Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 104
Questions 1. At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing measure should be included in her plan of care to help alleviate it?A) Restrict fluid intake.B) Use Alka-Seltzer as necessary.C) Eat small, frequent bland meals.D) Lie down after eating.2. A client is dilated 8 cm and entering the transition phase of labor. Common behaviors of the laboring woman during transition are:A) Frustration, vague in communicationB) Seriousness, some difficulty following directionsC) Calmness, follows directions easilyD) Excitement, openness to instructions3. The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:A) Notifying the physicianB) Changing the client to the left lateral positionC) Continuing to monitor the FHR closelyD) Administering O2 at 8 L/min via face mask4. A female client is admitted to the emergency department complaining of severe right-sided abdominal pain and vaginal spotting. She states that her last menstrual period was about 2 months ago. A positive pregnancy test result and ultrasonography confirm an ectopic pregnancy. The nurse could best explain to the client that her condition is caused by:A) Abnormal development of the embryoB) A distended or ruptured fallopian tubeC) A congenital abnormality of the tubeD) A malfunctioning of the placenta5. A female client at 10 weeks gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:A) An inevitable abortionB) A threatened abortionC) An incomplete abortionD) A missed abortion Right Answer and Explanation: 1. Right Answer: CExplanation: (A) At least eight glasses of fluid per day are encouraged to help dilute stomach contents, thereby decreasing irritation. (B) Alka Seltzer contains aspirin, which is irritating to gastric mucosa, and therefore should be avoided. (C) Small, frequent bland meals help to decrease gastric pressure and to prevent reflux. (D) Lying down after meals may cause gastric reflux and prevents optimal gastric emptying.2. Right Answer: AExplanation: (A) During the transition phase, the mother may become frustrated and unclear in her communication owing to severe pain and fear of loss of control. (B) These behaviors are common in the active phase of labor. (C) These behavioral clues are seen in the latent phase of labor. (D) These characteristics are observed in the latent phase of labor.3. Right Answer: CExplanation: (A) Early decelerations are reassuring and do not warrant notification of the physician. (B) Because early decelerations is a reassuring pattern, it would not be necessary to change the clients position. (C) Early decelerations warrant the continuation of close FHR monitoring to distinguish them from more ominous signs.(D) O2 is not warranted in this situation, but it is warranted in situations involving variable and/or late decelerations.4. Right Answer: BExplanation: (A) The embryo itself may develop normally in the first several weeks of an ectopic pregnancy. (B) An ectopic pregnancy in the fallopian tube causes severe pain owing to the size of the growing embryo within the narrow lumen of the tube, causing distention and finally rupture within the first 12 weeks of pregnancy. (C) TheFallopian tube may either be normal or contain adhesions caused by a history of pelvic inflammatory disease or tubal surgeries, neither of which are congenital causes. (D) An ectopic pregnancy does not involve a dysfunctional placenta, but the implantation of the blastocyst outside the uterus.5. Right Answer: BExplanation: (A) An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding. (B) A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. (C) An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. (D) A missed abortion occurs when the embryo dies in utero and is retained in the uterus. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 105
Questions 1. A female client at 36 weeks gestation is experiencing preterm labor. Her physician has prescribed two doses of betamethasone 12 mg IM q24h. The nurse explains that she is receiving this drug to:A) Treat fetal respiratory distress syndromeB) Prevent uterine infectionC) Promote fetal lung maturationD) Increase uteroplacental circulation2. A female client at 30 weeks gestation is brought into the emergency department after falling down a flight of stairs. On examination, the physician notes a rigid, boardlike abdomen; FHR in the 160s; and stable vital signs. Considering possible abdominal trauma, which obstetric emergency must be anticipated?A) Abruptio placentaeB) Ectopic pregnancyC) Massive uterine ruptureD) Placenta previa3. A 4 days postpartum client who is gravida 3, para 3, isexamined by the home health nurse during her first postpartum home visit. The nurse notes that she has a pink vaginal discharge with a serosanguineous consistency. The nurse would most accurately chart the clients lochia