A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

Frequent nosebleeds

Increased intracranial pressure

Upper extremity hypotension

Weak femoral pulses

Answer and Explanation

The Correct Answer is D

A. Frequent nosebleeds: While hypertension can occur in coarctation of the aorta, frequent nosebleeds are not a typical finding associated with this condition.

B. Increased intracranial pressure: This is not a direct finding of coarctation of the aorta. Increased intracranial pressure may be related to other conditions, but it is not specifically expected in this context.

C. Upper extremity hypotension: In coarctation of the aorta, the upper extremities usually experience higher blood pressure due to the narrowing of the aorta distal to the branches supplying the arms. Therefore, hypotension in the upper extremities is not expected.

D. Weak femoral pulses: This is an expected finding in coarctation of the aorta, as the narrowing of the aorta can lead to decreased blood flow to the lower body, resulting in weak or diminished femoral pulses compared to the upper extremities.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Face: While jaundice can sometimes be observed on the face, it is not the most reliable area for assessment in clients with dark skin, as changes may be less visible due to pigmentation.

B. Palms of the hands: The palms can show signs of jaundice, but they may not be the best area to assess for this condition in clients with darker skin tones. Jaundice is typically more detectable in areas with less pigmentation.

C. Shoulders: The shoulders do not provide a reliable assessment area for jaundice, as skin tone can vary widely and may obscure subtle changes in color.

D. Sclera: The sclera (the white part of the eye) is the most appropriate area to assess for jaundice, regardless of skin color. Yellowing of the sclera is a classic sign of jaundice and can be easily observed in clients with dark skin.

A. Increase the suction pressure as tolerated. B. Flush the tube with 0.9% sodium chloride. C. Replace the NG tube every 24 hr. D. Position the client supine in bed.

Correct Answer is B

Explanation

A) Increase the suction pressure as tolerated: Increasing the suction pressure is not recommended as it can cause damage to the gastric mucosa and lead to complications such as bleeding or ulceration. The suction pressure should be set according to the healthcare provider’s orders and the manufacturer’s guidelines.

B) Flush the tube with 0.9% sodium chloride: Flushing the NG tube with 0.9% sodium chloride is an appropriate action to maintain patency and prevent clogging. This helps ensure that the tube remains functional for effective suction and reduces the risk of complications such as infection or blockage.

C) Replace the NG tube every 24 hr: Replacing the NG tube every 24 hours is unnecessary and can cause discomfort and trauma to the client. NG tubes are typically replaced only when they become clogged, dislodged, or as per the healthcare provider’s orders.

D) Position the client supine in bed: Positioning the client supine in bed is not recommended as it increases the risk of aspiration. The client should be positioned with the head of the bed elevated to reduce the risk of aspiration and promote proper drainage through the NG tube.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for jaundice?

Correct Answer is D

Explanation

A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse manager is preparing to meet with a group of staff nurses who are experiencing conflict. Which of the following mediation strategies should the nurse manager plan to implement to resolve the conflict?

A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

A nurse manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster?

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

A nurse is caring for a client who is being discharged home following a total hip arthroplasty. Which of the following findings in the home should the nurse identify as a potential risk for injury?

A nurse is creating a plan of care for a client who has cancer and is experiencing immunosuppression. Which of the following interventions should the nurse include in the plan of care?

A nurse is teaching the parents of a school-age child who is newly diagnosed with juvenile idiopathic arthritis. Which of the following interventions should the nurse include in the teaching?