Pass the NCLEX NCLEX Certification NCLEX-RN Questions and answers with CertsForce

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Viewing questions 136-150 out of questions
Questions # 136:

What is the most effective method to identify early breast cancer lumps?

Options:

A.

Mammograms every 3 years


B.

Yearly checkups performed by physician


C.

Ultrasounds every 3 years


D.

Monthly breast self-examination


Expert Solution
Questions # 137:

The predominant purpose of the first Apgar scoring of a newborn is to:

Options:

A.

Determine gross abnormal motor function


B.

Obtain a baseline for comparison with the infant’s future adaptation to the environment


C.

Evaluate the infant’s vital functions


D.

Determine the extent of congenital malformations


Expert Solution
Questions # 138:

A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?

Options:

A.

A normal blood sugar level


B.

A decreased blood sugar level


C.

An increased blood sugar level


D.

Fluctuating levels with a predawn increase


Expert Solution
Questions # 139:

Hematotympanum and otorrhea are associated with which of the following head injuries?

Options:

A.

Basilar skull fracture


B.

Subdural hematoma


C.

Epidural hematoma


D.

Frontal lobe fracture


Expert Solution
Questions # 140:

A pregnant woman at 36 weeks’ gestation is followed for PIH and develops proteinuria. To increase protein in her diet, which of the following foods will provide the greatest amount of protein when added to her intake of 100 mL of milk?

Options:

A.

Fifty milliliters light cream and 2 tbsp corn syrup


B.

Thirty grams powdered skim milk and 1 egg


C.

One small scoop (90 g) vanilla ice cream and 1 tbsp chocolate syrup


D.

One package vitamin-fortified gelatin drink


Expert Solution
Questions # 141:

The initial treatment for a client with a liquid chemical burn injury is to:

Options:

A.

Irrigate the area with neutralizing solutions


B.

Flush the exposed area with large amounts of water


C.

Inject calcium chloride into the burned area


D.

Apply lanolin ointment to the area


Expert Solution
Questions # 142:

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

Options:

A.

Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.


B.

The therapeutic effect of the drug occurs 2–4 weeks after treatment is begun.


C.

Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.


D.

Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.


Expert Solution
Questions # 143:

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


Expert Solution
Questions # 144:

A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:

Options:

A.

Dizziness and tachypnea


B.

Circumoral pallor and lightheadedness


C.

Headache and facial flushing


D.

Pallor and itching of the face and neck


Expert Solution
Questions # 145:

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


Expert Solution
Questions # 146:

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, “The swelling occurred for no reason, and it keeps getting worse.” The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

Options:

A.

A decreased urinary output and flank pain


B.

A fever of over 103F occurring over the last 2–3 weeks


C.

Rashes covering the palms of the hands and the soles of the feet


D.

Headaches, malaise, or sore throat


Expert Solution
Questions # 147:

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


Expert Solution
Questions # 148:

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)


Expert Solution
Questions # 149:

A client is being discharged and will continue enteral feedings at home. Which of the following statements by a family member indicates the need for further teaching?

Options:

A.

“If he develops diarrhea lasting for more than 2–3 days, I will contact the doctor or nurse.”


B.

“I should anticipate that he will gain about 1 lb/day now that he is on continuous feedings.”


C.

“It is important to keep the head of his bed elevated or sit him in the chair during feedings.”


D.

“I should use prepared or open formula within 24 hours and store unused portions in the refrigerator.”


Expert Solution
Questions # 150:

The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1–2 minutes; strong, large amount of “bloody show.” The most appropriate nursing goal for this client would be:

Options:

A.

Maintain client’s privacy.


B.

Assist with assessment procedures.


C.

Provide strategies to maintain client control.


D.

Enlist additional caregiver support to ensure client’s safety.


Expert Solution
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Viewing questions 136-150 out of questions