Njengamartin399

A nurse is assessing a patient with chest pain. What is the priority action by the nurse? A) Obtain a 12-lead ECG. B) Administer nitroglycerin. C) Obtain vital signs. D) Call the physician. Answer: A) Obtain a 12-lead ECG. Rationale: The priority action is to obtain a 12-lead ECG to assess for any cardiac abnormalities. Early identification of cardiac issues is crucial in managing chest pain. ________________________________________ Question 2 Which of the following is an example of cri...

1. The nurse is caring for a 2-month-old infant. Which of the following developmental milestones should the nurse expect at this age? a. Sits without support b. Follows objects with eyes c. Pulls up to stand d. Says "mama" and "dada" Answer: b. Follows objects with eyes Rationale: At 2 months, infants are expected to begin tracking objects with their eyes. Sitting without support occurs closer to 6 months, pulling to stand closer to 9 months, and saying "mama" or "dada...

1. The role of a nurse in the healthcare environment is primarily: A) Performing surgical procedures B) Diagnosing medical conditions C) Providing holistic patient-centered care D) Dispensing medications without orders Correct Answer: C Rationale: Nurses provide patient-centered care by addressing the physical, emotional, and spiritual needs of patients. They do not diagnose conditions or perform surgeries. ________________________________________ 2. Which of the following nursing roles ...

NCLEX-Style Questions 1. A nurse is caring for a patient in labor who is experiencing hypertonic uterine contractions. What is the most appropriate nursing intervention? A. Administer oxytocin as ordered. B. Encourage the patient to ambulate. C. Provide hydration and analgesics. D. Monitor fetal heart rate continuously. Correct Answer: C. Provide hydration and analgesics. Rationale: Hypertonic contractions can lead to uterine fatigue. Providing hydration and pain management helps reduce d...

Labor and BirthLabor and Birth

1. During a prenatal visit, a pregnant client expresses concern about gaining too much weight. Which response by the nurse is most appropriate? A. "You should avoid carbohydrates and eat mostly proteins." B. "A balanced diet including fruits, vegetables, and whole grains is recommended." C. "It is safe to follow a weight-loss diet if you feel uncomfortable." D. "You can skip meals if your weight gain is excessive." Answer: B. "A balanced diet including fruits, veg...

1. A client is experiencing symptoms of menopause. Which hormone deficiency is most responsible for these changes? a) Progesterone b) Estrogen c) Testosterone d) Human Chorionic Gonadotropin (hCG) Answer: b) Estrogen Rationale: The symptoms of menopause are primarily caused by decreased levels of estrogen, leading to hot flashes, vaginal dryness, and mood changes. Progesterone levels also decrease, but estrogen deficiency is more directly related to menopausal symptoms. __________________...

1. An older client is admitted with confusion, urinary incontinence, and a low-grade fever. What is the nurse's priority action? A. Reorient the client to surroundings. B. Obtain a urine sample for analysis. C. Apply an incontinence brief. D. Perform a mental status exam. Correct Answer: B Rationale: Confusion, incontinence, and fever are classic signs of a urinary tract infection (UTI) in older adults. A urine sample should be obtained to confirm the diagnosis and initiate appropriate ...

1. A nurse is assessing a 6-month-old infant. Which of the following milestones should the nurse expect the infant to have achieved? a) Sitting up without support b) Crawling c) Rolling from back to front d) Saying single words like "mama" or "dada" Answer: c) Rolling from back to front Rationale: By 6 months, an infant typically rolls from back to front. Sitting without support usually occurs around 8 months. Crawling generally happens around 9 months, and saying single words ...

1. Which of the following theorists is known for the psychosocial development theory? A) Jean Piaget B) Erik Erikson C) Sigmund Freud D) Lawrence Kohlberg Answer: B) Erik Erikson Rationale: Erik Erikson is known for his theory of psychosocial development, which outlines eight stages that individuals go through from infancy to adulthood. ________________________________________ 2. According to Piaget, what is the primary task of the sensorimotor stage? A) Developing logical thinking B) ...