Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 140
Questions 1. The nurse is caring for a 6-week-old girl with meningitis. To help her develop a sense of trust, the nurse should:A) Give her a small soft blanket to holdB) Give her good perineal care after each diaper changeC) Leave the door open to her roomD) Pick her up when she cries2. A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. The doctor diagnoses chickenpox. Her mother asks the nurse how many baby aspirins her daughter can have for fever. The nurse should:A) Advise the mother not to give her aspirinB) Ask if the client is allergic to aspirin before giving further informationC) Assess the function of the client - s cranial nerve VIIID) Check the aspirin bottle label to determine milligrams per tablet3. A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?A) Assembling a puzzle with large piecesB) Being taken for a wheelchair rideC) Listening to a story about the MuppetsD) Watching Sesame Street on television4. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:A) Blood pressure increase from 100/80 to 115/85 after lunchB) Headache that is unresponsive to acetaminophen (Tylenol)C) Pulse rate ranges between 68 bpm and 76 bpmD) Temperature rise to 102_F rectally5. A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her to:A) Limit activities which require focusing (close vision)B) Take more frequent napsC) Use artificial tearsD) Wear a patch over one eye Right Answer and Explanation: 1. Right Answer: DExplanation: (A) A soft blanket may be comforting, but it is not directed toward developing a sense of trust. (B) Good perineal care is important, but it is not directed toward developing a sense of trust. (C) An infant with meningitis needs frequent attention, but leaving the door open does not foster trust. (D) Consistently picking her up when she cries will help the child feel trust in her caregivers.2. Right Answer: AExplanation: (A) Aspirin taken during a viral infection has been implicated as a predisposing factor to Reyes syndrome in children and adolescents. Children and adolescents should not be given aspirin. (B) Allergy to aspirin is not related to Reyes syndrome. (C) Tinnitus, caused by damage to the acoustic nerve, occurs with aspirin toxicity, but this is not related to Reyes syndrome. (D) A 6-year-old child should not be given any baby aspirin.3. Right Answer: AExplanation: (A) A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to 'do it herself.' (B) A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. (C) Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. (D) Watching television may be a favorite activity, but it does not foster autonomy.4. Right Answer: DExplanation: (A) This change in blood pressure may not be significant and does not indicate a widening pulse pressure, a late sign of increased ICP. It is important to continue to monitor for change in blood pressure. (B) Acetaminophen may be ineffective in relieving headache after head injury. Stronger analgesics are contraindicated because they mask neurological signs and may depress the CNS. (C) Pulse rates between 68 bpm and 76 bpm are within normal limits for a 14-year-old child. It is important to monitor for a consistent drop in pulse rate, which is a late sign of increasing ICP. (D) An elevated temperature is abnormal and requires further assessment and medical intervention. The temperature may be unrelated to the head injury, but CNS infection is serious and difficult to control.5. Right Answer: DExplanation: (A) Limiting activities requiring close vision will not alleviate the discomfort of double vision. (B) Frequent naps may be comforting, but they will not prevent double vision. (C) Artificial tears are necessary in the absence of a corneal reflex, but they have no effect on diplopia. (D) An eye patch over either eye will eliminate the effects of double vision during the time the eye patch is worn. An eye patch is safe for a person with an intact corneal reflex. .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 141
Questions 1. In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:A) Becomes progressively debilitating without remissionB) Has unpredictable remissions and exacerbationsC) Is rapidly fatalD) Responds quickly to antimicrobial therapy2. A client with a head injury asks why he cannot have something for his headache. The nurse - s response is based on the understanding that analgesics could:A) Counteract the effects of antibioticsB) Elevate the blood pressureC) Mask symptoms of increasing intracranial pressureD) Stimulate the central nervous system3. To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby - s mother to:A) Avoid touching the baby while in the room.B) Stay outside of the baby - s room.C) Wear a gown and gloves and wash her hands before and after leaving the room.D) Wear a mask while in the room.4. A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):A) Allergy to seafoodB) History of seizuresC) Movable metal