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NCLEX-PN Questions and Answers

Question # 6

The hydraulic lift (Hoyer lift) is:

A.

used for all clients who’ve had orthopedic surgery.

B.

used for all clients who are not able to stand and for extremity obese clients.

C.

used for all clients, both old and young, in a hospital setting.

D.

not an assistive device for special needs.

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Question # 7

An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?

A.

inability to turn, cough, and breathe deeply

B.

inability to communicate pain

C.

inability to ambulate freely

D.

inability to use a bedside commode

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Question # 8

Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?

A.

eggs

B.

coffee

C.

fish

D.

garlic

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Question # 9

Client room environments should include:

A.

a made bed, fresh water, thermostat regulation, and clean floors in all occupied client areas.

B.

a made bed, comfort and safety, a clutter-free area, hygiene articles nearby.

C.

accident prevention, comfort, a room (including furniture) that has been cleaned with chloroseptic wash, a bed that is made every other day.

D.

odor control (by spraying the room with deodorizers), closet storage of all client objects, a clean room. (Gloves should be worn when cleaning.)

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Question # 10

Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?

A.

high protein

B.

high carbohydrate

C.

low carbohydrate

D.

low protein

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Question # 11

Nonpharmacological pain management involves all of the following except:

A.

hypnosis alone.

B.

psychological care, including support groups.

C.

physical and psychological modalities.

D.

pain-reducing drugs only.

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Question # 12

Which of the following foods is a complete protein?

A.

corn

B.

eggs

C.

peanuts

Dsunflower seeds

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Question # 13

The major electrolytes in the extracellular fluid are:

A.

potassium and chloride.

B.

potassium and phosphate.

C.

sodium and chloride.

D.

sodium and phosphate.

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Question # 14

For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?

A.

upper right

B.

upper left

C.

lower right

D.

lower left

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Question # 15

Which of the following foods might a client with a hypercholesterolemia need to decrease his or her intake of?

A.

broiled catfish

B.

hamburgers

C.

wheat bread

D.

fresh apples

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Question # 16

Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:

A.

tolerance.

B.

constipation.

C.

sedation.

D.

addiction.

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Question # 17

An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

A.

insertion of a Foley catheter.

B.

in and out catheter specimen for urinalysis.

C.

a voided urine specimen for urinalysis.

D.

a urologist consult.

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Question # 18

Which is the proper hand position for performing chest vibration?

A.

cup the hands

B.

use the side of the hands

C.

flatten the hands

D.

spread the fingers of both hands

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Question # 19

A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?

A.

“I can drink alcohol now that I am decreasing my Xanax.”

B.

“I should not take another Xanax pill. Here is what is left of my last prescription.”

C.

“I should take three pills per day next week, then two pills for one week, then one pill for one week.”

D.

“I can expect to be sleepy for several days after stopping the medicine.”

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Question # 20

Which of the following conditions is mammography used to detect?

A.

pain

B.

tumor

C.

edema

D.

epilepsy

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Question # 21

Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:

A.

supplement vitamin pills.

B.

balance body molecules.

C.

cure many diseases.

D.

help improve body defenses.

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Question # 22

How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

A.

every 24 hours

B.

every 36 hours

C.

every 48 hours

D.

every 72 hours

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Question # 23

A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:

A.

sprain.

B.

strain.

C.

subluxation.

D.

distoration.

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Question # 24

Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:

A.

primary prevention.

B.

secondary prevention.

C.

tertiary prevention.

D.

primary health care prevention.

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Question # 25

Issues addressed in ethics committees include all of the following except:

A.

nonpayment of bills.

B.

euthanasia.

C.

starting or stopping treatment.

D.

use of feeding tubes.

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Question # 26

A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke break. Which of the following is most appropriate action for the nurse to take?

A.

Allow her to grieve by herself.

B.

Tell her go ahead and cry, after all your husband’s pretty bad off.

C.

Tell her you realize how upset she is, but you don’t want to talk about it now.

D.

Approach her, offering tissues and encourage her to verbalize her feelings.

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Question # 27

Increased cortisol levels might be found in a client with which condition?

A.

Cushing’s syndrome

B.

Addison’s disease

C.

renal failure

D.

congestive heart failure

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Question # 28

Which of the following represents a normal serum potassium level?

A.

1.5 mEq/L

B.

3.0 mEq/L

C.

4.0 mEq/L

D.

