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

Questions 161

A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

Options:

A.

October 8

B.

October 15

C.

October 22

D.

October 29

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Questions 162

A mother came to the pediatric clinic with her 17- month-old child. The mother would like to begin toilet training. What should the nurse teach her about implementing toilet training?

Options:

A.

Take two or three favorite toys with the child.

B.

Have a child-sized toilet seat or training potty on hand.

C.

Explain to the child she is going to “void” and “defecate.”

D.

Show disapproval if she does not void or defecate.

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Questions 163

A dose of theophylline may need to be altered if a client with COPD:

Options:

A.

Is allergic to morphine

B.

Has a history of arthritis

C.

Operates machinery

D.

Is concurrently on cimetidine for ulcers

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Questions 164

To prevent fungal infections of the mouth and throat, the nurse should teach clients on inhaled steroids to:

Options:

A.

Rinse the plastic holder that aerosolizes the drug with hydrogen peroxide every other day

B.

Rinse the mouth and gargle with warm water after each use of the inhaler

C.

Take antacids immediately before inhalation to neutralize mucous membranes and prevent infection

D.

Rinse the mouth before each use to eliminate colonization of bacteria

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Questions 165

A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

Options:

A.

Gently pull the infant away

B.

Withdraw the breast from the infant’s mouth

C.

Compress the areolar tissue until the infant drops the nipple from her mouth

D.

Insert a clean finger into the baby’s mouth beside the nipple

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Questions 166

The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

Options:

A.

Pulse rate of 50–70 bpm by her third postpartum day

B.

Diuresis by her second or third postpartum day

C.

Vaginal discharge or rubra, serosa, then rubra

D.

Diaphoresis by her third postpartum day

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Questions 167

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?

Options:

A.

14 µ g/mL

B.

25 µ g/mL

C.

4 µ g/mL

D.

30 µ g/mL

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Questions 168

A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made. What behaviors might indicate the possibility of maternal deprivation?

Options:

A.

Responsive to touch, wants to be held

B.

Uncomforted by touch, refuses bottle

C.

Maintains eye-to-eye contact

D.

Finicky eater, easily pacified, cuddly

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Questions 169

A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal heart sounds are best auscultated just:

Options:

A.

Below the umbilicus toward left side of mother’s abdomen

B.

Below the umbilicus toward right side of mother’s abdomen

C.

At the umbilicus

D.

Above the umbilicus to the left side of mother’s abdomen

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Questions 170

In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

Options:

A.

Clay-colored stools

B.

Steatorrhea stools

C.

Dark brown stools

D.

Blood-tinged stools

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Questions 171

A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse’s initial assessment reveals a temperature of 104.5◦F (40.3◦C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation. These symptoms are indicative of which one of the following?

Options:

A.

Acute tracheitis

B.

Acute spasmodic croup

C.

Acute epiglottis

D.

Acute laryngotracheobronchitis

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Questions 172

A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate

(MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

Options:

A.

Deep tendon reflexes are absent

B.

Urine output is 20 mL/hr

C.

MgSO4serum levels are>15 mg/dL

D.

Respirations are>16 breaths/min

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Questions 173

Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

Options:

A.

Eat high-calorie, high-protein foods

B.

Take vitamin supplementation

C.

Eliminate intake of milk and milk products

D.

Eat small, frequent meals

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Questions 174

A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:

Options:

A.

Give the child 15 mL of syrup of ipecac.

B.

Give the child 10 mL of syrup of ipecac with a sip of water.

C.

Give the child 1 cup of water to induce vomiting.

D.

Bring the child to the ER immediately.

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Questions 175

A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

Options:

A.

Smoke low-tar, filtered cigarettes

B.

Smoke cigars instead

C.

Smoke only right after meals

D.

Chew gum instead

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Questions 176

In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstrual cycle?

Options:

A.

Menstrual phase

B.

Proliferative phase

C.

Secretory phase

D.

Ischemic phase

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Questions 177

A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?

Options:

A.

“Start the child on solid food.”

B.

“Nurse the child more frequently during this growth spurt.”

C.

“Provide supplements for the child between breastfeeding so you will have enough milk.”

D.

“Wait 4 hours between feedings so that your breasts will fill up.”

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Questions 178

A complication for which the nurse should be alert following a liver biopsy is:

Options:

A.

Hepatic coma

B.

Jaundice

C.

Ascites

D.

Shock

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Questions 179

In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:

Options:

A.

The proteins needed for tissue repair are diminished.

B.

The iron stores needed for tissue repair are inadequate.

C.

A decreased serum albumin level indicates kidney disease.

D.

A decreased serum albumin causes fluid movement into the blood vessels, causing dehydration.

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Questions 180

Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

Options:

A.

Eating three large meals a day

B.

Drinking small amounts of liquids with meals

C.

Taking a long walk after meals

D.

Eating a low-carbohydrate diet

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