as:A) RubraB) RosaC) SerosaD) Alba4. A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to be boggy. The nurse - s first action should be to:A) Call the physicianB) Assess her vital signsC) Give the prescribed oxytocic drugD) Massage her fundus5. A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?A) Bromocriptine stimulates the production of prolactin.B) Hypertension is a primary side effect.C) Bromocriptine is generally taken for 5 days.D) Her blood pressure must be stable before starting bromocriptine. Right Answer and Explanation: 1. Right Answer: CExplanation: (A) Respiratory distress syndrome occurs in the newborn, not the fetus. It may be treated postnatally with surfactant therapy. (B) Betamethasone is a corticosteroid, not an anti-infective drug; therefore, its use would not prevent uterine infection. (C) Betamethasone binds with glucocorticoid receptors in alveolar cells to increase production of surfactant, thus increasing lung maturity in the preterm fetus. (D) Betamethasone does not affect uteroplacental circulatory exchange.2. Right Answer: AExplanation: (A) Abruptio placentae, the complete or partial separation of the placenta from the uterine wall, can be caused by external trauma. When hemorrhage is concealed, one sign is a rapid increase in uterine size with rigidity. (B) Ectopic pregnancy occurs when the embryo implants itself outside the uterine cavity. (C)Massive uterine rupture occurs during labor when the uterine contents are extruded through the uterine wall. It is usually due to weakness from a pre-existing uterine scar and trauma from instruments or an obstetrical intervention. (D) Placenta previa is the condition in which the placenta is implanted in the lower uterine segment and either completely or partially covers the cervical os.3. Right Answer: CExplanation: (A) Lochia rubra is bloody with clots and occurs 13 days postpartum. (B) There is no such term as lochia rosa. (C) Lochia serosa is a pink-brown discharge with a serosanguineous consistency that occurs 49 days postpartum. (D) Lochia alba is yellow to white in color and occurs approximately 10 days postpartum.4. Right Answer: DExplanation: (A) The nurse should first implement independent and dependent measures to achieve uterine tone before calling the physician. (B) Assessment of vital signs will not help to restore uterine atony, which is the priority need. (C) Giving a prescribed oxytocic drug would be necessary ifthe uterus did not maintain tone with massage. (D) Fundal massage generally restores uterine tone within a few moments and should be attempted first.5. Right Answer: DExplanation: (A) Bromocriptine inhibits the secretion of prolactin. (B) Hypotension is a side effect of this drug; hypertension is not. (C) Bromocriptine is generally taken for 14 days. (D) The administration of bromocriptine is delayed at least 4 hours postpartum and given only when the clients blood pressure is stable, because it can cause hypotension and syncope. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 106
Questions 1. The postpartum nurse should include which of the following instructions to breast-feeding mothers?A) Limit feeding times for several days to avoid nipple soreness.B) Wash the nipples with soap and water before and after each feeding.C) Daily caloric intake should be increased by 500 cal.D) Breast milk is totally digestible by the baby because it contains lactose.2. At 12 hours postvaginal delivery, a female client is without complications. Which of the following assessment findings would warrant further nursing interventions?A) Apical pulse of 52 bpmB) Uterine fundus palpable left of midlineC) No bowel movement since deliveryD) Oral temperature of 100.4¦F3. The nurse observes a client crying quietly. She has just experienced a spontaneous abortion at nine weeks gestation. An appropriate response by the nurse would be:A) 'It must be God - s will and probably is for the best.'B) 'This must be a difficult time for you. Would you like to talk about it?'C) 'I - m sure your other children will be a comfort for you.'D) 'Don - t worry, you - re still young. If I were you I - d just try again.'4. A 48-hour-old male infant is ordered to have phototherapy. When his mother questions the nurse about its purpose, the nurse explains that phototherapy:A) Prevents the development of ophthalmia neonatorumB) Assists the baby - s clotting mechanismC) Breaks down bilirubin in the skin into substances that can be excreted in stool or urineD) Increases levels of unconjugated bilirubin, thereby preventing kernicterus (brain damage)5. After instructing a female client on circumcision care, the nursery nurse asks her to restate some of the key points covered. Which statement shows that the client will properly care for her sons circumcision?A) 'I - ll make sure I soak the gauze with warm water first, before I take it off each time.'B) 