NCLEX Questions, NCLEX Trainer Test 9 Questions, NCLEX-PN Questions, Nurselytic

Questions 155

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 9 Questions

Extract:

A newborn.


Question 1 of 5

While performing a physical examination on a newborn, which of the following nursing assessments should be reported to the doctor?

Correct Answer: A

Rationale: Strategy: Determine if the assessment is abnormal. (1) correct-average circumference of the head for a neonate ranges from 32 to 36 cm; increase in size may indicate hydrocephaly or increased intracranial pressure (2) normal newborn assessment (3) normal newborn assessment (4) normal newborn assessment

Extract:


Question 2 of 5

The nurse is caring for a client with a history of systemic lupus erythematosus.

Correct Answer: B

Rationale: Fever and joint pain are common in systemic lupus erythematosus due to autoimmune inflammation. Chest pain may occur with pericarditis, but weight gain and headaches are less specific.

Extract:

A newborn.


Question 3 of 5

While performing a physical examination on a newborn, which of the following nursing assessments should be reported to the doctor?

Correct Answer: A

Rationale: Strategy: Determine if the assessment is abnormal. (1) correct-average circumference of the head for a neonate ranges from 32 to 36 cm; increase in size may indicate hydrocephaly or increased intracranial pressure (2) normal newborn assessment (3) normal newborn assessment (4) normal newborn assessment

Extract:


Question 4 of 5

A 15-month old is admitted in sickle crisis. The parents ask why the child did not have any symptoms until now. What should be included in the nurse's response?

Correct Answer: D

Rationale: High fetal hemoglobin (HbF) in infants inhibits sickling, delaying sickle cell anemia symptoms until HbF decreases around 6-12 months, replaced by adult hemoglobin.

Question 5 of 5

Because a client has Guillain-Barré syndrome, the nurse would expect which of the following in the client's history?

Correct Answer: A

Rationale: Guillain-Barré syndrome is often preceded by a viral upper respiratory infection, triggering an autoimmune response, unlike tick bites, mosquito bites, or strep throat.

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