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NCLEX-RN Exam Dumps - National Council Licensure Examination(NCLEX-RN)

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Question # 105

A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gained 14 lb from her 7th to 8th month; her face and hands indicate edema. She is diagnosed as having PIH and referred to the high-risk prenatal clinic. The client’s weight increase is most likely due to:

A.

Overeating and subsequent obesity

B.

Obesity prior to conception

C.

Hypertension due to kidney lesions

D.

Fluid retention

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Question # 106

The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for tomorrow’s menu. Which vitamin is the most essential in promoting tissue healing?

A.

Vitamin C

B.

Vitamin B1

C.

Vitamin D

D.

Vitamin A

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Question # 107

A 48-year-old client is in the surgical intensive care unit after having had three-vessel coronary artery bypass surgery yesterday. She is extubated, awake, alert and talking. She is receiving digitalis for atrial arrhythmias. This morning serum electrolytes were drawn. Which abnormality would require immediate intervention by the nurse after contacting the physician?

A.

Serum osmolality is elevated indicating hemoconcentration.The nurse should increase IV fluid rate.

B.

Serum sodium is low. The nurse should change IV fluids to normal saline.

C.

Blood urea nitrogen is subnormal. The nurse should increase the protein in the client’s diet as soon as possible.

D.

Serum potassium is low. The nurse should administer KCl as ordered.

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Question # 108

As a nurse in the emergency room, you receive an outside call from an elderly woman who states she has just been raped. She states, “I know I must come to the hospital, but what do I do next?” You advise her to call the police, then come to the hospital emergency room. What action by the nurse would indicate an understanding of the examination process once the victim enters the emergency room?

A.

Inform the victim not to wash, change clothes, douche, brush teeth, or eat or drink anything.

B.

Inform the victim to bring insurance information with her to the hospital so she can be properly cared for.

C.

Phone a rape counselor to begin working with the victim as soon as she enters the hospital.

D.

Do not leave the victim alone to collect her thoughts.

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Question # 109

A female client has just died. Her family is requesting that all nursing staff leave the room. The family’s religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include:

A.

Inform the family that it is the hospital’s policy not to conduct religious ceremonies in client rooms.

B.

Refuse to leave the room because the client’s body is entrusted in the nurse’s care until it can be brought to the morgue.

C.

Tell the family that they may conduct their ceremony in the client’s room; however, the nurse must attend.

D.

Respect the client’s family’s wishes.

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Question # 110

A female client comes for her second prenatal visit. The nurse-midwife tells her, “Your blood tests reveal that you do not show immunity to the German measles.” Which notation will the nurse include in her plan of care for the client? “Will need . . .

A.

Rh-immune globulin at the next visit”

B.

Rh-immune globulin within 3 days of delivery”

C.

Rubella vaccine at the next visit”

D.

Rubella vaccine after delivery on the day of discharge”

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Question # 111

A 50-year-old male client is to receive chemotherapy. The physician’s orders include antiemetics. When planning his care, the nurse should take into consideration that antiemetics are best administered in the following way:

A.

Give antiemetics when nausea is experienced and continue on a regular schedule for 12–24 hours.

B.

Give antiemetics prior to the client receiving chemotherapy and continue on a regular basis for at least24–48 hours after chemotherapy.

C.

Give antiemetics one at a time because combinations of antiemetics cause overwhelming side effects.

D.

Give antiemetics intermittently during the entire course of chemotherapy.

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Question # 112

A male client is experiencing extreme distress. He begins to pace up and down the corridor. What nursing intervention is appropriate when communicating with the pacing client?

A.

Ask him to sit down. Speak slowly and use short, simple sentences.

B.

Help him to recognize his anxiety.

C.

Walk with him as he paces.

D.

Increase the level of his supervision.

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