September 19, 2024

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July 20 -NCLEX Daily Practice Questions

Saturday

The nursery nurse is performing assessments of several newborns. Which of the following findings are abnormal and need to be reported to the health care provider? Select all that apply.

1. Chest wall retractions
2. Desquamation of the feet
3. Head circumference of 13.5 in (34 cm)
4. Jaundiced appearance
5. No voiding in 24 hours
 
When caring for newborns, the nurse should recognize abnormal findings and report them to the health care provider. Some abnormal newborn findings include:

Abnormal respiratory effort (eg, nasal flaring, chest wall retractions, grunting, tachypnea [>60/min]): Signs of respiratory distress should be evaluated promptly to determine necessary treatment (Option 1).

Jaundice, especially in the first 24 hours of life (pathologic): Yellowish hues may be initially noted on the face or eyes and progress to the trunk and extremities (Option 4).

Although newborn jaundice after 24 hours of life is usually physiologic and resolves spontaneously, it should still be reported and monitored closely to ensure resolution.

No voiding in 24 hours: A newborn should void and pass meconium within 24 hours after birth. Not voiding on the first day of life or in the past 24 hours is concerning for a structural anomaly or dehydration (Option 5).

  • (Option 2) Desquamation (peeling skin) is a normal finding in some newborns, especially those born at late- or post-term gestation. Moisturizers can be applied if desired, but desquamation resolves on its own over several days.
  • (Option 3) Average newborn head circumference is approximately 13-14 in (33-35 cm). A smaller or larger head circumference may indicate an abnormal condition (eg, microcephaly, hydrocephalus).

Educational objective: When caring for newborns, the nurse should recognize abnormal findings (eg, jaundice, failure to void within 24 hours, signs of respiratory distress [eg, chest wall retractions]), and report them to the health care provider for further assessment.

NCLEX Lab Values Practice Questions # 01

NCLEX Lab Values Practice Questions # 01

1 / 10

A client's lab results show a blood urea nitrogen (BUN) level of 25 mg/dL and a creatinine level of 1.8 mg/dL. What do these findings suggest?

2 / 10

A client’s lab results indicate a white blood cell (WBC) count of 15,000/mm³. What might this lab value suggest?

3 / 10

The nurse notes that a client's platelet count is 90,000/µL. Which is the most appropriate intervention?

4 / 10

A client's laboratory results show a fasting blood glucose level of 130 mg/dL. What condition does this value indicate?

5 / 10

The nurse is assessing a client with a calcium level of 6.5 mg/dL. Which symptom should the nurse expect to find?

6 / 10

A client has an INR of 4.5 while on warfarin therapy. Which action should the nurse take?

7 / 10

A client’s complete blood count (CBC) shows a hemoglobin level of 7.8 g/dL. Which clinical manifestation should the nurse anticipate?

8 / 10

The nurse is reviewing the lab results of a client with pancreatitis. Which of the following serum amylase levels is consistent with this diagnosis?

9 / 10

A client’s laboratory results show a serum sodium level of 128 mEq/L. Which of the following findings should the nurse expect?

10 / 10

A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L. Which action should the nurse take first?

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