'I - ll make sure that I report any drainage around where they operated.'C) 'I - ll apply alcohol to the area daily to clean it and prevent any infection.'D) 'I - ll keep a close watch on it for a day or two.' Right Answer and Explanation: 1. Right Answer: CExplanation: (A) Limiting initial feeding times will only delay nipple soreness as well as the establishment of the letdown reflex, thus encouraging engorgement from clogged ducts and ductules. (B) Soap should be avoided because it may be excessively drying, predisposing nipples to cracking. (C) For optimal milk production, an additional 500 kcal over maintenance levels are needed daily. (D) Lipase, not lactose, emulsifies the fat in breast milk, making it almost totally digestible by infants.2. Right Answer: BExplanation: (A) Bradycardia of 5070 bpm may be considered normal postpartally because the heart compensates for the decreased resistance in the pelvis. (B) The uterus is displaced from the midline by a full bladder. This condition could lead to a boggy uterus and increased risk of postpartal hemorrhage; therefore, the bladder should be kept empty. (C) Re-establishment of normal bowel function is delayed into the first postpartum week. (D) A postpartum womans oral temperature may go as high as 100.4_F within 24 hours of delivery resulting from muscular exertion, dehydration, and hormonal changes.3. Right Answer: BExplanation: (A) This response is nontherapeutic because it belittles the clients response and gives a meaningless rationalization. (B) This response acknowledges the clients feelings and demonstrates the therapeutic offering of self by the nurse. (C) This response is nontherapeutic because it does not focus on the clients feelings and offers false reassurance. (D) This response is nontherapeutic because it belittles the clients feelings and offers her advice.4. Right Answer: CExplanation: (A) The instillation of erythromycin ophthalmic preparation, not phototherapy, prevents ophthalmia neonatorum. (B) The administration of vitamin K(AquaMEPHYTON) assists the infants clotting mechanism. (C) Excessive bilirubin accumulates when the infants liver cannothandle the increased load caused by the breakdown of red blood cells postnatally. This excessive bilirubin seeps out of the blood and into the tissues, staining them yellow. Phototherapy accelerates the removal of bilirubin from the skin by breaking it down into substances that can be excreted in stool or urine. (D) Phototherapy decreases levels of unconjugated bilirubin, thereby preventing kernicterus.5. Right Answer: AExplanation: (A) Before petrolatum gauze is removed, it should be soaked with warm water to prevent trauma to adherent tissues. (B) A yellow exudate often forms normally over the surgical site. Only if it becomes foul-smelling and purulent would it need to be reported. (C) Alcohol should never be used on the site; this would be extremely painful to the infant. (D) Special care and observance should continue until the site is completely covered with clean, pink granulation tissue, which could take 710 days. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 107
Questions 1. A male infant is to be discharged home this morning. Which instruction related to his cord care should be included in his mother - s discharge teaching plan?A) Keep the umbilical area moist with Vaseline until the stump falls off.B) Keep the umbilical area covered at all times with the diaper.C) Clean the umbilical cord with alcohol at each diaper change.D) Clean the umbilical cord daily with soap and water during the bath.2. Which behavior by a female client feeding her newborn demonstrates that she needs more teaching related to safety and infant feeding?A) She uses the bulb syringe to help clear her baby - s nose when milk is regurgitated.B) She places her infant on her right side after feeding her.C) She props the bottle in the crib to feed her baby,which allows her to write birth announcements and feed her baby at the same time.D) She burps her baby by placing her in a sitting position, supporting her head and neck and gently massaging her back.3. Newborns are routinely screened for phenylketonuria. The nursery nurse ensures that this screening test is performed:A) Immediately after birth, because the most accurate result is obtained at this timeB) After 2 - 3 days of milk ingestionC) At 2 - 3 days of age regardless of amount of milk feedingsD) At 1 month, because the biochemical buildup of phenylalanine takes 1 month to detect4. A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea, vomiting, and sore throat for the past several days. In caring for a young child with symptoms of influenza, the mother must be cautioned about:A) Giving aspirin and bismuth subsalicylate (Pepto-Bismol) to treat the symptomsB) Giving clear liquids too soonC) Allowing the child to come in contact with other children