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

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Viewing questions 226-240 out of questions
Questions # 226:

Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:

Options:

A.

Reinforce attempts to eat


B.

Help the child gain weight


C.

Increase his appetite


D.

Make mealtimes pleasant


Expert Solution
Questions # 227:

The physician decides to prescribe both a short-acting insulin and an intermediate-acting insulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulin is:

Options:

A.

Novolin Regular


B.

Humulin NPH


C.

Lente Beef


D.

Protamine zinc insulin


Expert Solution
Questions # 228:

A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, “I can’t stay still at night. I toss and turn and can’t fall asleep.” The nurse suspects that she may be experiencing:

Options:

A.

Akathisia


B.

Akinesia


C.

Dystonia


D.

Opisthotonos


Expert Solution
Questions # 229:

Which of the following nursing orders has the highest priority for a child with epiglottitis?

Options:

A.

Vital signs every shift


B.

Tracheostomy set at bedside


C.

Intake and output


D.

Specific gravity every shift


Expert Solution
Questions # 230:

Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:

Options:

A.

Otitis media


B.

Asthma


C.

Conjunctivitis


D.

Tonsillitis


Expert Solution
Questions # 231:

The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:

Options:

A.

The client is more likely to remember to perform the TSE when in the nude


B.

When the scrotum is exposed to cool temperatures, the testicles become large and bulky


C.

The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpate


D.

The examination will be less painful at this time


Expert Solution
Questions # 232:

The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:

Options:

A.

Fever, runny nose, and hyperactivity


B.

Changes in breathing pattern, moodiness, fatigue, and edema of eyes


C.

Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodiness


D.

Fever, cough, paleness, and wheezing


Expert Solution
Questions # 233:

The mother of a preschooler reports to the nurse that he frequently tells lies. The admission assessment of the child indicates possible child abuse. The nurse knows that his:

Options:

A.

Behavior is not normal, and a child psychiatrist should be consulted.


B.

Mother is lying to protect herself.


C.

Lying is normal behavior for a preschool child who is learning to separate fantasy from reality.


D.

Behavior indicates a developmental delay, because preschoolers should be able to tell right from wrong.


Expert Solution
Questions # 234:

Three hours postoperatively, a 27-year-old client complains of right leg pain after knee reduction. The first action by the nurse will be to:

Options:

A.

Assess vital signs


B.

Elevate the extremity


C.

Perform a lower extremity neurovascular check


D.

Remind the client that he has a client-controlled analgesic pump, and reinstruct him on its use


Expert Solution
Questions # 235:

The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:

Options:

A.

Maintain contact with her parents


B.

Provide for physical and psychological rest


C.

Provide a nutritious diet


D.

Maintain her interest in school


Expert Solution
Questions # 236:

A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?

Options:

A.

Cantaloupe


B.

Rice


C.

Chicken


D.

Green beans


Expert Solution
Questions # 237:

A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, and legs. His mother states that he fell down some steps. The nurse suspects that he may have been physically abused. In accordance with the law, the nurse must:

Options:

A.

Tell the physician her concerns


B.

Report her suspicions to the authorities


C.

Talk to the child’s father


D.

Confront the child’s mother


Expert Solution
Questions # 238:

Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 20 years old. It is characterized by an absence of, or marked decrease in, circulating insulin. When teaching a newly diagnosed diabetes client, the nurse includes information on the functions of insulin:

Options:

A.

Transport of glucose into body cells and storage of glycogen in the liver


B.

Glycogenolysis and facilitation of glucose use for energy


C.

Glycogenolysis and catabolism


D.

Catabolism and hyperglycemia


Expert Solution
Questions # 239:

A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is worried about having this surgery, has not slept well lately, and is afraid that her husband will not find her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid and deep. Assessment reveals that the client is:

Options:

A.

Having a heart attack


B.

Wanting attention from the nurses


C.

Suffering from complete upper airway obstruction


D.

Hyperventilating


Expert Solution
Questions # 240:

Morphine sulfate 4 mg IV push q2h prn for chest pain was ordered for a client in the emergency room with severe chest pain. The nurse administering the morphine sulfate knows which of the following therapeutic actions is related to the morphine sulfate?

Options:

A.

Increased level of consciousness


B.

Increased rate and depth of respirations


C.

Increased peripheral vasodilation


D.

Increased perception of pain


Expert Solution
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Viewing questions 226-240 out of questions