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

Questions 149

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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

A client is being treated for irritable bowel syndrome (IBS). The nurse knows that the involvement of nursing, pharmacy, gastroenterology, and nutritional services is an example of which of the following approaches?

Correct Answer: B

Rationale: A multidisciplinary approach involves multiple specialties (nursing, pharmacy, gastroenterology, nutrition) collaborating to manage IBS.

Question 3 of 5

A public health nurse is preparing an educational handout about rubella, commonly known as measles. All of the following statements should be included in the informational handout EXCEPT

Correct Answer: B

Rationale: Rubella’s incubation period is 12-23 days, not 3-7 days. It spreads via respiratory droplets (coughing/sneezing), not skin-to-skin. Symptoms include fever and rash, but runny nose and cough are more typical of measles.

Question 4 of 5

Which would be included in the nursing care plan of a client experiencing severe delirium tremens?

Correct Answer: B

Rationale: Keeping closet and bathroom doors closed minimizes visual stimuli that could exacerbate hallucinations or confusion in delirium tremens, promoting a safe environment.

Question 5 of 5

A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Nighttime dyspnea suggests acute heart failure exacerbation, requiring priority.

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