implantD) Pin or screw in any bone5. A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if the nurse:A) Dims the lights in her roomB) Encourages her to breathe slowly and deeplyC) Offers sips of warm liquidsD) Places a large, soft pillow under her head Right Answer and Explanation: 1. Right Answer: BExplanation: (A) Multiple sclerosis eventually becomes debilitating, but it is characterized by remission of symptoms. (B) Remissions and exacerbations are unpredictable with multiple sclerosis. The client experiences progressive dysfunction after each exacerbation episode. (C) Multiple sclerosis is usually slowly progressive. (D) Multiple sclerosis is an autoimmune disease. Antimicrobial therapy has no effect on its course.2. Right Answer: CExplanation: (A) Analgesic medication does not counteract the effects of antibiotics. (B) Analgesic medication may lower blood pressure elevated due to anxiety. (C) Analgesic medication, especially CNS depressants, is not given if there is danger of increasing ICP, because neurological changes may not be apparent. Also, further depression of the CNS is contraindicated. (D) Analgesics do not stimulate the CNS.3. Right Answer: CExplanation: (A) The mother should be allowed and encouraged to touch her baby. (B) With care, transmission can be prevented. There is no need for the mother to stay outside the room. (C) Everyone entering the babys room should take appropriate measures to prevent transmission of pathogens. (D) Wearing a mask will not protect against transmission of pathogens.4. Right Answer: CExplanation: (A) Iodine is not used as a contrast medium for MRI. It is important to inquire about allergy to seafood if the client is to have an arteriogram or enhanced computer tomography. (B) MRI is safe if seizures are under control. It is more important to inquire about movable metal implants. (C) Clients with movable metal implants such as shrapnel or aneurysm clips or clients with permanent pacemakers or implanted pumps can be traumatized during an MRI. (D) Nonmovable metal prostheses or hardware will not cause trauma during an MRI.5. Right Answer: AExplanation: (A) The discomfort of photophobia is alleviated by dimming the lights. (B) Helping the child to breathe slowly and deeply may help to reduce anxiety, but it will not alleviate other discomforts of viral meningitis. (C) It is important to maintain fluid balance, but sips of warm liquids do not alleviate the discomforts of meningitis. (D)A large, soft pillow under her head causing neck flexion is likely to increase her discomfort owing to stretching of the meninges. .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 142
Questions 1. A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:A) Grandiose delusionsB) Paranoid delusionsC) Auditory hallucinationsD) Visual hallucinations2. A client tells the nurse that he has been hearing voices that tell him to kill his girlfriend because she is a spy. He further states that he is having difficulty not obeying the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:A) Sensory-perceptual alteration: auditory command hallucinationsB) Alteration in thought processes: paranoid delusionsC) Potential for violence directed at othersD) Impaired verbal communication: loose associations3. A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:A) 'I understand that the voices are real to you, but I want you to know I don - t hear them. They are a symptom of your illness.'B) 'Just don - t pay attention to the voices. They - ll go away after some medication.'C) 'You can - t leave here. This unit is locked and the doctor has not ordered your discharge.'D) 'We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that.'4. The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in 12 hours if needed. The most likely rationale for this order is:A) The client will settle down more quickly if he thinks the staff is medicating himB) The medication will sedate the client until the physician arrivesC) Haloperidol is a minor tranquilizer and will not oversedate the clientD) Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client5. Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:A) Parkinsonism and dystoniaB) Dystonia and akathisiaC) Akathisia and parkinsonismD) Neuroleptic malignant syndrome Right Answer and Explanation: 1. Right Answer: BExplanation: (A) There are no indications that the clients thoughts reflect special powers or talents characteristic of grandiosity. (B) The clients thought content is fixed, false, persecutory, and suspicious in nature, which is characteristic of paranoid delusions. (C, D) The client is not demonstrating a sensory experience.2. Right Answer: CExplanation: (A) Although the client is having command hallucinations, this is second in priority to real or potential violence, which can be a threat to life itself. (B) Although the client is experiencing delusions, this is also a lower priority than his potential or actual loss of control. (C) Whether