for 3 daysD) The possibility of pneumonia as a complication5. A 10-year-old boy has been diagnosed with Legg-Calvé Perthes disease. Which of the client - s responses would indicate compliance during initial therapy?A) Drinking large amounts of milkB) Not bearing weight on affected extremityC) Walking short distances 3 times/dayD) Putting self on weight reduction diet Right Answer and Explanation: 1. Right Answer: CExplanation: (A) The umbilical area should be kept dry for healing to occur. Moisture is conducive to bacterial growth and therefore could lead to infection at the site. (B) The diaper should be folded below the cord to allow the cord stump to be exposed to the air for healing. (C) The umbilical cord should be swabbed with alcohol at each diaper change to remove urine and stool and to facilitate the desiccation process through drying. (D) Soap and water should not be used to clean the umbilical area because the area could retain moisture, thus making it susceptible to bacterial growth and infection.2. Right Answer: CExplanation: (A) This practice is the proper use of the bulb syringe to clear the infants airway in case of regurgitation. (B) Placing the infant on either side or on the stomach prevents aspiration of regurgitated milk. (C) 'Bottle propping' is an unsafe practice because it increases the likelihood of aspiration. (D) This practice is one correct way of burping an infant.3. Right Answer: BExplanation: (A) The infant has not ingested any protein immediately after birth, which is necessary to detect excessive serum phenylalanine. (B) It is important that the infant take in 23 full days of milk or formula feedings to preclude a false-negative reading. (C) At 23 days of age, inadequate milk could have been ingested owing to a delay in the initial feeding. (D) The biochemical buildup of serum phenylalanine is detectable after 23 days of milk or formula ingestion.4. Right Answer: AExplanation: (A) Aspirin should never be given to children with influenza because of the possibility of causing Reyes syndrome. Pepto- Bismol is also classified as a salicylate and should be avoided. (B) Depending on the severity of symptoms, the child may be receiving IV therapy or clear liquids. (C) The disease has a 13 day incubation period and affected children are most infectious 24 hours before and after the onset of symptoms. (D) Although viral pneumonia can be a complication of influenza, this would not be an initial priority.5. Right Answer: BExplanation: (A) This condition causes aseptic necrosis of the head of the femur in the acetabulum. Drinking large quantities of milk at this time cannot hasten recovery. (B)The aim of treatment is to keep the head of the femur in the acetabulum. Nonweight-bearing is essential. Activity causes microfractures of the epiphysis. (C) In addition to nonweight-bearing, clients are often placed on bedrest, which helps to reduce inflammation. Later, active motion is encouraged. (D) Weight is not generally an issue with this disease. Slipped femoral capital epiphysis, which is most frequently observed in obese pubescent children, usually requires a weight reduction diet. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 108
Questions 1. A 7-year-old girl has been diagnosed with juvenile arthritis and has been placed on daily aspirin. Which statement made by the parent indicates a need for further teaching?A) 'My daughter takes her aspirin with her meals.'B) 'Her gums have been bleeding frequently. Maybe she is brushing too hard.'C) 'I give her aspirin on a regular schedule every day.'D) 'One sign of aspirin toxicity can be ringing in the ears.'2. A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:A) Prevention of neurovascular complicationsB) Prevention of loss of muscle toneC) Immobilization of the affected limbD) Using heated fans to dry the cast3. The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?A) Administer oral griseofulvin on an empty stomach for best results.B) Discontinue drug therapy if food tastes funny.C) May discontinue medication when the child experiences symptomatic relief.D) Observe for headaches, dizziness, and anorexia.4. A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?A) Concentrated sweets are taken during increased activity.B) Food restriction is imposed to reduce weight.C) Caloric distribution should be calculated to fit activity patterns.D) Fat requirements are increased owing to the possibility of ketoacidosis.5. A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?A) Encourage the child to cough up blood if present.B) Give warm clear liquids when fully alert.C) Have child gargle and do toothbrushing to remove old blood.D) Observe for evidence of bleeding. Right Answer and Explanation: 1. Right Answer: BExplanation: (A) Aspirin should not be given on an empty stomach because it is irritating to the mucosa. (B) Bleeding