, especially at night when he is put to bed.


Question 2 of 5

Which of the suggestions by the nurse would be BEST?

Correct Answer: B

Rationale: Strategy: 'BEST' indicates there may be more than one correct response. Remember growth and development concepts. (1) controversial treatment for an older child (2) correct-normal behavior, peaks at 18-20 months, most prevalent when child is hungry or tired (3) normal behavior in child this age, should not be discouraged (4) malocclusion occurs if thumb sucking persists past 4 years old or when permanent teeth erupt

Extract:


Question 3 of 5

A baby girl is born with a meningomyelocele. To prevent trauma to the sac, the nurse should place the infant:

Correct Answer: B

Rationale: Placing the infant prone with hips slightly elevated protects the meningomyelocele sac from trauma and pressure.

Question 4 of 5

A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?

Correct Answer: A

Rationale: Holistic healing. This traditional folk practitioner uses holistic methods for illnesses, often working with traditional health care providers.

Question 5 of 5

The nurse is to move a client up in bed without any help. Where should the nurse place the client's pillow?

Correct Answer: C

Rationale: Placing the pillow at the head of the bed supports the client's head after moving up, ensuring comfort and proper positioning.

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