real or potential, violence directed at self or others is always high priority. (D) There is no evidence of loosening of associations.3. Right Answer: AExplanation: (A) This response validates the clients experience and presents reality to him. (B) This nontherapeutic response minimizes and dismisses the clients verbalized experience. (C) This response can be interpreted by a paranoid client as a threat, thereby increasing the clients potential for violence and loss of control. (D) This response is also threatening. The clients behavior does not call for restraints because he has not lost control or hurt anyone. If seclusion or restraints were indicated, the nurse should never confront the client alone.4. Right Answer: DExplanation: (A) If the client could think logically, he would not be paranoid. In fact, he is probably suspicious of the staff, too. Newly admitted clients frequently experience high levels of anxiety, which can contribute to delusions. (B) The goal of pharmacological intervention is to calm the client and assist with reality-based thinking, not to sedate him. (C) Haloperidol is a neuroleptic and antipsychotic drug, not a minor tranquilizer. (D) Haloperidol is a high-potency neuroleptic and first-line choice for rapid neuroleptization, with low potential for sedation.5. Right Answer: BExplanation: (A) Stiff neck is consistent with a dystonic reaction, but the client has no symptoms of drooling, shuffling gait, or pill-rolling movements characteristic of parkinsonism. (B) Stiff neck is consistent with a dystonic reaction, and inability to sit still with varying degrees of psychomotor agitation is characteristic of akathisia. (C) The client has symptoms of dystonia but not of parkinsonism. (D) The client has none of the characteristic symptoms of neuroleptic malignant syndrome: hyperpyrexia, generalized muscle rigidity, mutism, obtundation, agitation, sweating, increased blood pressure and pulse. .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 143
Questions 1. The physician orders medication for a client - s unpleasant side effects from the haloperidol. The most appropriate drug at this time is:A) LorazepamB) Triazolam (Halcion)C) BenztropineD) Thiothixene2. A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client statements?A) 'When I get home, I will need to take my medicines and call my therapist if I have any side effects or begin to hear voices.'B) 'If I have any side effects from my medicines, I will take an extra dose of Cogentin.'C) 'When I get home, I should be able to taper myself off the Haldol because the voices are gone now.'D) 'As soon as I leave here, I - m throwing away my medicines. I never thought I needed them anyway.'3. The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?A) HypernatremiaB) HypocalcemiaC) HypokalemiaD) Hypomagnesemia4. The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:A) Inspiration is longer than expirationB) Breath sounds are high pitchedC) Breath sounds are slightly muffledD) Inspiration and expiration are equal5. Discharge teaching for the client who has a total gastrectomy should include which of the following?A) Need for the client to increase fluid intake to 3000 mL/dayB) Follow-up visits every 3 weeks for the first 6 monthsC) B12 injections needed for the rest of the client - s lifeD) Need to eat three full meals with plenty of fiber per day Right Answer and Explanation: 1. Right Answer: CExplanation: (A) Lorazepam is a benzodiazepine, or antianxiety agent, that potentiates the effects of _-aminobutyric acid in the CNS, which is not the CNS neurotransmitterEPS. (B) Triazolam is a benzodiazepine sedative-hypnotic whose action is mediated in the limbic, thalamic, and hypothalamic levels of the CNS by - aminobutyric acid. (C) Benztropine is an anticholinergic agent, and the drug of choice for blocking CNS synaptic response, which causes EPS. (D) Thiothixene is an antipsychotic and neuroleptic drug that blocks dopamine neurotransmission at the CNS synapses, thereby causing EPS.2. Right Answer: AExplanation: (A) The client verbalizes that he is responsible for compliance and keeping the treatment team member informed of progress. This behavior puts him at the lowest risk for relapse. (B) Noncompliance is a major cause of relapse. This statement reflects lack of responsibility for his own health maintenance. (C) This statement reflects lack of insight into the importance of compliance. (D) This statement reflects no insight into his illness or his responsibility in health maintenance.3. Right Answer: CExplanation: (A) A deficit in sodium concentration results in muscular weakness and lethargy. (B) Muscle fatigue and hypotonia are caused by hypercalcemia. (C) Muscle weakness and fatigue are classic signs of hypokalemia. (D) Hypermagnesemia can cause muscle weakness, paralysis, and coma.4. Right Answer: DExplanation: (A) Inspiration is normally longer in vesicular areas. (B) Highpitched sounds are normal in bronchial area. (C) Muffled sounds are considered abnormal. (D)Inspiration and expiration are equal normally in this area, and sounds are medium pitched.5. Right Answer: CExplanation: (A) There will be no need to increase fluid intake excessively, because dumping syndrome could present a problem. (B) Followup visits every 3 weeks are not a standard recommendation. Follow-up visits will be highly individualized. (C) With removal of the stomach, intrinsic factor will no longer be produced. Intrinsic factor is necessary for vitamin B12 absorption. Parenteral injections of B12 will be needed on a monthly basis for the rest of the persons life. (D) Smaller, more frequent meals, rather than large, bulky meals, are recommended to prevent problems with dumping syndrome. .