Nclex Rn 2021 Review Latest
Updated 2024 Questions With
CORRECT ANSWERS.
The position of the infant during burping - ✔✔✔✔✔✔-Information on the crying
pattern of the infant is most helpful in confirming the diagnosis of colic.
Typically the colic attack begins abruptly, with the infant crying loudly and
continuously, possibly for hours. The attack may end when the child
becomes exhausted. The child also may attain some relief after passing stool
or flatus. Often, in an attempt to alleviate the infant's crying, parents try to
feed the infant, resulting in overfeeding leading to discomfort and distention.
Asking about the type of formula, sleep position, or position for burping will
not provide
call for assistance. - ✔✔✔✔✔✔-After 2 minutes of CPR, the nurse should call
for assistance and then resume efforts. CPR shouldn't be stopped after it has
been started unless the nurse is too exhausted to continue. A cycle usually
ends with breaths, so the next beginning cycle after pulse check and
summoning help would begin with chest compressions.
, Which item must the nurse consider when positioning a client for tracheal
suctioning?
Position in low-Fowler's position.
Maintain the head in a hyperextended position.
Ensure that the client's neck is flexed.
Position in a semi-Fowler's position. - ✔✔✔✔✔✔-The semi-Fowler's position is
the correct position for suctioning a client. The other answers are incorrect
based on incorrect positioning of client for suctioning. The neck should be in
neutral position.
A client arrives at a public health clinic worried that she has breast cancer
after finding a lump in her breast. When assessing the breast, which
assessment finding provides an indication that the lump is more typical of
fibrocystic breast disease?
One breast is larger than the other.
The lump is firm and non-movable.
The lump is round and movable.
Nipple retractions are noted. - ✔✔✔✔✔✔-When assessing a breast with
fibrocystic disease, the lumps typically are different from cancerous lumps.
The characteristic breast mass of fibrocystic disease is soft to firm, circular,
movable, and unlikely to cause nipple retraction. A cancerous mass is
typically irregular in shape, firm, and non-movable. Lumps typically do not
make one breast larger than the other. Nipple retractions are suggestive of
cancerous masses.
A neonate weighing 3 lb, 5 oz (1,503 g) is born at 32 weeks' gestation. During
an assessment 12 hours after birth, a nurse notices these signs and
symptoms: hyperactivity, a persistent shrill cry, frequent yawning and
sneezing, and jitteriness. These symptoms indicate
sepsis.
Updated 2024 Questions With
CORRECT ANSWERS.
The position of the infant during burping - ✔✔✔✔✔✔-Information on the crying
pattern of the infant is most helpful in confirming the diagnosis of colic.
Typically the colic attack begins abruptly, with the infant crying loudly and
continuously, possibly for hours. The attack may end when the child
becomes exhausted. The child also may attain some relief after passing stool
or flatus. Often, in an attempt to alleviate the infant's crying, parents try to
feed the infant, resulting in overfeeding leading to discomfort and distention.
Asking about the type of formula, sleep position, or position for burping will
not provide
call for assistance. - ✔✔✔✔✔✔-After 2 minutes of CPR, the nurse should call
for assistance and then resume efforts. CPR shouldn't be stopped after it has
been started unless the nurse is too exhausted to continue. A cycle usually
ends with breaths, so the next beginning cycle after pulse check and
summoning help would begin with chest compressions.
, Which item must the nurse consider when positioning a client for tracheal
suctioning?
Position in low-Fowler's position.
Maintain the head in a hyperextended position.
Ensure that the client's neck is flexed.
Position in a semi-Fowler's position. - ✔✔✔✔✔✔-The semi-Fowler's position is
the correct position for suctioning a client. The other answers are incorrect
based on incorrect positioning of client for suctioning. The neck should be in
neutral position.
A client arrives at a public health clinic worried that she has breast cancer
after finding a lump in her breast. When assessing the breast, which
assessment finding provides an indication that the lump is more typical of
fibrocystic breast disease?
One breast is larger than the other.
The lump is firm and non-movable.
The lump is round and movable.
Nipple retractions are noted. - ✔✔✔✔✔✔-When assessing a breast with
fibrocystic disease, the lumps typically are different from cancerous lumps.
The characteristic breast mass of fibrocystic disease is soft to firm, circular,
movable, and unlikely to cause nipple retraction. A cancerous mass is
typically irregular in shape, firm, and non-movable. Lumps typically do not
make one breast larger than the other. Nipple retractions are suggestive of
cancerous masses.
A neonate weighing 3 lb, 5 oz (1,503 g) is born at 32 weeks' gestation. During
an assessment 12 hours after birth, a nurse notices these signs and
symptoms: hyperactivity, a persistent shrill cry, frequent yawning and
sneezing, and jitteriness. These symptoms indicate
sepsis.
