NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

Which of the following are important factors in facilitating attachment between a newborn and mother?

Correct Answer: A,B,D

Rationale: Rooming in (
A), swaddling/holding (
B), and early breastfeeding (
D) promote bonding. Childcare knowledge (
C) is less directly related to attachment.

Question 2 of 5

The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?

Correct Answer: A

Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.

Question 3 of 5

The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.

Question 4 of 5

The nurse is educating the lady's club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

Question Image

Correct Answer: A

Rationale: The Tail of Spence is the upper outer quadrant of the breast, where an X should be placed, as most breast cancers occur in this area.

Question 5 of 5

The nurse is caring for a client with Crohn's disease. How should the nurse educate the client regarding nutrition and hydration?

Correct Answer: C

Rationale: High-calorie, low-fiber, high-protein, and high-vitamin foods support nutrition in Crohn’s disease while minimizing irritation to the inflamed bowel.

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