from decreased clotting capacity may be caused by aspirin toxicity. (C) A regular schedule of aspirin administration is important to maintain a satisfactory drug level in the body. (D) Aspirin toxicity may affect cranial nerve VIII, leading to tinnitus (ringing in the ears).2. Right Answer: AExplanation: (A) Because the extremity may continue to swell and the cast could constrict circulation, the nurse should elevate the limb and observe for capillary refill, warmth, mobility of toes and circulation. (B) Although muscle tone may diminish over time in the affected limb, this is not the immediate concern. (C) The limb has been immobilized already by the cast, and therefore immobilization is not a concern. (D) Heated fans and dryers are discouraged because the outside cast will dry quickly, yet the area beneath the cast remains wet and could cause burns.3. Right Answer: DExplanation: (A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a fatty meal (ice cream or milk) increases absorption rate. (B)Griseofulvin may alter taste sensations and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient intake should be reported to the physician. (C) The child may experience symptomatic relief after 4896 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea, vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to the physician.4. Right Answer: CExplanation: (A) Concentrated sweets are eliminated from diet planning. Complex carbohydrates may be taken at the time of increased activity. (B) Food restriction is not used for diabetic control of growing children. Caloric restriction may be imposed for weight control if necessary. (C) Total caloric intake and proportions of basic nutrients should be consistent from day to day. Distribution of these calories should fit the activity pattern. Extra food is needed for increased activity. A balance of food, exercise, and insulin should be maintained. (D) Because of the increased risk of atherosclerosis, the fat percentage of the total caloric intake is reduced.5. Right Answer: DExplanation: (A) The nurse should discourage the child from coughing, clearing the throat, or putting objects in his mouth. These may induce bleeding. (B) Cool, clear liquids may be given when child is fully alert. Warm liquids may dislodge a blood clot. The nurse should avoid red- or brown-colored liquids to distinguish fresh or old blood from ingested liquid should the child vomit. (C) Gargles and vigorous toothbrushing could initiate bleeding. (D) Postoperative hemorrhage, though unusual, may occur. The nurse should observe for bleeding by looking directly into the throat and for vomiting of bright red blood, continuous swallowing, and changes in vital signs. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 109
Questions 1. A 4-week-old infant is admitted to the emergency room in respiratory distress. Which of the following statements indicates the nurses knowledge of the anatomy of the respiratory system in pediatric clients?A) The diameter of the trachea is much smaller in children than in adults.B) The tongue is proportionally smaller in children than in adults.C) The pediatric airway is more rigid than that of the adults.D) The length of the pediatric airway is longer in children than in adults.2. A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?A) Low-protein dietB) Low-sodium dietC) Increased fluid intakeD) High-cholesterol diet3. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoureteral reflux. Which statement by her mother indicates a need for further teaching?A) 'I have taught her to wipe from front to back after urinating.'B) 'I make sure she drinks plenty of fluids every day.'C) 'She enjoys wearing nylon panties, but I make her change them everyday.'D) 'She tries to empty her bladder completely after she urinates, like I told her.'4. A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has fallen asleep in his mothers arms when the nurse approaches. Which approach is most appropriate at this time?A) Give the injection in the vastus lateralis site before the child awakens.B) Awaken the child first and give the injection in the ventrogluteal site.C) Awaken the child first and give the injection in the dorsogluteal site.D) Ask the mother to place the child on the examination table and leave the room, and then give the injection in an appropriate site.5. The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medication is diluted as recommended in 10 mL in the volume control chamber of a set that has a tubing of 12 mL. Which nursing measure is most accurate considering these facts?A) Infuse volume at 44 mL/hr.B) Infuse volume at 22 mL/hr.C) Infuse volume at 10 mL/hr.D) Infuse volume at 30 mL/hr. Right Answer and Explanation: 1. Right Answer: AExplanation: (A) The airway in children is much smaller than it is in adults. The diameter of the trachea in the newborn