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NCLEX-PN

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Extract:

At term, Ms. Star is admitted to the hospital in active labor which progresses normally. She delivers a baby boy. A few hours after Ms. Star's delivery, the nurse notes that Ms. Star has saturated two perineal pads with blood within a 20-minute period.


Question 1 of 5

Which of the following actions should the nurse takes first?

Correct Answer: A

Rationale: A boggy uterus is a common cause of postpartum hemorrhage, making fundus assessment the first action.

Extract:


Question 2 of 5

A 6-week-old infant is admitted with suspected pyloric stenosis. Which finding is characteristic of the infant with pyloric stenosis?

Correct Answer: B

Rationale: Pyloric stenosis presents with a palpable, olive-shaped mass in the epigastrium due to pyloric muscle hypertrophy. Colicky pain is nonspecific, currant jelly stools suggest intussusception, and grain intolerance indicates celiac disease.

Extract:

Venous drainage:


Question 3 of 5

Venous drainage:

Correct Answer: A

Rationale: Venous drainage involves deoxygenated blood from the upper body returning to the heart.

Extract:

Bradykinesia:


Question 4 of 5

Bradykinesia:

Correct Answer: A

Rationale: Bradykinesia is slow initiation of movement, common in Parkinson's disease.

Extract:

A patient is awaiting surgery for a ruptured lumbar nucleus pulposus.


Question 5 of 5

The nurse's teaching should include that the pain will most likely increase if the patient:

Correct Answer: C

Rationale: Coughing increases intrathecal pressure, exacerbating pain from a ruptured disc.

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