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

Questions 149

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Question 1 of 5

The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

Correct Answer: C

Rationale: Repositioning the client can relieve umbilical cord compression, the common cause of variable decelerations.

Question 2 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

Question 3 of 5

A client with primary sclerosing cholangitis has received a liver transplant. The nurse should give priority to assessing the client for complications. Which findings are associated with an acute rejection of the new liver?

Correct Answer: A

Rationale: Increased jaundice and prolonged prothrombin time indicate liver dysfunction, consistent with acute liver transplant rejection.

Question 4 of 5

A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Artificial sweeteners like aspartame contain phenylalanine, which is harmful in PKU, so the client's statement indicates a need for further teaching.

Question 5 of 5

The nurse is caring for a client who has stage 3 lung cancer and is in renal failure. The client indicates that he does not wish to have life-sustaining treatment and wants to die a natural death. What document does the nurse anticipate this client completing? Fill in the blank.

Correct Answer: B

Rationale: Living Will (
B) is the correct answer, as it documents a client’s preferences for medical treatment, such as refusing life-sustaining measures, aligning with the client’s wish to die naturally without such interventions.

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