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

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Question # 9

Morphine sulfate 4 mg IV push q2h prn for chest pain was ordered for a client in the emergency room with severe chest pain. The nurse administering the morphine sulfate knows which of the following therapeutic actions is related to the morphine sulfate?

A.

Increased level of consciousness

B.

Increased rate and depth of respirations

C.

Increased peripheral vasodilation

D.

Increased perception of pain

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Question # 10

A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin infusion. It is important that the RN discontinue the infusion if which one of the following occur?

A.

The client’s contractions are <2 minutes apart.

B.

Duration of the contractions are 60 seconds.

C.

The uterus relaxes between contractions.

D.

The client complains that she is tired.

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Question # 11

A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

A.

Demand that she relax

B.

Ask what is the problem

C.

Stand or sit next to her

D.

Give her something to do

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Question # 12

A client was not using his seat belt when involved in a car accident. He fractured ribs 5, 6, and 7 on the left and developed a left pneumothorax. Assessment findings include:

A.

Crackles and paradoxical chest wall movement

B.

Decreased breath sounds on the left and chest pain with movement

C.

Rhonchi and frothy sputum

D.

Wheezing and dry cough

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Question # 13

The nurse instructs a client on the difference between true labor and false labor. The nurse explains, “In true labor:

A.

Uterine contractions will weaken with walking.”

B.

Uterine contractions will strengthen with walking.”

C.

The cervix does not dilate.”

D.

The fetus does not descend.”

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Question # 14

A nurse is performing a vaginal exam on a client in active

labor. An important landmark to assess during labor

and delivery are the ischial spines because:

A.

Ischial spines are the narrowest diameter of the pelvis

B.

Ischial spines are the widest diameter of the pelvis

C.

They represent the inlet of birth canal

D.

They measure pelvic floor

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Question # 15

After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries and assesses the infant. At 1 and 5 minutes after birth, the RN does the Apgar scoring of the infant. The RN knows that because this infant was delivered by cesarean section, he is at increased risk for having which one of the following:

A.

Cold stress

B.

Cyanosis

C.

Respiratory distress syndrome

D.

Seizures

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Question # 16

A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

A.

Bonding

B.

Maintain normal blood sugar

C.

Maintain normal nutrition

D.

Monitor intake and output

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