NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:

After delivery, a mother tells the nurse, 'I'm so cold and I can't stop shaking.'


Question 1 of 5

The nurse should tell the mother:

Correct Answer: D

Rationale: Postpartum chills are common, and warm blankets provide comfort and help resolve the shaking.

Extract:


Question 2 of 5

The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?

Correct Answer: B

Rationale: Grasping objects is expected around 6 months, not 3 months, making this behavior unexpected. Holding the head erect (
A), turning to sound (
C), and spontaneous smiling (
D) are typical for a 3-month-old.

Question 3 of 5

The nurse is assessing a client with a history of asthma who presents with wheezing and shortness of breath. The nurse should prioritize which of the following actions?

Correct Answer: A

Rationale: Wheezing and shortness of breath in asthma indicate bronchoconstriction, and administering a bronchodilator (e.g., albuterol) as ordered is the priority to relieve airway obstruction. Supine positioning (
B) worsens breathing, X-rays (
C) are diagnostic, and deep breathing (
D) is secondary.

Question 4 of 5

The nurse is caring for a client who is receiving oxygen therapy. A visitor yells at the nurse saying there is a fire burning in the wastebasket on the other side of the room. What should the nurse do initially?

Correct Answer: C

Rationale: Oxygen fuels fires; turning it off and removing the client from the room prioritizes safety. Seeking help or using an extinguisher delays evacuation.

Question 5 of 5

The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?

Correct Answer: A

Rationale: The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. There is evidence that increased amounts of folic acid prevents neural tube defects.

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