NCLEX RN Practice Questions & Answers: Comprehensive Guide for Nursing Students, Exams of Nursing

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Correct Incorrect

The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: A.Using oil- or cream-based soaps B.Flossing between the teeth C. The intake of salt

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ween the teeth sed and has bone marrow suppres eth because platelets are decreas ed soap is allowed for leukemia prevent dry skin, which predispose t of salt in the patientʼs food is allo ectric razor is Option D: The use of an el

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D.Using an electric razor Home Care Plans Exams Incorrect Correct Answer: B. Flossing bet Study Notes Career The client who is immune-suppres sion should be taught not to floss his te Option A: Oil or cream- bas patients because these will skin injury. Option C: A healthy amoun cCoourmsaprya.croem courses^ from

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The nurse is changing the ties of the client with a tracheostomy. The safest method of changing the tracheostomy ties is to: A.Apply the new tie before removing the old one. B.Have a helper present. C. Hold the tracheostomy with the nondominant hand while removing the old tie. D.Ask the doctor to suture the tracheostomy in place.

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Incorrect Correct Answer: A. Apply the new tie before removing the old one. Leaving the old ties in place while securing the clean ties prevents inadvertent dislodging of the tracheostomy tube. Option B: Having a helper is good, but the helper might not prevent the client from coughing out the tracheotomy. Option C: Hold the tracheostomy with the nondominant hand while removing the old tie is not the best way to prevent the client from coughing out the tracheotomy. Option D: Asking the doctor to suture the tracheostomy in place is unnecessary.

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D.Notifying the physician Incorrect Correct Answer: D. Notifying the physician The output of 300 mL is indicative of hemorrhage and should be reported immediately. Option A: Turning the client to the left side does nothing to help the client. Options B and C: Milking the tube is done only with an order and will not help in this situation, and slowing the intravenous infusion is not an appropriate action.

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The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication? A.Digoxin B.Epinephrine C. Aminophylline

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of Fallot. Option D: Atropine prevents or abolishes bradycardia.

The nurse is educating the ladyʼs club in a self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram below, select where the Tail of Spence is.

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A

B

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The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: A.Tire easily B.Grow normally C. Need more calories

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D.Be more susceptible to viral infections Incorrect Correct Answer: A. Tire easily The toddler with a ventricular septal defect will tire easily. The hole (defect) occurs in the wall (septum) that separates the heartʼs lower chambers (ventricles) and allows blood to pass from the left to the right side of the heart. The oxygen-rich blood then gets pumped back to the lungs instead of out to the body, causing the heart to work harder. Options B and C: He will not grow normally but will not need more calories. Option D: He will be susceptible to bacterial infection, but he will be no more susceptible to viral infections than other children.

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C. Show the effect of contractions on fetal heart rate D.Measure the wellbeing of the fetus Incorrect Correct Answer: B. Measure the fetal activity A nonstress test determines periodic movement of the fetus. Options A: Fetal lung maturity testing determines the maturity of the lungs. Options C and D: Fetal heart rate monitoring measures the heart rate and rhythm of the baby (fetus) and its well being.

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The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

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A.Instruct the client to push B.Perform a vaginal exam C. Turn off the Pitocin infusion D.Place the client in a semi-Fowlerʼs position Incorrect

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Correct Answer: C. Turn off the Pitocin infusion The monitor indicates variable decelerations caused by cord

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