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

Questions 164

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Question 1 of 5

The nurse is floated from the obstetrical (OB) floor to the medical/surgical floor. Which client is the best assignment for the OB nurse?

Correct Answer: A

Rationale: The OB nurse’s expertise in pregnancy care makes the pregnant client with a fractured pelvis (
A) the best assignment, as it aligns with their skills in managing maternal-fetal health. Other clients (B, C,
D) require general medical-surgical care unrelated to OB.

Question 2 of 5

A 14 month-old had cleft palate surgical repair several days ago. The parents ask the nurse about feedings after discharge. Which lunch is the best example of an appropriate meal?

Correct Answer: B

Rationale: Soup, blenderized soft foods, ice cream, milk. In a child with cleft palate repair, parents should prepare soft foods and avoid those with particles that might traumatize the surgical site.

Question 3 of 5

The nurse is caring for a client who has a single-chamber atrial pacemaker. Which of the following findings would the nurse expect to observe on the client’s electrocardiogram strip?

Correct Answer: B

Rationale: A single-chamber atrial pacemaker paces the atrium, producing a spike before the P wave (
B), followed by normal conduction. Spikes on T waves (
A) are abnormal, wide QRS (
C) suggests ventricular issues, and prolonged PR (
D) is unrelated to pacing.

Question 4 of 5

The nurse is teaching the client regarding bladder retraining. The ability to remain continent depends on the:

Correct Answer: C

Rationale: The central nervous system coordinates bladder control, integrating sensory input and voluntary control for continence. Other systems play secondary roles.

Question 5 of 5

The nurse is caring for a client with hyperparathyroidism who had a parathyroidectomy 4 hours ago. Which technique should the nurse use to check for complications in this client?

Correct Answer: C

Rationale: Post-parathyroidectomy, hypocalcemia is a potential complication due to reduced parathyroid hormone levels. Trousseau’s sign (
C), elicited by inflating a BP cuff to induce carpal spasm, indicates hypocalcemia, a critical complication requiring prompt intervention. The wrist hyperextension test (
A) is unrelated to hypocalcemia, and the Romberg test (
B) assesses balance, not relevant to this scenario.

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