6.0 mEq/L

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Question # 29

The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:

A.

cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA.

B.

have few, if any, side effects.

C.

are used to treat multiple types of cancer.

D.

are cell-cycle-specific agents.

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Question # 30

In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?

A.

ability to speak

B.

ability to hear

C.

oxygen saturation

D.

adventitious breath sounds

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Question # 31

The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?

A.

“Do not sit on toilet seats without protection.”

B.

“Oral sex does not transmit the virus.”

C.

“This infection can be transmitted via intercourse even when you do not feel ill.”

D.

“Try to drink lots of fluids after sex to flush the reproductive tract.”

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Question # 32

A chemical reaction between drugs prior to their administration or absorption is known as:

A.

a drug incompatibility.

B.

a side effect.

C.

an adverse event.

D.

an allergic response.

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Question # 33

A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:

A.

solutions administered in obstetrics.

B.

dilute antibiotics.

C.

large volumes of IV solution.

D.

the neonatal and pediatric populations.

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Question # 34

A client is assessed by the nurse as experiencing a crisis. The nurse plans to:

A.

allow the client to work through independent problem-solving.

B.

complete an in-depth evaluation of stressors and responses to the situation.

C.

focus on immediate stress reduction.

D.

recommend ongoing therapy.

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Question # 35

A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:

A.

100 ml per hour for one hour.

B.

60 ml per hour for one-half hour.

C.

120 ml per hour for one hour.

D.

50 ml per hour for one hour.

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Question # 36

When a client has a chest drainage system in place, where should the system be placed?

A.

above the client’s head

B.

at the client’s shoulders

C.

at the level of the chest

D.

below the level of the chest

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Question # 37

Delegation of tasks to appropriate personnel allows the nurse to:

A.

take a break.

B.

keep other members of the team productive.

C.

maintain tight control of all aspects of the workflow.

D.

realize the importance of her role by making all decisions.

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Question # 38

The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?

A.

right to refuse treatment

B.

right to continuity of care

C.

right to confidentiality

D.

right to reasonable responses to requests

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Question # 39

What is the reason for a contract between nurse and client?

A.

Contracts state the roles the participants take.

B.

Contracts are indicative of the feeling tone established between participants.

C.

Contracts are binding and prevent either party from ending the relationship prematurely.

D.

Contracts spell out the participation and responsibilities of both parties.

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Question # 40

Which of the following symptoms is most characteristic of a client with cancer of the lungs?

A.

exertional dyspnea

B.

persistent changing cough

C.

air hunger; dyspnea

D.

cough with night sweats

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Question # 41

Kleinman’s Explanatory Model of Health and Illness is significant because:

A.

it explains what kind of health beliefs a family is likely to have.

B.

it brings out the importance of culture in forming health explanations.

C.

it discusses the important role that popular and folk domains of influence have.

D.

it has an educational base to the structure.

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Question # 42

Which of the following needs immediate medical attention and emergency intervention? The client who:

A.

complains of sharp pain upon taking a deep breath and excessive coughing.

B.

exhibits yellow, productive sputum, lowgrade fever, and crackles.

C.

has a shift of the trachea to the left, with no breath sounds on the right.

D.

has asthma and complains of an inability to catch her breath after exercise.

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Question # 43

As a type of quality indicator, an example of a structure standard is:

A.

a written philosophy.

B.

a procedure for a straight catheterization.

C.

a protocol for treatment of a client with chest pain.

D.

the diagnostic work-up for a client with abdominal pain.

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Question # 44

Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?

A.

Document the vomiting.

B.

Increase the IV fluids.

C.

Get a complete blood count.

D.

Check the blood pressure.

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Question # 45

Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?

A.

Asians

B.

Caucasians

C.

Hispanics

D.

African Americans

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Question # 46

Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

A.

Kegel

B.

resistance

C.

passive

D.

stretching

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Question # 47

In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

A.

ability to breathe

B.

pallor or cyanosis of the skin

C.

number of accompanying family members

D.

motor function

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Question # 48

What is pica?

A.

dependency on alcohol

B.

increased iron in the diet

C.

the sickle cell trait

D.

eating ice

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Question # 49

Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

A.

epilepsy

B.

Parkinson’s

C.

muscular sclerosis

D.

Huntington’s chorea

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Question # 50

Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?

A.

“I should put alcohol on my baby’s cord 3–4 times a day.”

B.

“I should put the baby’s diaper on so that it covers the cord.”

