NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?
Correct Answer: B
Rationale: Poor body image. Obesity often leads to decreased self-esteem and negative body image in adolescents.
Question 2 of 5
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
Correct Answer: C
Rationale: Decreasing maternal fluids is not indicated for fetal distress and could worsen hydration status. The other interventions help improve fetal oxygenation and circulation. Reduction of Risk Potential
Extract:
At the well-baby clinic, the nurse follows certain sequence of the baby's assessment
Question 3 of 5
The nurse follows certain sequence of the baby's assessment that includes:
Correct Answer: D
Rationale: Assessing temperature first avoids influencing it, followed by weight, respiratory rate, and heart rate for a comprehensive evaluation.
Extract:
Question 4 of 5
A gravida 2 para 0 is admitted from the ER with spontaneous rupture of membranes. She states that she has seen the doctor only twice during the pregnancy and that she is unsure of her exact due date. Exam reveals the presence of green-tinged fluid in the vaginal vault. The fetus is noted to be in a LOP position with an FHR of 110 BPM. Based on the assessment, the nurse suspects:
Correct Answer: A
Rationale: Green-tinged fluid (meconium) and FHR of 110 BPM suggest fetal distress. Infection, post-maturity, or TE fistula are less likely without additional signs.
Question 5 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.