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

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Viewing questions 16-30 out of questions
Questions # 16:

A client is to have a coronary artery bypass graft performed in the morning using a saphenous vein. He wants to know why the physician does not use the internal mammary artery for his bypass graft because his friend’s physician uses this artery. The nurse tells the client that the internal mammary artery:

Options:

A.

Takes more time to remove


B.

Has a greater risk of becoming reoccluded


C.

Is smaller in diameter


D.

Has too many valves


Expert Solution
Questions # 17:

A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse’s anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client’s behavior?

Options:

A.

“I feel angry when I hear that tone of voice.”


B.

“You make me angry when you talk to me that way.”


C.

“Are you trying to get me angry?”


D.

“Why do you treat me that way?”


Expert Solution
Questions # 18:

A 47-year-old client comes to the emergency department complaining of moderate flank, abdominal, and testicular pain with nausea of 4 hours’ duration. After physical examination and obtaining the client’s history, the physician suspects urethral obstruction by calculi. The nurse realizes that the physician will order which one of the following diagnostic studies to best confirm the diagnosis?

Options:

A.

Cystoscopy


B.

Kidneys, ureter, bladder, x-ray of abdomen


C.

Intravenous pyelogram with excretory urogram


D.

Ureterolithotomy


Expert Solution
Questions # 19:

A 52-year-old client is scheduled for a small-bowel resection in the morning. In conjunction with other preoperative preparation, the nurse is teaching her diaphragmatic breathing exercises. She will teach the client to:

Options:

A.

Inhale slowly and deeply through the nose until the lungs are fully expanded, hold the breath a couple of seconds, and then exhale slowly through the mouth. Repeat 2–3 more times to complete the series every 1–2 hours while awake


B.

Purse the lips and take quick, short breaths approximately 18–20 times/min


C.

Take a large gulp of air into the mouth, hold it for 10–15 seconds, and then expel it through the nose. Repeat 4–5 times to complete the series


D.

Inhale as deeply as possible and then immediately exhale as deeply as possible at a rate of approximately 20–24 times/min


Expert Solution
Questions # 20:

The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks’ gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

Options:

A.

Shave the client’s abdomen and arrange her lab work


B.

Determine the status of the fetus by fetal heart tones


C.

Start an IV infusion in the client’s arm


D.

Insert an indwelling catheter into her bladder


Expert Solution
Questions # 21:

A 67-year-old postoperative TURP client has hematuria. The nurse caring for him reviews his postoperative orders and recognizes that which one of the following prescribed medications would best relieve this problem?

Options:

A.

Acetaminophen suppository 650 mg


B.

Meperidine 50 mg IM


C.

Promethazine 25 mg IM


D.

Aminocaproic acid (Amicar) 6 g/24 hr


Expert Solution
Questions # 22:

The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for tomorrow’s menu. Which vitamin is the most essential in promoting tissue healing?

Options:

A.

Vitamin C


B.

Vitamin B1


C.

Vitamin D


D.

Vitamin A


Expert Solution
Questions # 23:

A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?

Options:

A.

Klebsiellapneumonia


B.

Pneumococcal pneumonia


C.

Legionella pneumophilapneumonia


D.

Escherichia colipneumonia


Expert Solution
Questions # 24:

A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy test was positive, she has two living children, she had one spontaneous abortion, and one infant died at the age of 3 months. Which of the following best describes the client at the present?

Options:

A.

Gravida 4, para 2, ab 1


B.

Gravida 5, para 3, ab 1


C.

Gravida 5, para 4, ab 0


D.

Gravida 4, para 3, ab 0


Expert Solution
Questions # 25:

A client takes warfarin (Coumadin) 15 mg po daily. To evaluate the medication’s effectiveness, the nurse should monitor the:

Options:

A.

prothrombin time (PT)


B.

partial thromboplastin time (PTT)


C.

PTT-C


D.

Fibrin split products


Expert Solution
Questions # 26:

A 10-month-old infant’s mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse’s response is based on the knowledge that:

Options:

A.

Milk intake should be limited to no more than four 8-oz bottles per day and should be followed by iron-enriched cereal or other solid foods or juices


B.

Milk is an excellent food and will meet his nutritional needs adequately until he is ready to eat solid foods


C.

It is acceptable to continue to give him whole milk and to delay giving solid foods as long as he takes a vitamin supplement daily


D.

He should be started on iron-enriched cereal, meat, vegetables, fruits, and juices prior to bottle feeds. Milk intake should be limited to 1 qt/day


Expert Solution
Questions # 27:

A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

Options:

A.

Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.


B.

Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.


C.

Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.


D.

Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.


Expert Solution
Questions # 28:

What specific hormone must be present in serum or urine laboratory tests used to diagnose pregnancy?

Options:

A.

Human chorionic gonadotropin


B.

Estrogen


C.

α-fetoprotein


D.

Sphingomyelin


Expert Solution
Questions # 29:

The 4th of July holiday comes while a client is in the hospital being treated for schizophrenia. She is taking chlorpromazine and has improved to the point of being allowed to go with a group to the park for a picnic. The side effect of chlorpromazine that the nurse needs to keep in mind during this outing is:

Options:

A.

Hypotension


B.

Photosensitivity


C.

Excessive appetite


D.

Dryness of the mouth


Expert Solution
Questions # 30:

Prior to an amniocentesis, a fetal ultrasound is done in order to:

Options:

A.

Evaluate fetal lung maturity


B.

Evaluate the amount of amniotic fluid


C.

Locate the position of the placenta and fetus


D.

Ensure that the fetus is mature enough to perform the amniocentesis


Expert Solution
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