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National Council Licensureination - NCLEX-PN

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Question 1 of 1640
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months.
The nurse should assess the woman for other symptoms of ___________.
Answer

Suggested Answer

The suggested answer is C.

Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular. Perimenopause lasts approximately five years.
Climacteric is a term applied to the period of life in which physiologic changes occur and result in cessation of a woman's reproductive ability and lessened sexual activity in males. The term applies to both genders.
Climacteric and menopause are interchangeable terms when used for females.
Menopause is the period when permanent cessation of menses has occurred.
Postmenopause refers to the period after the changes accompanying menopause are complete.
Question 2 of 1640
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Answer

Suggested Answer

The suggested answer is D.

Unexplained vaginal bleeding is a contraindication for hormone replacement therapy.
Family history of stroke is not a contraindication for hormone replacement therapy. If the woman herself had a history of stroke or other blood-clotting events, hormone therapy could be contraindicated.
Frequent hot flashes and/or night sweats can be relieved by hormone replacement therapy.
Question 3 of 1640
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
Answer

Suggested Answer

The suggested answer is D.

Parents should be taught to wash their hands before and after providing cord care. This prevents transferring pathogens to and from the cord.
Folding the diaper below the cord exposes the cord to air and allows for drying. It also prevents wet or soiled diapers from coming into contact with the cord.
Current recommendations include cleaning the area around the cord 3-4 times a day with a cotton swab but do not include putting alcohol or other antimicrobials on the cord. It is normal for the cord to turn dark as it dries.
Question 4 of 1640
The nurse is teaching parents of a newborn about feeding their infant.
Which of the following instructions should the nurse include?
Answer

Suggested Answer

The suggested answer is A.

Parents must be careful when warming bottles in a microwave oven because the milk can become superheated.
When a microwave oven is used, the defrost setting should be chosen, and the temperature of the formula should be checked before giving it to the baby.
Refrigerated, partially used bottles should be discarded after 4 hours because the baby might have introduced some pathogens into the formula. Returning the bottle to the refrigerator does not destroy pathogens.
Formula concentrate and water are usually mixed in a 1:1 ratio of one part concentrate and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles should not have fresh formula added to them. Pathogens can grow in partially used bottles of formula and be transferred to the new formula.
Question 5 of 1640
The nurse is assessing the dental status of an 18-month-old child.
How many teeth should the nurse expect to examine?
Answer

Suggested Answer

The suggested answer is C.

In general, children begin dentition around 6 months of age.
During the first 2 years of life, a quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in the age of the child.
In this example, the child is 18 months old, so the formula is 18 "" 6 = 12. An 18-month-old child should have approximately 12 teeth.

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