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 client with irritable bowel syndrome. Irritable bowel syndrome is characterized by:

Correct Answer: B

Rationale: IBS is characterized by alternating constipation and diarrhea, often triggered by stress or diet, without structural abnormalities.

Question 2 of 5

As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?

Correct Answer: D

Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.

Question 3 of 5

The client with cancer refuses to care for herself. Which action by the nurse would be best?

Correct Answer: C

Rationale: Exploring the reason for the lack of motivation addresses the root cause, enabling tailored interventions to encourage self-care.

Question 4 of 5

The nurse is caring for a client with a diagnosis of fluid overload caused by congestive heart failure. Which findings would the nurse expect to find when reviewing client labs? Select all that apply.

Correct Answer: A,D

Rationale: Fluid overload in CHF dilutes BUN and sodium, leading to decreased levels. Hematocrit decreases, and osmolality is typically normal or low.

Question 5 of 5

A 92-year-old male client with Alzheimer's frequently experiences urinary incontinence. Which intervention should the nurse do first?

Correct Answer: D

Rationale: Offering the urinal every 2 hours promotes continence and dignity, addressing incontinence non-invasively before considering catheters or diapers.

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