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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Which of the following lab reports indicates that a client with acute glomerulonephritis is improving?

Correct Answer: D

Rationale: A decreased erythrocyte sedimentation rate indicates reduced inflammation, suggesting improvement in acute glomerulonephritis.

Question 2 of 5

Dual diagnosis indicates that there is a substance abuse problem as well as a

Correct Answer: B

Rationale: Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.

Extract:

The nurse doing a newborn assessment counts the infant's cord vessel.


Question 3 of 5

In a normal infant there are:

Correct Answer: C

Rationale: There are three vessels: one vein (carries oxygenated blood to the fetus) and two arteries (return deoxygenated blood to the placenta) in a normal umbilical cord.

Extract:


Question 4 of 5

The nurse observes a LPN/LVN perform a wet-to-dry dressing change on a 2-inch abdominal incision. Which of the following behaviors, if performed by the LPN/LVN, would indicate an understanding of proper technique?

Correct Answer: C

Rationale: Wet-to-dry dressings should have wet gauze packed into the incision without overlapping onto the skin to prevent skin breakdown. Cleansing (
A) should be from the center outward, dressings (
B) are soaked before packing, and old dressings (
D) are removed dry to debride the wound.

Extract:

The incidence of spinal cord defects/ neural tube defects such as meningomyelocele


Question 5 of 5

The incidence of spinal cord defects/ neural tube defects such as meningomyelocele has decreased because

Correct Answer: B

Rationale: Folic acid supplementation reduces neural tube defects by supporting neural tube closure.

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