Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
The nurse is performing a measurement of fundal height in a client
whose pregnancy has reached 36 weeks of gestation. During the
measurement the client begins to feel lightheaded. On the basis of
knowledge of the physiological changes of pregnancy, the nurse
understands that which is the cause of the lightheadedness?
1.A full bladder
2.Emotional instability
3.Insufficient iron intake
4.Compression of the vena cava -
correct answer ✅4.Compression of the vena cava.
Compression of the inferior vena cava and aorta by the uterus may
cause supine hypotension syndrome late in pregnancy. Having the
woman turn onto her left side or elevating the left buttock during
fundal height measurement will prevent or correct the problem.
The remaining options are unrelated to this syndrome.
The nursing student is writing a plan of care for a child who
presents with an acute head injury. The nursing instructor reviews
the plan of care and praises the student for identifying which
assessment as a priority?
1.
,Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
Inspecting the scalp
2.
Pupillary assessment
3.
Airway and breathing
4.
Palpating the child's head -
correct answer ✅3.Airway and breathing.
The first step in the emergency treatment of child with head injury
includes the ABCs-airway, breathing, and circulation-assessments.
The other assessments are included when evaluating a head injury,
but the priority is ABC.
A client is suspected of having systemic lupus erythematosus (SLE).
On reviewing the client's record, the nurse should expect to note
documentation of which characteristic sign of SLE?
1.Fever
2.Fatigue
3.Skin lesions
,Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
4.Elevated red blood cell count -
correct answer ✅3.Skin lesions.
Systemic lupus erythematosus is a chronic, progressive,
inflammatory connective tissue disorder that can cause major body
organs and systems to fail. The major skin manifestation of SLE is a
dry, scaly, raised rash on the face known as the butterfly rash. Fever
and fatigue may occur before and during exacerbation, but these
signs and symptoms are vague. Anemia is most likely to occur in
SLE.
The nurse is caring for a child with a diagnosis of neutropenia.
Which nursing interventions are most appropriate for a child placed
in protective isolation for neutropenia? Select all that apply.
1.
Place the child on a low-bacteria diet.
2.
Change dressings using sterile technique.
3.
Put flowers in a vase with water before placing in the room.
4.
Peel fruits and vegetables before allowing the child to eat them.
, Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
5.
Allow individuals who are ill to visit as long as they wear a mask. -
correct answer ✅1.Place the child on a low-bacteria diet.
For the hospitalized neutropenic child, flowers or plants should not
be kept in the room because standing water and damp soil harbor
Aspergillusand Pseudomonas species, to which these children are
very susceptible. Fruits and vegetables not peeled before being
eaten harbor molds and should be avoided until the white blood
cell count rises. The child is placed on a low-bacteria diet. Dressings
are always changed using sterile technique. Individuals who are ill
are not allowed to visit the client.
The nurse is reviewing the laboratory test results for a client who
takes 325 mg of acetylsalicylic acid, or aspirin, daily and has been
having frequent nosebleed episodes. What blood level should the
nurse review?
1.Hemoglobin (Hgb)
2.Prothrombin time (PT)
3.Red blood cell (RBC) level
4.Partial thromboplastin time (PTT) -
correct answer ✅2.Prothrombin time (PT).
Fundamentals Exam Questions &
Answers (Grade A+)
The nurse is performing a measurement of fundal height in a client
whose pregnancy has reached 36 weeks of gestation. During the
measurement the client begins to feel lightheaded. On the basis of
knowledge of the physiological changes of pregnancy, the nurse
understands that which is the cause of the lightheadedness?
1.A full bladder
2.Emotional instability
3.Insufficient iron intake
4.Compression of the vena cava -
correct answer ✅4.Compression of the vena cava.
Compression of the inferior vena cava and aorta by the uterus may
cause supine hypotension syndrome late in pregnancy. Having the
woman turn onto her left side or elevating the left buttock during
fundal height measurement will prevent or correct the problem.
The remaining options are unrelated to this syndrome.
The nursing student is writing a plan of care for a child who
presents with an acute head injury. The nursing instructor reviews
the plan of care and praises the student for identifying which
assessment as a priority?
1.
,Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
Inspecting the scalp
2.
Pupillary assessment
3.
Airway and breathing
4.
Palpating the child's head -
correct answer ✅3.Airway and breathing.
The first step in the emergency treatment of child with head injury
includes the ABCs-airway, breathing, and circulation-assessments.
The other assessments are included when evaluating a head injury,
but the priority is ABC.
A client is suspected of having systemic lupus erythematosus (SLE).
On reviewing the client's record, the nurse should expect to note
documentation of which characteristic sign of SLE?
1.Fever
2.Fatigue
3.Skin lesions
,Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
4.Elevated red blood cell count -
correct answer ✅3.Skin lesions.
Systemic lupus erythematosus is a chronic, progressive,
inflammatory connective tissue disorder that can cause major body
organs and systems to fail. The major skin manifestation of SLE is a
dry, scaly, raised rash on the face known as the butterfly rash. Fever
and fatigue may occur before and during exacerbation, but these
signs and symptoms are vague. Anemia is most likely to occur in
SLE.
The nurse is caring for a child with a diagnosis of neutropenia.
Which nursing interventions are most appropriate for a child placed
in protective isolation for neutropenia? Select all that apply.
1.
Place the child on a low-bacteria diet.
2.
Change dressings using sterile technique.
3.
Put flowers in a vase with water before placing in the room.
4.
Peel fruits and vegetables before allowing the child to eat them.
, Saunder's NCLEX review-
Fundamentals Exam Questions &
Answers (Grade A+)
5.
Allow individuals who are ill to visit as long as they wear a mask. -
correct answer ✅1.Place the child on a low-bacteria diet.
For the hospitalized neutropenic child, flowers or plants should not
be kept in the room because standing water and damp soil harbor
Aspergillusand Pseudomonas species, to which these children are
very susceptible. Fruits and vegetables not peeled before being
eaten harbor molds and should be avoided until the white blood
cell count rises. The child is placed on a low-bacteria diet. Dressings
are always changed using sterile technique. Individuals who are ill
are not allowed to visit the client.
The nurse is reviewing the laboratory test results for a client who
takes 325 mg of acetylsalicylic acid, or aspirin, daily and has been
having frequent nosebleed episodes. What blood level should the
nurse review?
1.Hemoglobin (Hgb)
2.Prothrombin time (PT)
3.Red blood cell (RBC) level
4.Partial thromboplastin time (PTT) -
correct answer ✅2.Prothrombin time (PT).
