NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Extract:


Question 1 of 5

Which of the following guidelines is appropriate for the nurse to give a mother concerning the developmental stage of her seven-year-old daughter?

Correct Answer: A

Rationale: normal for developmental stage, beginning to show independence from parents

Extract:

The homecare nurse is visiting an infant who had a myelomeningocele repair.


Question 2 of 5

The homecare nurse determines that the parents are accepting of their infant if which of the following is observed?

Correct Answer: C

Rationale: Strategy: Think about each statement and how it relates to myelomeningocele. (1) child has a chronic problem (2) indicates the parents' lack of interest and inability to care for the child (3) correct-parents' participation in care may be first sign of acceptance; head circumference measurement is important due to risk of hydrocephalus following surgery; even simple care like bathing child could bring acceptance (4) shows a lack of understanding about myelomeningocele

Extract:


Question 3 of 5

A child comes to the school nurse with a honey-colored crusted lesion below her right nostril. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: describes impetigo, highly infectious superficial bacterial infection; notify parents so they can contact the physician

Question 4 of 5

A 45-year-old client with newly diagnosed IDDM (insulin-dependent diabetes mellitus) is being seen by the home health nurse. The physician has placed him on a 1,800-calorie ADA diet, ordered the client to self-administer 15 units of NPH insulin each day before breakfast, and check his blood sugar qid. When the nurse visits the client at 5 PM, the nurse discovers that the client has not eaten since noon and has just returned from jogging. The client's vital signs are: BP 110/80, pulse 120, respirations 18, temperature 98.2°F (36.8°C). When the client obtains his blood sugar reading, the nurse would expect it to be?

Correct Answer: D

Rationale: hypoglycemia symptoms are cool, clammy skin, diaphoresis, nervousness, weakness, hunger, confusion, headache, slurred speech, coma

Question 5 of 5

The nurse is caring for a client recently diagnosed with AIDS. Which of the following interventions by the nurse would be BEST?

Correct Answer: B

Rationale: implementation, decreases exposure to microorganisms

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