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Questions 227

NCLEX-PN

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Extract:

A new mother has some questions about PKU.


Question 1 of 5

Which of the following statements made by the nurse is not correct regarding PKU?

Correct Answer: D

Rationale: PKU effects are irreversible if untreated, making this statement incorrect.

Extract:


Question 2 of 5

A nurse is caring for a patient with a new colostomy. Which of the following statements indicates the patient needs further teaching?

Correct Answer: B

Rationale: Saying 'I can eat whatever I want' indicates a misunderstanding, as dietary restrictions (e.g., avoiding gas-forming foods) are needed to manage colostomy output. Other statements reflect correct care.

Question 3 of 5

The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?

Correct Answer: A

Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.

Question 4 of 5

The nurse is inserting an indwelling catheter in a female. The nurse knows that the urethral meatus is located where?

Correct Answer: A

Rationale: The urethral opening is located between the clitoris and the vagina.

Question 5 of 5

Which is an expected finding in the normal newborn?

Correct Answer: B

Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.

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