is 4 mm and that of the adult is 20 mm. A small change in the diameter of the airway can make a major difference in the pediatric client. (B) The tongue is proportionally larger in children and fills most of the oral cavity, thereby decreasing air space. (C) The entire pediatric airway is elastic. Elasticity diminishes with age, however. (D) The distances between respiratory structures are shorter than that of adults, and therefore organisms are able to move more rapidly down the throat, leading to more extensive respiratory involvement.2. Right Answer: BExplanation: (A) A high-protein diet is usually indicated because protein is excreted in urine. Protein restriction is usually prescribed with severe azotemia. (B) The kidneys usually enlarge in these children, and sodium and water are retained. (C) Fluid restriction may be ordered to help reduce edema; however, monitoring for dehydration is indicated. (D) A high-cholesterol diet would not be indicated for any child, especially one with elevated blood pressure.3. Right Answer: CExplanation: (A) Wiping from front to back is wiping from an area of lesser contamination (urethra) to an area of greater contamination (rectum). (B) Generous fluid intake reduces the concentration of urine. (C) Cotton is a natural, absorbent fabric. Nylon often predisposes the client to urinary tract infections. Dark, warm, moist areas are excellent media for bacterial growth. (D) With vesicoureteral reflux, urine refluxes into the ureter(s) during voiding and then returns to the bladder (residual), which becomes a source for future infection.4. Right Answer: BExplanation: (A) If awakened first, the child will know that nothing painful will be done without the child being alerted. (B) The ventrogluteal site is a safe site for children because it is a large muscle free of major nerves and blood vessels. (C) The dorsogluteal site is not recommended in children who have not been walking for at least 1 year because the muscle is not fully developed. (D) The parent will be able to offer support and comfort during and after the injection.5. Right Answer: AExplanation: (A) The volume to be infused should be diluted medication volume added to the volume control chamber (10 mL) plus the tubing volume (12 mL). The general formula for calculating IV medications for children is: Rate = Volume to Be Infused X Administration Set Drop Factor (microdrop: 60 gtts/min)Desired Time toInfuse in Minutes Rate = (10 + 12)22 X 60 30 = 44 mL/hr. (B, C, D) These values are incorrect. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 110
Questions 1. An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurses understanding of normal fluid requirements for this infant?A) 240 mL/dayB) 680 mL/dayC) 330 mL/dayD) 960 mL/day2. A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?A) Emphasize those aspects of the procedure that require cooperation.B) Tell the child not to cry or yell.C) Tell the child that he will get a 'stick' in his back.D) Use medical terminology when explaining the procedure to the client.3. A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful?A) Examine the 4 year old first.B) Provide time for play and becoming acquainted.C) Have the mother leave the room with one child, and examine the other child privately.D) Examine painful areas first to get them 'over with.'4. An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?A) Pain, especially when eatingB) Poor appetite and sucking reflexC) Increased frequency and quantity of stoolsD) Palpable olive-shaped mass in the epigastrium just right of the umbilical cord5. As soon as a child has been diagnosed as 'hearing impaired,' special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?A) Auditory trainingB) SpeechC) Lip readingD) Signing Right Answer and Explanation: 1. Right Answer: BExplanation: (A, C, D) These answers are incorrect. (B) Normal fluid requirement for this pediatric client is based on the fact that 010 kg of weight equals 100 mL/kg per day.This infant weighs 15 pounds (6.8 kg). Thus, 100 mL X 6.8 = 680 mL/day.2. Right Answer: AExplanation: (A) The nurse should emphasize what is required to elicit cooperation and help to develop a sense of autonomy. (B) The child may express discomfort verbally and should be encouraged to express his feelings. (C) Selecting nonthreatening words to explain a procedure will prevent misinterpretation. (D) When explaining the procedure to the parent with the child present, the nurse should use words that the child can understand to avoid misunderstanding.3. Right Answer: BExplanation: (A) The 6 month old should be examined first. If several children will be examined, begin with the most cooperative and less anxious child to provide modeling. (B)Providing time for play and getting acquainted minimizes stress and anxiety associated with assessment of body parts. (C) Children generally