NCLEX Example Questions And Answer 3th Edition
NCLEX Example Questions And Answer 3th Edition
1. A nurse understands that an infant with a diagnosis of hydrocephalus has a head that is heavier than the average infant and that special safety precautions are needed when moving the infant. Which statement would the nurse include when providing instructions to the parents to reflect this safety need?
A. “When picking up your infant, support the infant’s neck and head with the open palm of your hand.”
B. “Feed your infant in a side-lying position.”
C. “Place a helmet on your infant when in bed.”
D. “Hyperextend your infant’s head with a rolled blanket under the neck area.”
2. A nurse is evaluating the parent’s understanding of discharge care regarding the functioning of the infant’s ventricular peritoneal shunt. Which statement by a parent indicates an understanding of the shunt complications?
A. “If my baby has a high-pitched cry, I should call the doctor.”
B. “I should position my baby on the side with the shunt when sleeping.”
C. “My baby will pass urine more often now that the shunt is in place.”
D. “I should call my doctor if my baby refuses purees.”
3. A nurse is caring for a newborn with a diagnosis of spina bifida (meningomyelocele). The nurse monitors for a major symptom associated with this disorder when the nurse:
A. Checks the capillary refill on the nail beds of the upper extremities
B. Tests the urine for blood
C. Palpates the abdomen for masses
D. Checks for responses to painful stimuli from the torso downward
4. A nurse is caring for a newborn with spina bifida (meningomyelocele type) who is scheduled for the removal of the gibbus (sac on the back filled with cerebrospinal fluid, meninges, and some of the spinal cord). In the preoperative period, the priority nursing action is to monitor:
A. Blood pressure
B. Moisture of the normal saline dressing on the gibbus area
C. Specific gravity of the urine
D. Anterior fontanel for depression
5. A nursing student is conducting a clinical conference regarding the hormones that are related to pregnancy. The instructor asks the student about the function of thyroxine. Which statement by the student indicates an understanding of this hormone?
A. “It softens the muscles and joints of the pelvis.”
B. “It is the primary hormone of milk production.”
C. “It increases during pregnancy to stimulate basal metabolic rate.”
D. “It maintains the uterine lining for implantation.”
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