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

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Question # 57

The nurse caring for a client who has pneumonia, which is caused by a gram-positive bacteria, inspects her sputum. Because the client’s pneumonia is caused by a gram-positive bacteria, the nurse experts to find the sputum to be:

A.

Bright red with streaks

B.

Rust colored

C.

Green colored

D.

Pink-tinged and frothy

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Question # 58

On an assessment of a client’s mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. The nurse would suspect that this lesion is:

A.

Xerosteromia

B.

Candidiasis

C.

Leukoplakia

D.

Stomatitis

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Question # 59

A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?

A.

Providing him with books, challenging puzzles, and games as diversionary activities

B.

Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision

C.

Having a volunteer come in to sit with the client and to read him stories

D.

Stimulating rest and relaxation by gentle rubbing with lotion and changing the client’s position frequently

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Question # 60

A client has been diagnosed with thrombophlebitis. She asks, “What is the most likely cause of thrombophlebitis during my pregnancy?” The nurse explains:

A.

Increased levels of the coagulation factors and a decrease in fibrinolysis

B.

An inadequate production of platelets

C.

An inadequate intake of folic acid during pregnancy

D.

An increase in fibrinolysis and a decrease in coagulation factors

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Question # 61

A 22-year-old client is 16 weeks pregnant. She and her husband are expecting their first baby. The client tells the nurse that her last normal menstrual period was February 16, with 3 days of spotting on February 17, 18, and 19. The nurse calculates her expected date of delivery to be:

A.

November 23rd

B.

December 26th

C.

September 14th

D.

December 9th

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Question # 62

A female client has been diagnosed with chronic renal failure. She is a candidate for either peritoneal dialysis or hemodialysis and must make a choice between the two. Which information should the nurse give her to help her decide?

A.

Hemodialysis involves less time to filter the blood; but the client must consider travel time, distance, and inconvenience.

B.

Hemodialysis involves more time to filter the blood than does peritoneal dialysis.

C.

Peritoneal dialysis has almost no complications and is less time consuming than hemodialysis. Therefore it is preferred.

D.

Peritoneal dialysis requires that a home health nurse prepare and administer the treatments.

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Question # 63

A term neonate has experienced no distress at birth and has an Apgar score of 9. Her mother has asked to breastfeed her following delivery. Immediately after birth, the neonate was most susceptible to heat loss. The most appropriate intervention to conserve heat loss and promote bonding is to:

A.

Place her under the radiant warmer

B.

Dry her with blankets

C.

Place her to her mother’s breast

D.

Place her on a heated pad

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Question # 64

A female client is admitted to the emergency department complaining of severe right-sided abdominal pain and vaginal spotting. She states that her last menstrual period was about 2 months ago. A positive pregnancy test result and ultrasonography confirm an ectopic pregnancy. The nurse could best explain to the client that her condition is caused by:

A.

Abnormal development of the embryo

B.

A distended or ruptured fallopian tube

C.

A congenital abnormality of the tube

D.

A malfunctioning of the placenta

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