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

Questions 81

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

Options:
A.

Blood pressure

B.

Serum potassium level

C.

Urine output

D.

Pulse rate

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Questions 82

The therapeutic blood-level range for lithium is:

Options:
A.

0.25–1.0 mEq/L

B.

0.5–1.5 mEq/L

C.

1.0–2.0 mEq/L

D.

2.0–2.5 mEq/L

Questions 83

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

Options:
A.

Stephens-Johnson syndrome

B.

Folate deficiency

C.

Leukopenic aplastic anemia

D.

Granulocytosis and nephrosis

Questions 84

The most commonly known vectors of Lyme disease are:

Options:
A.

Mites

B.

Fleas

C.

Ticks

D.

Mosquitoes

Questions 85

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

Options:
A.

Maintaining seizure precautions

B.

Restricting fluid intake

C.

Increasing sensory stimuli

D.

Applying ankle and wrist restraints

Questions 86

A diagnosis of hepatitis C is confirmed by a male client’s physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

Options:
A.

The potential for chronic liver disease is minimal.

B.

The onset of symptoms is abrupt.

C.

The incubation period is 2–26 weeks.

D.

There is an effective vaccine for hepatitis B, but not for hepatitis C.

Questions 87

Which of the following findings would be abnormal in a postpartal woman?

Options:
A.

Chills shortly after delivery

B.

Pulse rate of 60 bpm in morning on first postdelivery day

C.

Urinary output of 3000 mL on the second day after delivery

D.

An oral temperature of 101F (38.3C) on the third day after delivery

Questions 88

A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

Options:
A.

Administer a stat dose of lithium as necessary.

B.

Recognize this as an expected response to lithium.

C.

Request an order for a stat blood lithium level.

D.

Give an oral dose of lithium antidote.

Questions 89

The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?

Options:
A.

Norepinephrine (Levophed)

B.

Dobutamine (Dobutrex)

C.

Propranolol (Inderal)

D.

Epinephrine (Adrenalin)

Questions 90

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, “I wish I were dead because I am worthless to everyone; I guess I am just no good.” Which response by the nurse is most appropriate at this time?

Options:
A.

“I don’t think you are worthless. I’m glad to see you, and we will help you.”

B.

“Don’t you think this is a sign of your illness?”

C.

“I know with your wife and new baby that you do have a lot to live for.”

D.

“You’ve been feeling sad and alone for some time now?”

Questions 91

A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of “not feeling well.” At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

Options:
A.

Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drink

B.

Ask him to dissolve three pieces of hard candy in his mouth

C.

Have him drink 4 oz of orange juice

D.

Monitor him closely until dinner arrives

Questions 92

In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?

Options:
A.

Right coronary artery

B.

Left main coronary artery

C.

Circumflex coronary artery

D.

Left anterior descending coronary artery

Questions 93

In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

Options:
A.

Auscultating bilateral breath sounds

B.

Palpating for presence of crepitus

C.

Palpating for trachial deviation

D.

Auscultating heart sounds

Questions 94

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:

Options:
A.

Decreases hypertrophic scar formation

B.

Assists with ambulation

C.

Covers burn scars and decreases the psychological impact during recovery

D.

Increases venous return and cardiac output by normalizing fluid status

Questions 95

When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

Options:
A.

Anemia and vomiting

B.

Polyuria and polydipsia

C.

Irritability relieved by feeding formula

D.

Hypothermia and azotemia

Questions 96

A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:

Options:
A.

9:30 AM

B.

10:30 AM

C.

12 noon

D.

4:00 PM

Questions 97

Which of the following ECG changes would be seen as a positive myocardial stress test response?

Options:
A.

Hyperacute T wave

B.

Prolongation of the PR interval

C.

ST-segment depression

D.

Pathological Q wave

Questions 98

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

Options:
A.

The nurse should use universal precautions when obtaining blood samples.

B.

Total bed rest should be maintained until the client is asymptomatic.

C.

The client should be instructed to maintain a low semi-Fowler position when eating meals.

D.

The nurse should administer an alcohol backrub at bedtime.

Questions 99

Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

Options:
A.

Decreased glomerular filtration and increased tubular absorption

B.

Decreased estrogen levels

C.

Decreased progesterone levels

D.

Increased human placental lactogen levels

Questions 100

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

Options:
A.

Bleeding, bruising, and hemorrhage

B.

Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase

C.

Pain, pallor, pulselessness, paresthesia, and paralysis

D.

Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

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