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

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Question # 25

A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in onehalf normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10–15 mg IM q4h prn for pain. She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would:

A.

Provide food and fluids at the client’s request

B.

Maintain IV, increasing the rate hourly until the client voids

C.

Report to the surgeon if the client is unable to void within 8 hours of surgery

D.

Hold morphine sulfate injections for pain until the client voids, explaining to her that morphine sulfate can cause urinary retention

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Question # 26

In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:

A.

Give vinegar, lemon juice, or orange juice

B.

Phone the doctor

C.

Take the child to the emergency room

D.

Induce vomiting

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Question # 27

A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary compliance would be to:

A.

Allow her privacy at mealtimes

B.

Praise her for eating everything

C.

Observe behavior for 1–2 hours after meals to prevent vomiting

D.

Encourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes

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Question # 28

When discussing the relationship between exercise and insulin requirements, a 26-year-old client with IDDM should be instructed that:

A.

When exercise is increased, insulin needs are increased

B.

When exercise is increased, insulin needs are decreased

C.

When exercise is increased, there is no change in insulin needs

D.

When exercise is decreased, insulin needs are decreased

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Question # 29

While the nurse is taking a male client’s blood pressure, he makes flirtatious remarks to her. The nurse will handle this effectively if she:

A.

Politely tells the client, “Keep your hands off ”

B.

Ignores the remarks and hopes he will not try it again

C.

Confronts the remarks but attempts not to reject the client

D.

Leaves the room in order to compose herself

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Question # 30

The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:

A.

Wear gloves for the procedure

B.

Place and adjust the pad from back to front

C.

Cleanse and wipe the perineum from front to back

D.

Protect the outer surface of the pad from contamination

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Question # 31

Iron dextran (Imferon) is a parenteral iron preparation.

The nurse should know that it:

A.

Is also called intrinsic factor

B.

Must be given in the abdomen

C.

Requires use of the Z-track method

D.

Should be given SC

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Question # 32

A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

A.

October 8

B.

October 15

C.

October 22

D.

October 29

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