Test Prep NCLEX-PN - National Council Licensureination - NCLEX-PN Exam
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Total 1031 questions
Question #11 (Topic: Questions Set A)
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by
desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
A. administering immune globulin intravenously
B. assessing the extremities for edema, redness and desquamation every 8 hours
C. explaining progression of the disease to the client and his or her family
D. assessing heart sounds and rhythm
Answer: C
Question #12 (Topic: Questions Set A)
Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?
A. immobility
B. altered growth and development
C. hemarthrosis
D. altered family processes
Answer: D
Question #13 (Topic: Questions Set A)
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the
following is an appropriate response by the nurse?
following is an appropriate response by the nurse?
A. "I will assist you in arranging to have a medicine woman present."
B. "We do not allow medicine women in exam rooms."
C. "That does not make any difference in the outcome."
D. "It is old-fashioned to believe in that."
Answer: A
Question #14 (Topic: Questions Set A)
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
A. increase maternal fluids.
B. administer oxygen.
C. decrease maternal fluids.
D. turn the mother.
Answer: C
Question #15 (Topic: Questions Set A)
Which fetal heart monitor pattern can indicate cord compression?
A. variable decelerations
B. early decelerations
C. bradycardia
D. tachycardia
Answer: A