C.

“I should call the physician if the cord becomes dark.”

D.

“I should wash my hands before and after I take care of the cord.”

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Question # 51

Which sign might the nurse see in a client with a high ammonia level?

A.

coma

B.

edema

C.

hypoxia

D.

polyuria

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Question # 52

Assessment of a client with a cast should include:

A.

capillary refill, warm toes, no discomfort.

B.

posterior tibial pulses, warm toes.

C.

moist skin essential, pain threshold.

D.

discomfort of the metacarpals.

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Question # 53

While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?

A.

“I will assist you in arranging to have a medicine woman present.”

B.

“We do not allow medicine women in exam rooms.”

C.

“That does not make any difference in the outcome.”

D.

“It is old-fashioned to believe in that.”

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Question # 54

The most common cause of injury from a house fire is:

A.

explosion.

B.

falls from second-story windows.

C.

thermal damage to skin and body surfaces.

D.

inhalation injury.

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Question # 55

A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:

A.

touching the client to help him return to reality.

B.

leaving the client alone until reality returns.

C.

asking the client to describe what is happening.

D.

telling the client there are no voices.

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Question # 56

Quality is defined as a combination of all of the following except:

A.

conforming to standards.

B.

performing at the minimally acceptable level.

C.

meeting or exceeding customer requirements.

D.

exceeding customer expectations.

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Question # 57

Ethical and moral issues concerning restraints include all of the following except:

A.

emotional impact on the client and family.

B.

dignity of the client.

C.

client’s quality of life.

D.

policies and procedures.

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Question # 58

A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:

A.

review their own cultural beliefs and biases.

B.

respectfully request that the couple utilize only medically approved health care providers.

C.

realize that the clients have to learn their new country’s accepted medical practices.

D.

study family dynamics to understand the male and female gender roles in the clients’ culture.

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Question # 59

A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?

A.

structure

B.

relaxation technique

C.

time management

D.

regular exercise

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Question # 60

Someone who has received a recent tattoo should be screened for:

A.

tuberculosis.

B.

herpes.

C.

hepatitis.

D.

syphilis.

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Question # 61

Which of the following observations is most important when assessing a client’s breathing?

A.

presence of breathing and pulse rate

B.

breathing pattern and adequacy of breathing

C.

presence of breathing and adequacy of breathing

D.

patient position and adequacy of breathing

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Question # 62

The 24-hour day-night cycle is known as:

A.

circadian rhythm.

B.

infradium rhythm.

C.

ultradian rhythm.

D.

non-REM rhythm.

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Question # 63

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

A.

“How did you get those bruises?”

B.

“Did someone grab you by your arms?”

C.

“Do you fall often?”

D.

“What did you bump against?”

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Question # 64

In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:

A.

diabetic signs and symptoms.

B.

nutritional status.

C.

bleeding problems.

D.

availability of insulin.

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Question # 65

A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

A.

identify all psychosocial problems.

B.

eliminate the client’s enticing behaviors.

C.

resolve feelings of trauma and fear.

D.

verbalize feeling about the event.

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Question # 66

A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?

A.

nucleoside reverse transcriptase inhibitors

B.

protease inhibitors

C.

HIV fusion inhibitors

D.

all of the above.

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Question # 67

A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?

A.

testing that is performed by volunteers at a local department store and is open to the public

B.

at a professional health fair activity available for selected persons who have been screened as being at risk

C.

mass-marketing vouchers for free fingersticks at a local drug store, where the pharmacist makes recommendations on the findings

D.

testing that is performed by a nurse professional, who immediately provides education regarding the findings

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Question # 68

A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?

A.

Notify the physician.

B.

Clamp the chest tube.

C.

Replace the system.

D.

Document the finding.

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Question # 69

A client has sustained a hyphema. What intervention should the nurse take?

A.

Have the client wear ear protectors in the future.

B.

Keep the client at bed rest, typically with the head of the bed propped up.

C.

Apply atropine eye drops.

D.

Apply an ice pack to the site of injury.

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Question # 70

The advanced directive in a client’s chart is dated August 12, 1998.The client’s daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:

A.

follow the 1998 version because it’s part of the legal chart.

B.

follow the 1998 version because the physician’s code order is based on it.

C.

follow the 2003 version, place it in the chart, and communicate the update appropriately.

D.

follow neither until clarified by the unitmanager.

