NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

Which statement by the parent of a child with sickle cell anemia indicates an understanding of the disease?

Correct Answer: C

Rationale: Extra fluids in summer prevent dehydration, which can trigger sickle cell crises, indicating parental understanding of disease management.

Question 2 of 5

A 6-month-old is being treated for thrush with Nystatin (mycostatin) oral suspension. The nurse should administer the medication by:

Correct Answer: B

Rationale: Nystatin for thrush should be applied directly to the oral mucosa using a cotton-tipped swab to ensure effective treatment.

Question 3 of 5

The nurse is caring for a client with diabetes mellitus, type 1. Which of the following signs and symptoms are indicative of diabetic ketoacidosis? Select all that apply.

Correct Answer: B,C,D,F

Rationale: Diabetic ketoacidosis (DK
A) is characterized by polyuria (
B), hyperventilation (C, Kussmaul respirations), polydipsia (
D), and abdominal pain (F) due to hyperglycemia and acidosis. Increased appetite (
A) and hypertension (E) are not typical DKA symptoms.

Question 4 of 5

The nurse cares for two children brought into an emergency shelter. Law enforcement suspects the children have been neglected. The nurse should assess

Correct Answer: C

Rationale: Height and weight assess for failure to thrive, a key indicator of neglect. Bruises on knees/elbows are common in children and less specific.

Question 5 of 5

When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

Correct Answer: A

Rationale: A fundus displaced to the right on the first postpartum day is often due to bladder distention, which should be assessed next.

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