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

Viewing page 11 out of 17 pages
Viewing questions 151-165 out of questions
Questions # 151:

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


Expert Solution
Questions # 152:

A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:

Options:

A.

Drink at least 8 oz of cranberry juice daily


B.

Maintain a fluid intake of at least 2000 mL daily


C.

Wash her hands before and after voiding


D.

Limit her fluid intake after 6 PM so that there is not a great deal of urine in her bladder while she sleeps


Expert Solution
Questions # 153:

Respiratory function is altered in a 16-year-old asthmatic. Which of the following is the cause of this alteration?

Options:

A.

Altered surfactant production


B.

Paradoxical movements of the chest wall


C.

Increased airway resistance


D.

Continuous changes in respiratory rate and depth


Expert Solution
Questions # 154:

Which of the following signs might indicate a complication during the labor process with vertex presentation?

Options:

A.

Fetal tachycardia to 170 bpm during a contraction


B.

Nausea and vomiting at 8–10 cm dilation


C.

Contraction lasting 60 seconds


D.

Appearance of dark-colored amniotic fluid


Expert Solution
Questions # 155:

A mother brings her 3-year-old child who is unconscious but breathing to the ER with an apparent drug overdose. The mother found an empty bottle of aspirin next to her child in the bathroom. Which nursing action is the most appropriate?

Options:

A.

Put in a nasogastric tube and lavage the child’s stomach.


B.

Monitor muscular status.


C.

Teach mother poison prevention techniques.


D.

Place child on respiratory assistance.


Expert Solution
Questions # 156:

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

Options:

A.

“Keep breathing with your abdominal muscles as long as you can.”


B.

“Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16–20 times a minute with shallow chest breaths.”


C.

“Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles.”


D.

“If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well.”


Expert Solution
Questions # 157:

A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

Options:

A.

Glucocorticoid followed by the bronchodilator


B.

Bronchodilator followed by the glucocorticoid


C.

Alternate successive administrations


D.

According to the client’s preference


Expert Solution
Questions # 158:

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.


Expert Solution
Questions # 159:

A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:

Options:

A.

To hold her breath during contractions


B.

To be flat on her back


C.

Not to push with her contractions


D.

To push before becoming fully dilated


Expert Solution
Questions # 160:

A 42-year-old client with bipolar disorder has been hospitalized on the inpatient psychiatric unit. She is dancing around, talking incessantly, and singing. Much of the time the client is anorexic and eats very little from her tray before she is up and about again. The nurse’s intervention would be to:

Options:

A.

Confront the client with the fact that she will have to eat more from her tray to sustain her


B.

Try to get the client to focus on her eating by offering a detailed discussion on the importance of nutrition


C.

Let her have snacks and drinks anytime that she wants them because she will not eat at regular meal times


D.

Not expect the client to sit down for complete meals; monitor intake, offering snacks and juice frequently


Expert Solution
Questions # 161:

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


Expert Solution
Questions # 162:

A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:

Options:

A.

Hyperkalemia


B.

Hyponatremia


C.

Metabolic acidosis


D.

Metabolic alkalosis


Expert Solution
Questions # 163:

A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?

Options:

A.

A pull toy to encourage locomotion


B.

A mobile to improve hand-eye coordination


C.

A large toy with movable parts to improve pincer grasp


D.

Various large colored blocks to teach visual discrimination


Expert Solution
Questions # 164:

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


Expert Solution
Questions # 165:

The nurse would assess the client’s correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

Options:

A.

“My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy.”


B.

“At ovulation, my basal body temperature should rise about 0.5F.”


C.

“I should douche immediately after intercourse.”


D.

“My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle.”


Expert Solution
Viewing page 11 out of 17 pages
Viewing questions 151-165 out of questions