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Question # 71

The physician’s role in case management includes all of the following except:

A.

participating in interdisciplinary planning for clients.

B.

serving as the expert for resource utilization.

C.

consulting with the case management team to facilitate timely orders as needed.

D.

contributing to the documentation of a client’s needs for services.

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Question # 72

Nursing care for a client undergoing chemotherapy includes assessment for signs of bone marrow depression. Which finding accounts for some of the symptoms related to bone marrow depression?

A.

erythrocytosis

B.

leukocytosis

C.

polycythemia

D.

thrombocytopenia

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Question # 73

Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?

A.

a client with renal impairment

B.

a client with hypertension

C.

a client with diabetes mellitus, type II

D.

a client with renal calculi (kidney stones)

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Question # 74

An example of an extended care facility is a:

A.

home health agency.

B.

suicide prevention center.

C.

state-owned psychiatric hospital.

D.

nursing facility.

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Question # 75

A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?

A.

prosecuting the perpetrator

B.

managing symptoms of anxiety and fear

C.

determining if the memories are real

D.

collaborating the client’s story

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Question # 76

Which of the following is responsible for laws mandating the reporting of certain infections and diseases?

A.

Centers for Disease Control and Prevention (CDC)

B.

individual state laws

C.

National Institute of Health Research (NIH)

D.

Health and Human Services (HHS)

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Question # 77

A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?

A.

Lab values of Potassium and Sodium

B.

Lab values of glucose and hemoglobin

C.

ECG

D.

CT scan

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Question # 78

Which of the following vaccines is a live virus?

A.

varicella

B.

IPV

C.

DTaP

D.

hepatitis B

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Question # 79

Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?

A.

The hematocrit is adversely affected because of an increased vascular volume.

B.

AEDs affect immune modulators increasing the risk of infection.

C.

AEDs induce white blood cell reduction.

D.

A side effect of some AEDs is blood dyscrasia.

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Question # 80

When giving an intramuscular injection to an infant. Which of the following sites is preferred?

A.

Ventrogluteal region

B.

Deltoid

C.

Vastus lateralis

D.

Dorsogluteal region

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Question # 81

The best definition of communication is:

A.

the sending and receiving of messages.

B.

the effect of sending verbal messages.

C.

an ongoing, interactive form of transmitting transactions.

D.

the use of message variables to send information.

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Question # 82

A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre’ Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre’ Syndrome with the patient?

A.

Guillain-Barre’ Syndrome gets better after 5 years in almost all cases.

B.

Guillain-Barre’ Syndrome causes limited sensation in the abdominal region.

C.

Guillain-Barre’ Syndrome causes muscle weakness in the legs.

D.

Guillain-Barre’ Syndrome does not effect breathing in severe cases.

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Question # 83

A 21-year-old college student has just learned that she contracted genital herpes from her sexual partner. After completing the initial history and assessment, the nurse has data concerning areas pertinent to the disease. The data is likely to include all but which of the following?

A.

voiding patterns

B.

characteristics of lesions

C.

vaginal discharge

D.

prior history of varicella

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Question # 84

Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?

A.

standing while holding something

B.

rolling over

C.

sitting up

D.

creeping

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Question # 85

To manage time most effectively, the nurse responds to which of the following stimuli first:

A.

the physician’s loud verbal direction.

B.

the nursing supervisor who is going to a meeting.

C.

unit staff leaving on a break.

D.

the care needs of the returning postoperative client just exiting the elevator.

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Question # 86

A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:

A.

a maintenance dose.

B.

a loading dose.

C.

a medication with no first-pass effect.

D.

the medication to be given intravenously.

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Question # 87

The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?

A.

history of dizziness

B.

need for wheelchair due to reduced mobility

C.

weakness and fatigue noted when climbing stairs

D.

intact recent and remote memory

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Question # 88

Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

A.

transparent dressing

B.

colloidal dressing

C.

petrolatum gauze

D.

nonadherent dressing

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Question # 89

A nurse is working in a pediatric clinic and a 25 year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?

A.

Distraction of the infant with a red object

B.

Prone positioning techniques

C.

Tapping reflex techniques

D.

Neural warmth techniques

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Question # 90

A client has a 10% dextrose in water IV solution running. He is scheduled to receive his antiepileptic drug, phenytoin (Dilantin), at this time. The nurse knows that the phenytoin:

A.

is given after the D10W is finished.

B.

should be given at the time it is due in the medication port closest to the client.

