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

Questions 156

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Extract:

An infant with a positive PKU blood Test .


Question 1 of 5

The nurse knows that which of the following plans would be a priority for an infant with a positive PKU blood Test ?

Correct Answer: A

Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-Guthrie blood Test evaluates neonate for phenylketonuria (PKU); Lofenalac formula is low in phenylalanine, but contains minerals and vitamins to provide a balanced nutritional formula (2) could be a plan for a child with cystic fibrosis (3) important, but is not as high a priority as answer choice #1 (4) would be a plan of care for a child with adrenoleukodystrophy (AL
D)

Extract:


Question 2 of 5

The nurse is caring for a client who is postoperative day 1 after a cholecystectomy. Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: A temperature of 100.8°F suggests infection, a serious post-cholecystectomy complication. Options A, C, and D are normal: pain is expected, bile drainage is typical, and urine output is adequate.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of hyperthyroidism about propylthiouracil (PTU). Which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Stopping propylthiouracil when thyroid levels are normal is incorrect, as hyperthyroidism requires prolonged treatment to maintain euthyroid status. Options A, B, and C are correct: fever may indicate agranulocytosis, food reduces GI upset, and shellfish (iodine-rich) should be avoided.

Extract:

A female client is diagnosed with human papillomavirus (HPV).


Question 4 of 5

Which of the following client statements, if made to the nurse, illustrates an understanding of the possible sequelae of this illness?

Correct Answer: C

Rationale: Strategy: Determine the 'hidden meaning' of the answer choices. (1) antibiotics are not used for viral infections (2) douches will not prevent recurrence (3) correct-several strains of the human papillomavirus (HPV) are associated with cervical cancer (4) tampons would not be a problem as in toxic shock syndrome

Extract:


Question 5 of 5

Which clients can be assigned to share the same room?

Correct Answer: A

Rationale: Clients with hysterectomy and tubal ligation are both post-surgical, non-infectious, and suitable to share a room. Other pairs involve infectious or immunocompromised conditions, posing risks.

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