NCLEX-PN
QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause. D. postmenopause.
Correct Answer: C Section: (none) Explana...
Number: NCLEX-PN
Passing Score: 800
Time Limit: 120 min
File Version: 12.5
http://www.gratisexam.com/
NCLEX-PN
National Council Licensure Examination
This is my first share of braindumps questions. Very helpful study center it is. Best Testing VCE it is.
,NCLEX-PN
QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six
months. The nurse should assess the woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause.
D. postmenopause.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function
diminishes, and menses become irregular. Perimenopause lasts approximately five years.
Climacteric is a term
applied to the period of life in which physiologic changes occur and result in cessation of a woman's
reproductive
ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause
are
interchangeable terms when used for females. Menopause is the period when permanent cessation of
menses has
occurred. Postmenopause refers to the period after the changes accompanying menopause are
complete.Health
Promotion and Maintenance
QUESTION 2
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a
contraindication for hormone replacement therapy?
A. family history of stroke
B. ovaries removed before age 45
C. frequent hot flashes and/or night sweats
D. unexplained vaginal bleeding
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family history of
stroke is not a contraindication for hormone replacement therapy. If the woman herself had a history of
stroke or
other blood-clotting events, hormone therapy could be contraindicated. Frequent hot flashes and/or night
sweats
can be relieved by hormone replacement therapy.Health Promotion and Maintenance
QUESTION 3
Which of the following statements, if made by the parents of a newborn, does not indicate a need for
further teaching about cord care?
A. "I should put alcohol on my baby's cord 34 times a day."
B. "I should put the baby's diaper on so that it covers the cord."
C. "I should call the physician if the cord becomes dark."
,D. "I should wash my hands before and after I take care of the cord."
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Parents should be taught to wash their hands before and after providing cord care. This prevents
transferring
pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for
drying.
It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations
include
cleaning the area around the cord 34 times a day with a cotton swab but do not include putting alcohol or
other
antimicrobials on the cord. It is normal for the cord to turn dark as it dries.Health Promotion and
Maintenance
QUESTION 4
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions
should the nurse include?
A. Use the defrost setting on microwave ovensto warm bottles.
B. When refrigerating formula, don't feed the baby partially used bottles after 24 hours.
C. When using formula concentrate, mix two parts water and one part concentrate.
D. If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Parents must be careful when warming bottles in a microwave oven because the milk can become
superheated.
When a microwave oven is used, the defrost setting should be chosen, and the temperature of the formula
should
be checked before giving it to the baby. Refrigerated, partially used bottles should be discarded after 4
hours
because the baby might have introduced some pathogens into the formula. Returning the bottle to the
refrigerator
does not destroy pathogens. Formula concentrate and water are usually mixed in a 1:1 ratio of one part
concentrate
and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles should
not have
fresh formula added to them. Pathogens can grow in partially used bottles of formula and be transferred to
the new
formula.Health Promotion and Maintenance
QUESTION 5
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse
expect to examine?
A. 6
B. 8
C. 12
D. 16
Correct Answer: C
, Section: (none)
Explanation
Explanation/Reference:
Explanation:
In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to
the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in
the
age of the child. In this example, the child is 18 months old, so the formula is 18 6 = 12. An 18-month-old
child
should have approximately 12 teeth.Health Promotion and Maintenance
QUESTION 6
Which of the following physical findings indicates that an 1112-month-old child is at risk for developmental
dysplasia of the hip?
http://www.gratisexam.com/
A. refusal to walk
B. not pulling to a standing position
C. negative Trendelenburg sign
D. negative Ortolani sign
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
Explanation:
The nurse might be concerned about developmental dysplasia of the hip if an 1112-month-old child doesn't
pull to a standing position. An infant who does not walk by 15 months of age should be evaluated. Children
should start walking between 1115 months of age. Trendelenberg sign is related to weakness of the
gluteus
medius muscle, not hip dysplasia. Ortolani sign is used to identify congenital subluxation or dislocation of
the
hip in infants.Health Promotion and Maintenance
QUESTION 7
When administering intravenous electrolyte solution, the nurse should take which of the following
precautions?
A. Infuse hypertonic solutions rapidly.
B. Mix no more than 80 mEq of potassium per liter of fluid.
C. Prevent infiltration of calcium, which causes tissue necrosis and sloughing.
D. As appropriate, reevaluate the client's digitalis dosage. He might need an increased dosage because IV
calcium diminishes digitalis's action.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
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