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

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Question # 49

A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:

A.

“Okay, missing one meal won’t hurt.”

B.

“You’ll have to eat lunch, or we’ll force-feed you.”

C.

“It’s not appropriate for you to try to manipulate the staff into granting your wishes.”

D.

“We will not allow you to starve yourself. You may choose to eat voluntarily or be fed.”

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Question # 50

Before giving methergine postpartum, the nurse should assess the client for:

A.

Decreased amount of lochial flow

B.

Elevated blood pressure

C.

Flushing

D.

Afterpains

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Question # 51

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

A.

“Keep breathing with your abdominal muscles as long as you can.”

B.

“Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16–20 times a minute with shallow chest breaths.”

C.

“Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles.”

D.

“If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well.”

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Question # 52

The nurse is teaching a child’s parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:

A.

Dandelion leaves

B.

Pencils

C.

Old paint

D.

Stuffing from toy animals

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Question # 53

Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

A.

136/88 to 144/93

B.

132/78 to 124/76

C.

114/70 to 140/88

D.

140/90 to 148/98

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Question # 54

A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:

A.

Drink at least 8 oz of cranberry juice daily

B.

Maintain a fluid intake of at least 2000 mL daily

C.

Wash her hands before and after voiding

D.

Limit her fluid intake after 6 PM so that there is not a great deal of urine in her bladder while she sleeps

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Question # 55

A client delivered her first-born son 4 hours ago. She asks the nurse what the white cheeselike substance is under the baby’s arms. The nurse should respond:

A.

“This is a normal skin variation in newborns. It will go away in a few days.”

B.

“Let me have a closer look at it. The baby may have an infection.”

C.

“This material, called vernix, covered the baby before it was born. It will disappear in a few days.”

D.

“Babies sometimes have sebaceous glands that get plugged at birth. This substance is an example of that condition.”

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Question # 56

A physician’s order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 20 mEq/15 mL.

What dosage should the nurse administer to the infant?

A.

1 mEq

B.

1.13 mEq

C.

2 mEq

D.

Not enough information to calculate

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