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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:

Which of the following indicate that the patient with Guillain Barre Syndrome is recovering?


Question 1 of 5

Which of the following indicate that the patient with Guillain Barre Syndrome is recovering?

Correct Answer: B

Rationale: Movement of toes and fingers indicates improving motor function, a sign of recovery.

Extract:


Question 2 of 5

The nurse is caring for a dark-skinned client hospitalized with hepatitis. The nurse can best observe the presence of jaundice in the client by assessing the client's:

Correct Answer: C

Rationale: The sclera is the most reliable site to assess jaundice in dark-skinned clients, as bilirubin deposition is visible in the whites of the eyes.

Question 3 of 5

A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?

Correct Answer: B

Rationale: Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5–6 months prior to conception. Asking about remission status assesses the client’s disease activity, which is critical for planning a safe pregnancy.
Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.

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 4 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 5 of 5

A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Respecting the patient’s decision upholds autonomy and ethical practice. Administering or persuading against beliefs violates rights, and ignoring wishes dismisses patient-centered care.

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