Test Prep National Council Licensure Examination(NCLEX-PN) NCLEX-PN Dumps in PDF

Free Test Prep NCLEX-PN Real Questions (page: 7)

The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except ______________.

  1. knowledge of food and food products
  2. development of a positive mental attitude
  3. adequate exercise
  4. starting a fast weight-loss diet

Answer(s): D

Explanation:

Start a fast weight-loss diet.



An assessment of the skull of a normal 10-monthold baby should identify which of the following?

  1. Closure of the posterior fontanel.
  2. Closure of the anterior fontanel.
  3. Overlap of cranial bones.
  4. Ossification of the sutures.

Answer(s): A

Explanation:

The posterior fontanel should close by the age of 2 months.



Which is the best way to position a client’s neck for palpation of the thyroid?

  1. flexed toward the side being examined
  2. hyperextended directly backward
  3. flexed away from the side being examined
  4. flexed directly forward

Answer(s): A

Explanation:

Flexed toward the side being examined.



A client, age 28, is 81⁄2 months pregnant.
She is most likely to display which normal skin-color variation?

  1. vitiligo
  2. erythema
  3. cyanosis
  4. chloasma

Answer(s): D

Explanation:

Chloasma, also known as the mask of pregnancy, is described as tan-to-brown patches on the face. This hyperpigmentation results from hormonal changes.



An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client’s care plan?

  1. emotional support to help the family deal with feelings of guilt about the infant’s condition
  2. administration of MICRhoGam to the woman within 72 hours of delivery
  3. administration of Rh-immune globulin to the newborn within 1 hour of delivery
  4. lab analysis of maternal Direct Coombs’ test

Answer(s): A

Explanation:

If a woman is sensitized to the Rh factor, it poses a threat to any Rh-positive fetus she delivers.
The nurse needs to provide emotional support to help the family deal with the infant’s condition, which might involve a host of conditions that could lead to death or marked neurological damage.
RhoGam is never given to a woman already sensitized. If not previously sensitized, MICRhoGam (a smaller dose of Rh immune globulin) is given after an abortion or ectopic pregnancy to prevent sensitization. If not sensitized, RhoGam is given to the woman within 72 hours of delivery. Rh-immune globulin is never given to the newborn.
To determine if sensitization has occurred, an Indirect Coombs’ is drawn on the mother to measure the number of Rh-positive antibodies.



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