NCLEX Questions, NCLEX Trainer Test 7 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

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Question 1 of 5

The nurse is receiving reports about four pregnant women in active labor who have been admitted to the labor and delivery unit. Which of the following women should the nurse see FIRST?

Correct Answer: B

Rationale: The multipara at 8 cm dilatation is in advanced labor and likely to deliver soon, making her the priority. Options A, C, and D are less urgent: transverse lie needs monitoring, nullipara at 10 cm has a longer second stage, and breech at 3 cm is early.

Question 2 of 5

The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is

Correct Answer: A

Rationale: Eat a balanced diet for your age. There are no recommended additions and subtractions from the diet for acne management.

Question 3 of 5

Which of the following meal choices is suitable for a 6-month-old infant?

Correct Answer: C

Rationale: Rice cereal, formula, and apple juice are appropriate for a 6-month-old, as they are easily digestible and safe. Egg whites, whole milk, and orange juice are not recommended before 1 year due to allergy and digestive risks.

Question 4 of 5

The client is admitted to the intensive care unit with severe chest pain. Which information provides the nurse with the most data that can be utilized in planning care?

Correct Answer: B

Rationale: Vital signs include blood pressure, pulse, respirations, and temperature, providing the most comprehensive data for planning care in a client with severe chest pain. Blood pressure and pulse oximeter are included in vital signs, and EEG is irrelevant for chest pain.

Question 5 of 5

After abdominal surgery, a client has a nasogastric tube attached to low suctioning.

Correct Answer: B

Rationale: Nausea and decreased flow suggest possible NG tube obstruction. Aspirating gastric contents with a syringe confirms tube placement (pH 0-4) and checks for blockages, addressing the cause of symptoms. Irrigation should use normal saline after placement confirmation, and antiemetics or tube replacement do not assess tube function.

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