C.

can be piggybacked into the D10W solution now.

D.

is incompatible with dextrose solutions.

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Question # 91

When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?

A.

perineal shave

B.

enema

C.

urine specimen collection

D.

blood specimen collection

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Question # 92

Which of the following describes the stages of domestic violence in an intimate relationship?

A.

happiness, crisis, angry outburst, intervention

B.

honeymoon period, escalation of stress, outburst, reconciliation

C.

acting out and making up

D.

peace and calm, angry outburst, peace and calm, denial

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Question # 93

Clients who take iron preparations should be warned of the possible side effects, which might include:

A.

dizziness and orthostatic hypotension.

B.

nausea, vomiting, diarrhea or constipation, and stomach cramps.

C.

drowsiness, lethargy, and fatigue.

D.

neuropathy and tingling in the extremities.

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Question # 94

Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?

A.

single, adult men

B.

single mothers with 2 or 3 children

C.

runaway adolescents

D.

single, adult women

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Question # 95

The method of splinting is always dictated by:

A.

location of the injury and whether it is open or closed.

B.

the severity of the client’s condition and the priority decision.

C.

the number of available rescuers and the type of splints.

D.

all of the above.

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Question # 96

Which of the following foods present a problem for a client diagnosed with Celiac Disease?

A.

butter

B.

oats or barley cereal

C.

fresh vegetables

D.

coffee or tea

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Question # 97

Which of the following statements is true about syphilis?

A.

The cause and mode of transmission is unclear.

B.

There is no known cure for the disease.

C.

When the primary lesion heals, the disease is cured.

D.

Syphilis can be cured with a course of antibiotic therapy.

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Question # 98

Which of the following is not a reason for pelvic ultrasonography?

A.

to measure uterine size

B.

to detect multiple pregnancies

C.

to measure renal size

D.

to detect foreign bodies

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Question # 99

Which of the following strategies should the nurse include when planning care for children of migrant workers?

A.

Delay immunization because of acute illness.

B.

Provide parents with copies of medical records.

C.

Schedule preventive services at acute illness visits.

D.

Stress the importance of using one primary care provider.

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Question # 100

What happens if folic acid is given to treat anemia without determining its underlying cause?

A.

Erythropoiesis is inhibited.

B.

Excessive levels of folic acid might accumulate, causing toxicity.

C.

The symptoms of pernicious anemia might be masked, delaying treatment.

D.

Intrinsic factor is destroyed.

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Question # 101

Which of the following is the most appropriate diet for a client who is unable to swallow?

A.

nothing by mouth

B.

nasogastric feedings

C.

clear liquids

D.

total parenteral nutrition

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Question # 102

Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?

A.

“Urinate prior to the test.”

B.

“Have someone drive you home.”

C.

“Do not drink after midnight.”

D.

“Drink plenty of water.”

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Question # 103

A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?

A.

B.Arrange for immediate in-services for the long-term care facility staff on pain management using epidural catheters.

B.

C.Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital.

C.

D.Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.

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Question # 104

A Roman Catholic client is preparing to have magnetic resonance imaging. He wants to wear his metal crucifix pendant while he is receiving the test. Which of the following is an appropriate response by the nurse?

A.

“Because it gives you comfort, you may wear it.”

B.

“It is a violation of religious rights to forbid it.”

C.

“I am sorry, but it is not safe for you to wear the crucifix during this test.”

D.

“You may wear it because it is important to you.”

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Question # 105

Which of the following NSAIDS is most commonly used for a brief time for acute pain?

A.

Advil

B.

Aleve

C.

Toradol

D.

Bextra

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Question # 106

Which statement best describes electrolytes in intracellular and extracellular fluid?

A.

There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.

B.

There is an equal concentration of sodium and potassium in extracellular fluid.

C.

There is a greater concentration of potassium in extracellular fluid and sodium in intracellular fluid.

D.

There is an equal concentration of sodium and potassium between intracellular and extracellular fluid.

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Question # 107

Distraction therapy is:

A.

focusing one’s attention on stimuli other than pain.

B.

cognitive reappraisal.

C.

the replacement of positive images of pain with other images.

D.

the use of medication and meditation.

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Question # 108

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:

A.

telling his wife to stop cleaning whenever he notices her actions.

B.

making a baseline record of the time the wife spends cleaning.

C.

decreasing the stimuli in the home.

D.

helping his wife with the cleaning.

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