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 144
Questions 1. Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?A) Urine output 22 mL/hr for 2 hoursB) Serum potassium level of 3.7C) Small T wave of ECGD) Serum glucose level of 1802. A client is receiving IV morphine 2 days after colorectal surgery. Which of the following observations indicate that he may be becoming drug dependent?A) The client requests pain medicine every 4 hours.B) He is asleep 30 minutes after receiving the IV morphine.C) He asks for pain medication although his blood pressure and pulse rate are normal.D) He is euphoric for about an hour after each injection.3. The nurse assesses a postoperative mastectomy client and notes that breath sounds are diminished in both posterior bases. The nurse - s action should be to:A) Encourage coughing and deep breathing each hourB) Obtain arterial blood gasesC) Increase O2 from 2 - 3 L/minD) Remove the postoperative dressing to check for bleeding4. Which of the following should the nurse anticipate receiving as an as-needed order for a postoperative carotid endarterectomy client?A) Nifedipine 10 mg SL for B/P 140/90B) Furosemide 20 mg/PO for decreased urine outputC) Magnesium salicylate to decrease inflammationD) Nitroglycerin gr 1/150 for chest pain5. Three hours postoperatively, a 27-year-old client complains of right leg pain after knee reduction. The first action by the nurse will be to:A) Assess vital signsB) Elevate the extremityC) Perform a lower extremity neurovascular checkD) Remind the client that he has a client-controlled analgesic pump, and reinstruct him on its use Right Answer and Explanation: 1. Right Answer: AExplanation: (A) Adequate renal flow of 30 mL/hr is a necessity with potassium infusions because potassium is excreted renally. (B) Because potassium level will decrease during correction of diabetic ketoacidosis, potassium will be infused even if plasma levels of potassium are normal. (C) A small T wave is normal and desired on the electrocardiogram. A tall, peaked T-wave could indicate overinfusion of potassium and hyperkalemia. (D) Glucose levels of
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 145
Questions 1. Goal setting for a client with Meniere - s disease should include which of the following?A) Frequent ambulationB) Prevention of a fall injuryC) Consumption of three meals per dayD) Prevention of infection2. Which of the following physician - s orders would the nurse question on a client with chronic arterial insufficiency?A) Neurovascular checks every 2 hoursB) Elevate legs on pillowsC) Arteriogram in the morningD) No smoking3. A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:A) The risks of exposure of the visitor to infectious organisms is great.B) Hospital regulations mandate that everyone in the facility adhere to appropriate codes.C) The client is at extreme risk of acquiring infections.D) Adherence to the guidelines are the latest Centers for Disease Control and Prevention recommendations on use of protective apparel.4. The nurse enters the room of a client on which a 'do not resuscitate' order has been written and discovers that she is not breathing. Once the husband realizes what has occurred he yells, 'please save her!' The nurse - s action would be:A) Call the physician and inform him that the client has expired.B) Remind the husband that the physician wrote an order not to resuscitate.C) Discuss with the husband that these orders are written only on clients who are not likely to recover with resuscitative efforts.D) Call a code and proceed with cardiopulmonary resuscitation.5. The nurse is in the hallway and one of the visitors faints. The nurse should:A) Sit the victim up and lightly slap his faceB) Elevate the victim - s legsC) Apply a cool cloth to the victim - s neck and forehead until he recoversD) Sit the victim up and place the head between the knees Right Answer and Explanation: 1. Right Answer: BExplanation: (A) Although not contraindicated, initially ambulation may be difficult because of vertigo and is recommended only with assistance. (B) Vertigo resulting in balance problems is one of the most common manifestations of Menieres disease. (C) Adequate nutrition is important, but the emphasis