NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

Which play activity is best suited to the gross motor skills of the toddler?

Correct Answer: B

Rationale: Playing with a ball encourages gross motor skills like kicking and throwing, suitable for a toddler's developmental stage.

Question 2 of 5

A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?

Correct Answer: B

Rationale: Pulling a toy is consistent with an 18-month-old's developmental level, supporting the assessment.

Question 3 of 5

If a client is to have a nasogastric (NG) tube inserted for intermittent feedings, which of the following is an appropriate task to delegate to unlicensed assistive personnel?

Correct Answer: C

Rationale: Administering tube feedings (
C) can be delegated to unlicensed assistive personnel if trained, per facility policy. Inserting (
A), verifying (
B), and repositioning (
D) require nursing judgment.

Question 4 of 5

The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indicator of the tube's stomach placement?

Correct Answer: B

Rationale: A green aspirate with a pH of 3 confirms gastric placement, as stomach contents are acidic and often green due to bile, providing the most reliable indicator.

Question 5 of 5

The nurse is caring for a client with full thickness burns to the lower half of the torso and lower extremities. During the emergent phase of injury, the primary nursing diagnosis would focus on:

Correct Answer: C

Rationale: In the emergent phase of burns, fluid volume deficit is the priority due to massive fluid loss from damaged skin, risking hypovolemic shock.

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