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How to Easily Pass the NCLEX NCLEX-RN Exam: Expert Advice

Questions 61

A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:

Options:
A.

Dissolves any clots already formed in the arteries

B.

Prevents the conversion of prothrombin to thrombin

C.

Interferes with the synthesis of vitamin K-dependent clotting factors

D.

Stimulates the manufacturing of platelets

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Questions 62

Which of the following nursing orders has the highest priority for a child with epiglottitis?

Options:
A.

Vital signs every shift

B.

Tracheostomy set at bedside

C.

Intake and output

D.

Specific gravity every shift

Questions 63

One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, “It’s really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers.” The nurse’s best response would be:

Options:
A.

“That might be a problem. Tell me more about them.”

B.

“Risk factors can often be controlled by self-responsibility.”

C.

“It sounds like you’re intellectualizing your drinking problem.”

D.

“Your grandfather and father were both alcoholics?”

Questions 64

A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:

Options:
A.

Establishing routine tasks and activities around mealtimes

B.

Administering medications such as lithium

C.

Requiring the client to eat more during meals

D.

Checking the client’s room frequently

Questions 65

The nurse writes the following nursing diagnosis for a client in acute renal failure—Impaired gas exchange related to:

Options:
A.

Decreased red blood cell production

B.

Increased levels of vitamin D

C.

Increased red blood cell production

D.

Decreased production of renin

Questions 66

A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child’s case manager knows that treatment has been effective when:

Options:
A.

The child is removed from the home and placed in foster care

B.

The child’s parents identify the ways in which he is different from the rest of the family

C.

The child’s father is arrested for child abuse

D.

The child’s parents can identify appropriate behaviors for children in his age group

Questions 67

The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?

Options:
A.

“Do you take aspirin on a regular basis?”

B.

“Do you drink alcohol on a regular basis?”

C.

“Do you eat red meat?”

D.

“Have your stools been normal?”

Questions 68

Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care unit. He was extubated prior to leaving the suite. On arrival at the postanesthesia care unit, the nurse should:

Options:
A.

Check airway, feeling for amount of air exchange noting rate, depth, and quality of respirations

B.

Obtain pulse and blood pressure readings noting rate and quality of pulse

C.

Reassure the client that his surgery is over and that he is in the recovery room

D.

Review physician’s orders, administering medications as ordered

Questions 69

A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the baby’s condition. The nurse knows that the pediatrician has discussed the baby’s condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?

Options:
A.

Call the orthopedist and request that he come to see the baby now.

B.

Question the mother and find out what the pediatrician has told her about the baby’s condition.

C.

Tell the mother that this is not a serious condition.

D.

Tell the mother that this condition has been successfully treated with exercises, casts, and/or braces.

Questions 70

A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A vial containing atropine 0.4 mg (1/150 g)/mL is on hand. How much atropine should be given?

Options:
A.

0.06 mL

B.

0.38 mL

C.

2.7 mL

D.

Information given insufficient to determine the amount of atropine to be administered

Questions 71

A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?

Options:
A.

Weigh the child twice daily on the same scale.

B.

Monitor intake and output.

C.

Check urine specific gravity of each voiding.

D.

Observe for edema.

Questions 72

A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:

Options:
A.

The test is inconclusive and should be repeated

B.

Further testing is needed

C.

The test is normal and the fetus is reacting appropriately

D.

The fetus is distressed

Questions 73

A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):

Options:
A.

Allergy to seafood

B.

History of seizures

C.

Movable metal implant

D.

Pin or screw in any bone

Questions 74

The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupus. The client states, “I get them whenever I bump into anything.” The nurse would expect to note a decrease in which of the following laboratory tests?

Options:
A.

Number of platelets

B.

WBC count

C.

Hemoglobin level

D.

Number of lymphocytes

Questions 75

After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

Options:
A.

Suicide

B.

Exacerbation of depressive symptoms

C.

Violence toward others

D.

Psychotic behavior

Questions 76

A child is admitted to the emergency room with her mother. Her mother states that she has been exposed to chickenpox. During the assessment, the nurse would note a characteristic rash:

Options:
A.

That is covered with vesicular scabs all in the macular stage

B.

That appears profusely on the trunk and sparsely on the extremities

C.

That first appears on the neck and spreads downward

D.

That appears especially on the cheeks, which gives a“slapped-cheek” appearance

Questions 77

As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

Options:
A.

Enlarged penis

B.

Secondary lymphadenitis

C.

Epididymitis

D.

Hepatomegaly

Questions 78

Which of the following should be included in discharge teaching for a client with hepatitis C?

Options:
A.

He should take aspirin as needed for muscle and joint pain.

B.

He may become a blood donor when his liver enzymes return to normal.

C.

He should avoid alcoholic beverages during his recovery period.

D.

He should use disposable dishes for eating and drinking.

Questions 79

Assessment of the client with pericarditis may reveal which of the following?

Options:
A.

Ventricular gallop and substernal chest pain

B.

Narrowed pulse pressure and shortness of breath

C.

Pericardial friction rub and pain on deep inspiration

D.

Pericardial tamponade and widened pulse pressure

Questions 80

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

Options:
A.

70 mg/dL and 120 mg/dL

B.

100 mg/dL and 200 mg/dL

C.

40 mg/dL and 130 mg/dL

D.

90 mg/dL and 200 mg/dL

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