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NCLEX RN· Health Promotion and Maintenance · NCLEX RN Exam Review Answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

You are caring for an infant who is just about 12 months old. Which assessment data is normal for the infant at this age?

A. The infant had doubled their birth weight at twelve months.
B. The infant had tripled their birth weight at twelve months.
C. The mother reports that the infant is drinking 60 mLs per kilogram of its body weight.
D. The infant had grown ¼ inch since last month.

Expert Explanatory Rationale

Correct Answer: The infant had doubled their birth weight at twelve months.

Question 2 of 5

A writer is admitted for the second time accompanied by his wife. He is demanding, arrogant, talks fast, and is hyperactive. Initially, the nurse should plan this for a manic client:

A. Set realistic limits to the client's behavior
B. Repeat verbal instructions as often as needed
C. Allow the client to express feelings to relieve tension
D. Assign a staff member to be with the client at all times to help maintain control

Expert Explanatory Rationale

Correct Answer: Set realistic limits to the client's behavior

Question 3 of 5

A nurse with five years of experience working in a hospital unit is promoted as a mentor and preceptor to a new nursing staff. This is an example of:

A. Collegiality
B. Competence
C. Advocacy
D. Integration

Expert Explanatory Rationale

Correct Answer: Collegiality

Question 4 of 5

A family member is complaining that the lights are too dim in the middle of the night when she comes in to visit her husband. What is the most objective response?

A. Patients sleep better with the lights dimmed.
B. The nightshift nurses prefer to work with less light.
C. It's time for him to sleep, and you should, too.
D. There's a reason we do that. Let me share a research study with you.

Expert Explanatory Rationale

Correct Answer: There's a reason we do that. Let me share a research study with you.

Question 5 of 5

What is the highest priority for post ECT care?

A. Observe for confusion
B. Monitor respiratory status
C. Reorient to time, place, and person
D. Document the client's response to the treatment

Expert Explanatory Rationale

Correct Answer: Monitor respiratory status

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