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

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Question # 33

A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?

A.

14 µ g/mL

B.

25 µ g/mL

C.

4 µ g/mL

D.

30 µ g/mL

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Question # 34

Other drugs may be ordered to manage a client’s ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

A.

Methylprednisolone sodium succinate (Solu-Medrol)

B.

Loperamide (Imodium)

C.

Psyllium

D.

6-Mercaptopurine

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Question # 35

A client delivered a stillborn male at term. An appropriate action of the nurse would be to:

A.

State, “You have an angel in heaven.”

B.

Discourage the parents from seeing the baby.

C.

Provide an opportunity for the parents to see and hold the baby for an undetermined amount of time.

D.

Reassure the parents that they can have other children.

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Question # 36

Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:

A.

His priority needs are limited to medical management

B.

There is no real psychological basis for his illness

C.

The disorder is a threat to his physical well-being

D.

He is unable to participate in planning his care

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Question # 37

The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:

A.

Maintaining an adequate level of hydration

B.

Providing pain relief

C.

Preventing infection

D.

O2 therapy

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Question # 38

A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:

A.

Including the client in planning sessions to select the type of meal plan and foods for his diet

B.

Working with the nutritionist to devise a diet with significantly increased calories

C.

Selecting foods for the client’s diet that are high in calories and instituting a strict calorie count

D.

Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods

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Question # 39

A client was admitted to the hospital for a TURP. Within 48 hours of admission and 12 hours postoperatively, both the blood pressure and pulse increased. He became agitated, thought snakes were crawling on his arms and legs, and generally became unmanageable. He pulled out his IV and urinary catheter in attempt to rid himself of the snakes. He was sweating profusely. The admission nurse’s notes indicated that the client admitted to “having a few drinks now and then.” He is probably experiencing which of the following?

A.

Major psychotic depression

B.

Delirium tremens

C.

Generalized anxiety disorder

D.

Adjustment disorder with mixed features

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Question # 40

Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

A.

Children seldom show concern about losing their hair

B.

The hair will come out gradually, and the loss will not be noticeable for some time

C.

It is best for girls to choose a wig similar to their hair style and color before the hair falls out

D.

The parents will soon get used to seeing their children without hair, and it will no longer bother them

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