cooperate best when their mother remains with them. (D) Painful areas are best examined last and will permit maximum accuracy of assessment.4. Right Answer: DExplanation: (A) There is no evidence of pain in infants with pyloric stenosis whether eating or not. (B) There are both good appetite and feeding habits in these children. (C)Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. (D) Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.5. Right Answer: BExplanation: (A) With the slight and mild hard of hearing, auditory training is beneficial. (B) Speech is the most difficult task because it is learned by visual and auditory stimulation, imitation, and reinforcement. (C, D) Lip reading and signing are aimed at establishing communicative skills, but they are learned more easily by visual stimulation. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 111
Questions 1. A 15-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia. Which of the following would be included in educating the mother and child as part of discharge planning?A) Give oral iron medication every day.B) Have the child - s blood pressure monitored every week.C) Know the signs and symptoms of iron overload.D) Keep exercise at a minimum to reduce stress.2. An 8-year-old boy has been diagnosed with hemophilia. Which of the following diagnostic blood studies is characteristically abnormal in this disorder?A) Partial thromboplastin timeB) Platelet countC) Complete blood countD) Bleeding time3. A murmur has been discovered during the routine physical examination of a 1-year-old child. The parent is extremely concerned about this diagnosis. Which of the following explanations by the nurse indicates understanding of this dysfunction?A) The blood shifts from the right to the left atrium.B) Surgical closure by suture or patch is recommended before school age.C) Most atrial septal defects close spontaneously.D) The child can be treated medically with antibiotics to prevent bacterial endocarditis.4. An alcoholic client who is completing the inpatient segment of a substance abuse program was placed on disulfiram (Antabuse) drug therapy. What should the nurse include in the discharge instructions?A) If disulfiram is taken and alcohol ingested, the client experiences nausea, vomiting and elevated blood pressure.B) Disulfiram is most effective when prescribed as late as possible in a recovery program.C) Disulfiram works on the desensitization principle.D) The effects of disulfiram can be triggered by alcohol 5 days to 2 weeks after the drug is discontinued.5. An 82-year-old former restaurant owner walks to the nursing station and states, 'I have to go. The restaurant opens at 11 am.' Which response by the nurse is the most appropriate?A) 'Go back to your room. You do not own a restaurant.'B) 'You are in the hospital now. Calm down.'C) 'You once owned a restaurant. Tell me about it.'D) 'It is snowing outside. The restaurant is closed.' Right Answer and Explanation: 1. Right Answer: CExplanation: (A) Oral iron supplements are contraindicated in thalassemia. (B) Although heart failure may be an end result of this disease, this action is unnecessary. (C) Iron overload is a potential complication of frequent blood transfusions of children with thalassemia. (D) Children should be encouraged to pursue activities related to their exercise tolerance.2. Right Answer: AExplanation: (A) Partial thromboplastic time measures activity of thromboplastin, which depends on the intrinsic clotting factors deficient in children who are hemophiliacs. (B)Platelet counts are normal in hemophilia. (C) Hemophilia does not affect the complete blood count. (D) Bleeding times are normal in hemophiliacs. They measure the time interval for the bleeding from small superficial wounds to cease.3. Right Answer: BExplanation: (A) Because the left atrial pressure is greater than right atrial pressure, oxygenated blood flows from the left to the right atria. (B) Because of the risk of pulmonary obstructive diseases and congestive heart failure later in life, surgery is usually performed between age 4 and 6 years, with essentially no operative mortality or postoperative complications. (C) Many ventricular septal defects close spontaneously (2060%) as a result of growth and proliferation of the muscular septum or formation of a membrane across the opening. (D) This management is usually recommended with children with mild pulmonary stenosis.4. Right Answer: DExplanation: (A) When alcohol is ingested with disulfiram therapy, the client experiences nausea, vomiting, and a potentially serious drop in blood pressure. (B) Disulfiram is most successful when used early in the recovery process while the individual makes major lifestyle changes necessary for long-term recovery. (C) Disulfiram works on the classical conditioning principle. (D) The effects of disulfiram can be felt when alcohol is ingested 12 weeks after disulfiram is discontinued.5. Right Answer: CExplanation: (A) This response cuts off communication with the client. It does not address her feelings. (B) Reality orientation frequently does not work alone. Feelings must be addressed. Telling a client to calm down is frequently ineffective. (C) Reminiscence is used here to reorient and recall past pleasant events. Talking about the restaurant will allay anxiety. (D) This response may confirm to the client that she indeed does still own a restaurant, buying into her confusion. Her feelings and anxiety require nursing intervention. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 112
