NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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 client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:

Correct Answer: A

Rationale: Folding towels and pillowcases is a simple activity that redirects the client's attention. Also, because this activity is familiar, the client is likely to perform it successfully. Cards, charades, and aerobic exercise are too complicated for a confused client.

Question 3 of 5

The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?

Correct Answer: C

Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.

Question 4 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.

Question 5 of 5

A client who has hypokalemia asks the nurse for dietary advice on what foods would help this problem. What should the nurse tell the client?

Correct Answer: B

Rationale: Oranges, bananas, and prunes are potassium-rich, directly addressing hypokalemia through dietary intake.

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