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

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Question # 17

A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:

A.

Anorexia nervosa

B.

Anorexia hysteria

C.

Bulimia

D.

Conversion reaction

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Question # 18

A female client who has chronic obstructive pulmonary disease (COPD) has presented in the emergency department with cough productive of yellow sputum and increasing shortness of breath. On room air, her blood gases are as follows: pH 7.30 mm Hg, PCO2 60 mm Hg, PO2 55 mm Hg, HCO3 32 mEq/L. These arterial blood gases reflect:

A.

Compensated respiratory acidosis

B.

Normal blood gases

C.

Uncompensated metabolic acidosis

D.

Uncompensated respiratory acidosis

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Question # 19

Painless vaginal bleeding in the last trimester may be caused by:

A.

Menstruation

B.

Abruptio placentae

C.

Placenta previa

D.

Polyhydramnios

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Question # 20

Which type of insulin can be administered by a continuous IV drip?

A.

Humulin N

B.

NPH insulin

C.

Regular insulin

D.

Lente insulin

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Question # 21

A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being partially transected. By 2 weeks’ postinjury, his neck has been surgically stabilized, and he has been transferred from the intensive care unit. A potential life-threatening complication the nurse monitors the client for is:

A.

Autonomic dysreflexia

B.

Bradycardia

C.

Central cord syndrome

D.

Spinal shock

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Question # 22

A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states, “Nobody cares about the clients.” The nurse’s most effective response would be:

A.

“How can you say that I don’t care? We just met.”

B.

“What makes you think the nurses don’t care?”

C.

“You will feel differently about us in a few days.”

D.

“You seem angry. Tell me more about how you feel.”

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Question # 23

A client is diagnosed with organic brain disorder. The nursing care should include:

A.

Organized, safe environment

B.

Long, extended family visits

C.

Detailed explanations of procedures

D.

Challenging educational programs

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Question # 24

A client is placed in five-point restraints after exhibiting sudden violence after illegal drug use, and haloperidol (Haldol) 5 mg IM is administered. After 1 hour, his behavior is more subdued, but he tells the nurse, “The devil followed me into this room, I see him standing in the corner with a big knife. When you leave the room, he’s going to cut out my heart.” The nurse’s best response is:

A.

“I know you’re feeling frightened right now, but I want you to know that I don’t see anyone in the corner.”

B.

“You’ll probably see strange things for a while until the PCP wears off.”

C.

“Try to sleep. When you wake up, the devil will be gone.”

D.

“You’re probably feeling guilty because you used illegal drugs tonight.”

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