NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

Correct Answer: C

Rationale: Green-tinged amniotic fluid indicates meconium, a sign of fetal distress requiring immediate reporting.

Question 2 of 5

The nurse is caring for a client following a crushing injury to the chest. Which finding would be most indicative of a tension pneumothorax?

Correct Answer: B

Rationale: Tension pneumothorax causes a mediastinal shift, including tracheal deviation toward the unaffected side due to increased intrathoracic pressure.

Question 3 of 5

An RN delegates patient assignments to an LPN and nursing assistant. Later, the RN overhears a nursing assistant arguing with a patient regarding a late breakfast tray. The nursing assistant begins to raise his voice as the disagreement continues. The best action from the RN is

Correct Answer: A

Rationale: Addressing the nursing assistant privately de-escalates the situation, provides coaching, and maintains professionalism without immediate escalation.

Question 4 of 5

A 19-year-old male with type 1 diabetes has the flu. The nurse expects what insulin changes may be required during the illness?

Correct Answer: B

Rationale: Illness increases insulin resistance due to stress hormones, often requiring more insulin to manage hyperglycemia in type 1 diabetes.

Question 5 of 5

The nurse is assessing a client with suspected diverticulitis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fever and left lower quadrant pain are common in diverticulitis due to inflammation in the sigmoid colon

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