A female baby was born with talipes equinovarus. Her mother has reques

NCLEX RN Exam Questions

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Question 1 of 5.

A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the baby's condition. The nurse knows that the pediatrician has discussed the baby's condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?

A. Call the orthopedist and request that he come to see the baby now.

B. Question the mother and find out what the pediatrician has told her about the baby's condition.

C. Tell the mother that this is not a serious condition.

D. Tell the mother that this condition has been successfully treated with exercises, casts, and/or braces.

Explanation: The nurse should call the orthopedist after assessing the mother's knowledge. The nurse must first assess the knowledge of the parent before attempting any explanation. The nurse should assess the mother's knowledge of the baby's condition as the first priority. This answer is correct, but the priority is B.

Question 2 of 5.

A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:

A. In a single lymph node or single site

B. In more than one node or single organ on the same side of the diaphragm

C. In lymph nodes on both sides of the diaphragm

D. In disseminated organs and tissues

Explanation: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.

Question 3 of 5.

When caring for a client with an anterior cervical discectomy, the nurse should give priority to assessing for post-operative bleeding. The nurse should pay particular attention to:

A. Drainage on the surgical dressing

B. Complaints of neck pain

C. Bleeding from the mouth

D. Swelling in the posterior neck

Explanation: Swelling in the posterior neck may indicate a hematoma, which can compress the airway or spinal cord, making it a priority assessment post-cervical discectomy.

Question 4 of 5.

Which of the following combinations of foods is appropriate for an eight-month-old infant?

A. Cocoa-flavored cereal, orange juice, and strained meat

B. Graham crackers, strained prunes, and pudding

C. Rice cereal, bananas, and strained carrots

D. Mashed potatoes, strained beets, and whole milk

Explanation: Rice cereal, bananas, and strained carrots are developmentally appropriate, easily digestible foods for an eight-month-old, unlike the other options, which include choking hazards or inappropriate items like whole milk.

Question 5 of 5.

A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:

A. Serum glucose levels

B. Liver enzymes

C. Pancreatic enzymes

D. Plasma protein levels

Explanation: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, reflecting liver dysfunction.