NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse is preparing to discharge a 60-year-old woman on warfarin (Coumadin) after mitral valve replacement. Which dietary restriction should the nurse advise the client to make?

Correct Answer: C

Rationale: Green beans are high in vitamin K, which can counteract warfarin’s anticoagulant effect. Other foods listed have minimal vitamin K.

Question 2 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective, quantifiable data for assessing hydrocephalus, unlike subjective symptoms like anorexia or vomiting.

Question 3 of 5

If the first day of a pregnant woman's last menstrual period fell on May 1, 2013, what is the expected delivery month and year? Record your answer using the month (word) and year (whole number).

Correct Answer: Feb-14

Rationale: Using Naegele's rule: May 1, 2013 + 7 days = May 8, then + 9 months = February 8, 2014. Answer is February 2014.

Question 4 of 5

An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:

Correct Answer: B

Rationale: Monitoring pulse and respirations helps assess cardiac function and detect complications early in a client with cardiac disease.

Question 5 of 5

A psychiatric nurse is assigned to conduct an admission nursing history on a new client. The admission should include which of the following?

Correct Answer: C

Rationale: complete nursing history includes biopsychosocial data; client’s psychosocial and physical status are evaluated along with an assessment of the client’s family system and social support network; evaluation of the client’s cognitive ability is important during the physiological status assessment

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