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

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Question # 121

A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:

A.

Acute urinary retention

B.

Hesitancy in starting urination

C.

Increased frequency of urination

D.

Decreased force of the urinary stream

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Question # 122

Which nursing implication is appropriate for a client undergoing a paracentesis?

A.

Have the client void before the procedure.

B.

Keep the client NPO.

C.

Observe the client for hypertension following the procedure.

D.

Place the client on the right side following the procedure.

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Question # 123

In working with mental health clients who are prescribed medication that must be taken on a routine basis, it is important for education to begin when the drug therapy is initiated. One of the first steps in the teaching process is to:

A.

Explain the side effects of the medication

B.

Discuss the danger of overmedication

C.

Distribute written material to supplement verbal instructions

D.

Explore the client’s perception regarding medication therapy

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Question # 124

A client is a depressed, 48-year-old salesman. A serious concern for the nurse working with depressed clients is the potential of suicide. The time that suicide is most likely to occur is:

A.

In the acutely depressed state

B.

When the depression starts to lift

C.

In the denial phase

D.

During a manic episode

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Question # 125

Nursing care for the parents of a child with a congenital heart defect would include:

A.

Encouraging the parents not to tell the child about the seriousness of the congenital heart defect, so the child will function as normally as possible

B.

Acknowledging the fear and concern surrounding their child’s health and assisting the parents through the grieving process as they mourn the loss of their fantasized healthy child

C.

Identifying anger and resentment as destructive emotions that serve no purpose

D.

Expressing to the parents after the corrective surgery has been completed successfully that all their grief feelings will resolve

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Question # 126

During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child’s change in behavior?

A.

Deep-seated feelings of hostility

B.

A lack of interest in socializing

C.

Usual behavior for this child

D.

A coping response

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Question # 127

A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

A.

Discuss the disease process and the importance of the medication in prevention of symptoms.

B.

Inform the client that additional side effects are to be expected and need not be reported.

C.

Discuss the importance of getting blood drawn weekly to determine medication therapeutics.

D.

Inform the client to cease taking the medication when all psychotic symptoms have cleared.

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Question # 128

A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks’ gestation, all of the following observations are made. Which would require intervention?

A.

Weight gain of 2 kg in 4 weeks

B.

Blood pressure of 128/78

C.

Subjective data: shortness of breath after showering

D.

Ankle edema reported present in late afternoon and evenings

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