NCLEX Questions, NCLEX Practice Questions PN Questions, NCLEX-PN Questions, Nurselytic

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

Correct Answer: B, D, E

Rationale: Checking toes (
B), weekly casts (
D), and keeping the cast dry (E) are correct. Cradling (
A) is safe, and alternating sleep positions (
C) is not cast-related.

Extract:

Laboratory reference ranges
Glucose (random) – newborn < 24 hours old
40-60 mg/dL
(2.2-3.3 mmol/L)


Question 2 of 5

The nurse is monitoring a neonate 1 hour after spontaneous vaginal delivery. Which of the following are expected findings? Select all that apply.

Correct Answer: A, B, E

Rationale: Respirations of 56 (
A), glucose of 60 mg/dL (
B), and white papules (milia) (E) are normal in neonates. A holosystolic murmur (
C) and single transverse crease (
D) suggest congenital abnormalities.

Extract:


Question 3 of 5

The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?

Correct Answer: C

Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.

Question 4 of 5

A client is admitted with Parkinson's disease. The client has been taking Carbidopa/levodopa (Sinemet) for 1 year. Which clinical manifestation would be the most important to report?

Correct Answer: B

Rationale: Spasmodic eye winking could indicate a toxicity or overdose and should be reported to the physician. Other signs of toxicity include involuntary twitching of muscles, facial grimaces, and severe tongue protrusion. Answers A, C, and D are incorrect because they are side effects of the drug.

Question 5 of 5

The nurse is teaching about nonsteroidal anti-inflammatory drugs (NSAIDs) to a group of arthritic clients. To minimize the side effects, the nurse should emphasize which of the following actions?

Correct Answer: B

Rationale: Taking the medication 1 hour before or 2 hours after meals. Taking the medication 1 hour before or 2 hours after meals will result in a more rapid effect.

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