in Menieres disease is not the number of meals per day but a decrease in intake of sodium. (D) Infection is not an anticipated problem.2. Right Answer: BExplanation: (A) Neurovascular checks are a routine part of assessment with clients having this diagnosis. (B) Elevation of the legs is contraindicated because it reduces blood flow to areas already compromised. (C) Arteriogram is a routine diagnostic order. (D) Smoking is highly correlated with this disorder.3. Right Answer: CExplanation: (A) Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B, D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. (C) Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.4. Right Answer: DExplanation: (A, B, C) The last request from the husband overrides the decision not to initiate resuscitation efforts. (D) The nurse should begin cardiopulmonary resuscitation unless a living will and durable power of attorney are in force. In the meantime, the nurse should talk with the husband and notify the doctor.5. Right Answer: BExplanation: (A) Sitting the client up defeats the goal of re-establishing cerebral blood flow. (B) Elevating the legs anatomically redirects blood flow to the cerebral area. (C) This strategy is a nice general comfort measure after the victim has regained consciousness. (D) This strategy is not as effective a strategy in helping the client to regain consciousness as elevating the legs. .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 146
Questions 1. The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering.This statement is made by the nurse based on the knowledge that:A) The client is more likely to remember to perform the TSE when in the nudeB) When the scrotum is exposed to cool temperatures, the testicles become large and bulkyC) The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpateD) The examination will be less painful at this time2. The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?A) Pedal pulses 11 (weak)B) Twenty-four-hour intake 1000 mL/day for past 2 daysC) Serum potassium 3.3D) Pulse rate 150 bpm3. A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurses first action when admitting the client will be to:A) Obtain vital signsB) Connect the client to the cardiac monitorC) Ask the client if he is still having chest painD) Complete the history profile4. The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the clients chief complaint?A) 'I - ve been having a dull pain at the upper left shoulder.'B) 'My legs have been numb for three months.'C) 'I - ve only been urinating three times a day lately.'D) 'I don - t remember anything in particular, I just haven - t felt well.'5. The nurse is collecting a nutritional history on a 28- year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:A) Will bind calcium and therefore interfere with its metabolismB) Will cause more premenstrual crampingC) Interferes with iron absorption because the iron precipitates as an insoluble substanceD) Causes competition at iron-receptor sites between iron and vitamin B1 Right Answer and Explanation: 1. Right Answer: CExplanation: (A) Nudity is not a trigger for reminding males to perform TSE. (B) Testicles become more firm when exposed to cool temperatures, but not large and bulky. (C)The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. (D) The examination should not be painful.2. Right Answer: BExplanation: (A, D) Decreased pulse volume and increased pulse rate are signs of an acute hypotensive episode. (B) Inadequate fluid volume when taking vasodilators can result in a drop in blood pressure when vasodilation starts to physiologically occur as an action of the drug. (C) A potassium level of 3.3 would not be associated with a significant drop in blood pressure.3. Right Answer: BExplanation: (A) Obtaining vital signs is important after connecting the client to the monitor because vital signs should be stable before the client is discharged from the emergency room. (B) All are important, but the first priority is to monitor the clients rhythm. (C) If the client is in severe pain, pain medication should be given after connecting him to the monitor and obtaining vital signs. (D) Completion of the history profile is the least important of the nursing actions.4. Right Answer: DExplanation: (A, B, C) These complaints are not specific signs and symptoms associated with abdominal aortic aneurysm. If symptoms are present, the aneurysm is expanding or rupture is imminent. (D) Many clients may experience no symptoms. The only symptom may be a pulsation noted in the abdomen in the reclining position.5. Right Answer: CExplanation: (A) Eating chalk is not related to calcium and its absorption. (B) Poor nutritional habits may result in increased discomfort during premenstrual days, but this is not a primary reason for the client to stop eating chalk. Premenstrual discomfort has not been mentioned. (C) Iron is rendered insoluble and is excreted through the gastrointestinal tract. (D) There is no competition between the two nutrients. .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 147
