NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Question 1 of 5

The nurse is caring for clients in the pediatric clinic.

Correct Answer: C

Rationale: By six months, infants typically pull to a standing position with support. Failure to do so may indicate developmental delay, requiring follow-up. An open anterior fontanel is normal until 18 months, sitting unsupported begins around 7-8 months, and rolling over is expected by 5-6 months.

Question 2 of 5

The nurse would identify which of the following clients as being at the highest risk for developing a pulmonary embolus?

Correct Answer: B

Rationale: obesity, immobility, and pooling of blood in the pelvic cavity contribute to development of pulmonary emboli

Question 3 of 5

A client reports that he has been vomiting for three days, has a low-grade temperature, and feels lethargic. Which Ivanof the following nursing actions is MOST appropriate in evaluating for fluid volume deficit?

Correct Answer: B

Rationale: daily weight is the best way to evaluate for fluid volume deficit

Question 4 of 5

While planning care for an elderly client with dementia, which of the following should be a priority for the nurse?

Correct Answer: D

Rationale: is most effective when communicating with an elderly client

Question 5 of 5

The nurse is caring for a client recently diagnosed with AIDS. Which of the following interventions by the nurse would be BEST?

Correct Answer: B

Rationale: implementation, decreases exposure to microorganisms

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