Questions 1. A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left the unit and was found smoking in the bathroom and spending a large amount of time in the male ward. Which statement by the nurse would best explain to the teenager why she must follow the rules of the unit?A) 'It is not easy, but the rules must be followed so that everyone can get a fair chance.'B) 'If you do not follow the rules, you will be transferred to the closed, locked unit.'C) 'You are not being fair to the other clients by getting them involved in your deviant behavior.'D) 'Break the rules, all you want, but don - t get caught again!'2. A 45-year-old male client experiences a sense of depression because he has not yet achieved his lifes goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the clients feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Eriksons stages?A) Identity versus role confusionB) Integrity versus despairC) Intimacy versus isolationD) Generativity versus self-absorption3. A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?A) 'Why do you feel this way?'B) 'Tell me about your dislike for your parents.'C) 'Don - t worry, everything will be all right on your visit with your parents.'D) 'Perhaps you and I can discover what produces your anxiety.'4. A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, 'I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like.' This defense mechanism is an example of:A) RepressionB) RegressionC) Reaction formationD) Rationalization5. A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?A) 'I understand you - re depressed, but killing yourself is not a reasonable option.'B) 'We need to discuss this further, but right now let - s complete these forms.'C) 'Don - t do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one.'D) 'This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff.' Right Answer and Explanation: 1. Right Answer: AExplanation: (A) This statement acknowledges that it is difficult but is not threatening or punitive. (B) This statement is threatening and describes specific punishment for further deviant behavior. (C) This response elicits shame by blaming her for involving others. (D) This response gives her permission to break the rules but indicates that getting caught is wrong.2. Right Answer: DExplanation: (A) Identity versus role confusion is experienced by adolescents making the transition from childhood to adulthood as they attempt to develop a sense of identity.(B) Integrity versus despair is experienced by the elderly as they reflect on their life in an attempt to find meaning. (C) Intimacy versus isolation is experienced by young adults as they establish intimate bonds of love and friendship. (D) Generativity versus self-absorption is experienced by middle-aged adults as they fulfill life goals that involve family, career, and society. The client is experiencing this crisis.3. Right Answer: DExplanation: (A) Asking the client to provide an explanation for her feelings is often intimidating. (B) This response is probing and may make the client feel used and valued only for the information she can provide. (C) This underrates the clients feelings and belittles her concerns. It may cause the client to stop sharing feelings for fear that they will be ridiculed. (D) The emphasis is on working with the client. It shows that there is hope for change through collaboration.4. Right Answer: DExplanation: (A) Repression is blocking a desire from conscious expression. The client is conscious of his desires. (B) Regression is returning to an earlier form of expression, which is not demonstrated here. (C) Reaction formation is acting out the opposite of true feelings. The client felt anger concerning his wifes cooking and acted out his feelings. (D) Rationalization is unconsciously falsifying an experience by giving a 'rational' explanation. The client is attempting to justify his behavior by giving an explanation.5. Right Answer: DExplanation: (A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another clients problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him. .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
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