Questions 1. Which of the following lab data is representative of a client with aplastic anemia?A) Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 millionB) White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000C) White blood cells 3000, hematocrit 27, red blood cells 2.8 millionD) Red blood cells 1 million, white blood cells 1500, thrombocytes 16,0002. A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?A) CantaloupeB) RiceC) ChickenD) Green beans3. A client states to his nurse that 'I was told by the doctor not to take one of my drugs because it seems to have caused decreasing blood cells.' Based on this information, which drug might the nurse expect to be discontinued?A) PrednisoneB) Timolol maleate (Blocadren)C) Garamycin (Gentamicin)D) Phenytoin (Dilantin)4. Forty-eight hours after a thyroidectomy, a female client complains of numbness and tingling of the toes and fingers. The nurse notes upper arm and facial twitching. The nurse needs to:A) Report the findings to the physicianB) Assist the client to do range of motion exercisesC) Check the client - s potassium levelD) Administer the as-needed dose of phenytoin (Dilantin)5. An 18-month-old child has been playing in the garage. His mother brings him to a nurses home complaining of his mouth being sore. His lips and mouth are soapy and white, with small ulcerated areas beginning to form. The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:A) Inhaled gasoline fumesB) Ingested a caustic alkaliC) Eaten construction chalkD) Lead poisoning Right Answer and Explanation: 1. Right Answer: DExplanation: (A, B, C) Although all of the lab data are abnormal and although these values are decreased in aplastic anemia, the disorder is defined by severe deficits in red cell, white cell, and platelet counts. (D) Aplastic anemia is typically defined in terms of abnormalities of red blood cell count, usually
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-RN Exam Questions - Part 148
Questions 1. In discussing the plan of care for a child with chronic nephrosis with the mother, the nurse identifies that the purpose of weighing the child is to:A) Measure adequacy of nutritional managementB) Check the accuracy of the fluid intake recordC) Impress the child with the importance of eating wellD) Determine changes in the amount of edema2. The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:A) Alopecia is an unavoidable side effect.B) There are several wig makers for children.C) Most children select a favorite hat to protect their heads.D) His hair will grow back in a few months.3. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:A) Reinforce attempts to eatB) Help the child gain weightC) Increase his appetiteD) Make mealtimes pleasant4. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation. When tooth-brushing is contraindicated, the next most effective cleansing and gingival stimulation technique would be:A) Using a water pikB) Rinsing with waterC) Rinsing with hydrogen peroxideD) Rinsing with baking soda5. During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:A) Putting all joints through full range-of-motion twice dailyB) Massaging the joints briskly with lotion or liniment after bathC) Immobilizing the joints in functional position using splints, rolls, and pillowsD) Applying warm water bottle or heating pads over involved joints Right Answer and Explanation: 1. Right Answer: DExplanation: (A) Weighing a child with nephrosis is to assess for edema, not nutrition. (B, C) This is not the purpose for weighing the child. (D) Weight and measurement are the primary ways of evaluating edema and fluid shifts.2. Right Answer: DExplanation: (A) Alopecia has occurred, and knowing it is a side effect does not address their concern. (B) Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.3. Right Answer: AExplanation: (A) Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake. (B) This goal is not specific enough or related to the loss of appetite. (C) This goal is not possible at this time based on his illness. (D) This goal is helpful, but alone will not address his loss of appetite.4. Right Answer: AExplanation: (A) This technique provides effective rinsing and gingival stimulation. (B) This technique does not provide gingival stimulation. (C) This technique provides effective rinsing but not gingival stimulation. Using peroxide is not pleasant for the child. (D) This technique provides effective rinsing but not gingival stimulation.5. Right Answer: CExplanation: (A) Any movement of the joint causes severe pain. (B) Touching or moving the joint causes severe pain. (C) Immobilization in a functional position allows the joint to rest and heal. (D) Pressure from the warm water bottle or pads can cause severe pain or burning of the skin. .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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