[Q464-Q486] NCLEX-RN Free Update With 100% Exam Passing Guarantee [2022]

4/5 - (1 vote)

NCLEX-RN Free Update With 100% Exam Passing Guarantee [2022]

[May-2022] Verified NCLEX Exam Dumps with NCLEX-RN Exam Study Guide

QUESTION 464
When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurse’s response should be based on the fact that:

The test provides a baseline for further tests

The procedure simulates usual daily activity and myocardial performance

The client can be monitored while cardiac conditioning and heart toning are done

Ischemia can be diagnosed because exercise increasesO2 consumption and demand

QUESTION 465
The nurse practitioner determines that a client is approximately 9 weeks’ gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

Nausea and vomiting

Quickening

A 6-8 lb weight gain

Abdominal enlargement

QUESTION 466
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

First trimester

Second trimester

Third trimester

Every trimester

QUESTION 467
Primary nursing diagnoses for the antisocial client are:

Alteration in perception and altered self-concept

Impaired social interaction, ineffective individual coping, and altered self-concept

Altered communication processes and altered recreational patterns

Altered body image and altered thought processes

QUESTION 468
A male client had a right below-the-knee amputation 4 days ago. His incision is healing well. He has gotten out of bed several times and sat at the side of the bed. Each time after returning to bed, he has experienced pain as if it were located in his right foot. Which nursing measure indicates the nurse has a thorough understanding of phantom pain and its management?

Phantom pain is entirely in the client’s mind. The client should be instructed that the pain is psychological and should not be treated.

The basis for phantom pain may occur because the nerves still carry pain sensation to the brain even though the limb has been amputated. The pain is real, intense, and should be treated.

The cause of phantom pain is unknown. The nurse should provide the client with support, promote sleep, and handle the injured limb smoothly and gently.

Phantom pain is caused by trauma, spasms, and edema at the incisional site. It will decrease when postoperative edema decreases. It should be treated with nonnarcotic medication whenever possible.

QUESTION 469
When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurse’s response should be based on the fact that:

The test provides a baseline for further tests

The procedure simulates usual daily activity and myocardial performance

The client can be monitored while cardiac conditioning and heart toning are done

Ischemia can be diagnosed because exercise increases O2 consumption and demand

QUESTION 470
A 30-year-old client in the third trimester of her pregnancy asks the nurse for advice about upper respiratory discomforts. She complains of nasal stuffiness and epistaxis, most noticeable on the left side.
Which reply by the nurse is correct?

“It sounds as though you are coming down with a bad cold. I’ll ask the doctor to prescribe a decongestant for relief of symptoms.”

“A good vaporizer will help; avoid the cool air kind. Also, try saline nose drops, and spend less time on your left side.”

“These discomforts are all a result of increased blood supply; one of the pregnancy hormones, estrogen, causes them.”

“This is most unusual. I’m sure your obstetrician will want you to see an ENT (ear, nose, throat) specialist.”

QUESTION 471
One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

Peripheral circulatory collapse

Syndrome of inappropriate antiduretic hormone

Cerebral edema resulting in hydrocephalus

Auditory nerve damage resulting in permanent hearing loss

QUESTION 472
A husband and wife and their two children, age 9 and age 5, are requesting family therapy.
Which of the following strategies is most therapeutic for the nurse to use during the initial interaction with a family?

Always allow the most vocal person to state the problem first.

Encourage the mother to speak for the children.

Interpret immediately what seems to be going on within the family.

Allow family members to assume the seats as they choose.

QUESTION 473
The nurse would assess the client’s correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

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

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

“I should douche immediately after intercourse.”

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

QUESTION 474
A 50-year-old male client is to receive chemotherapy. The physician’s orders include antiemetics. When planning his care, the nurse should take into consideration that antiemetics are best administered in the following way:

Give antiemetics when nausea is experienced and continue on a regular schedule for 12-24 hours.

Give antiemetics prior to the client receiving chemotherapy and continue on a regular basis for at least24-48 hours after chemotherapy.

Give antiemetics one at a time because combinations of antiemetics cause overwhelming side effects.

Give antiemetics intermittently during the entire course of chemotherapy.

QUESTION 475
The nurse teaches a pregnant client that a high-risk symptom occurring at any time during pregnancy that needs to be reported immediately to a healthcare provider is:

Constipation

Urinary frequency

Breast tenderness

Abdominal pain

QUESTION 476
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nagele’s rule is:

March 27

February 1

February 27

January 3

QUESTION 477
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?

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

“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.”

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

“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.”

QUESTION 478
The nurse working with a client who is out of control should follow a model of intervention that includes which of the following?

Approach the client on a continuum of least restrictive care.

Challenge client’s behavior immediately with steps to prevent injury to self or others.

Leave the aggressive client to himself or herself, and take other clients away.

To ensure safety of other clients, place client in seclusion immediately when he or she begins shouting.

QUESTION 479
A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

Assess the client’s respirations

Notify the physician

Auscultate fetal heart rate

Transfer to delivery suite

QUESTION 480
The nurse assesses a postoperative mastectomy client and notes that breath sounds are diminished in both posterior bases. The nurse’s action should be to:

Encourage coughing and deep breathing each hour

Obtain arterial blood gases

Increase O2 from 2-3 L/min

Remove the postoperative dressing to check for bleeding

QUESTION 481
A client’s behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to:

Seclude him in his room.

Set limits on his behavior.

Have his medication increased.

Ignore him and tell the other clients that these behaviors are due to his illness and that they should understand.

QUESTION 482
A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a result of falling out of bed should be prevented from:

Crying

Falling asleep

Rolling from his back to his tummy

Sucking his thumb

QUESTION 483
A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, “This is too much trouble. I would rather just have a Foley.” An appropriate response for the RN teaching him would be:

“I know. It is a lot to learn. In the long run, though, you will be able to reduce infections if you do an intermittent catheterization program.”

“It is not too much trouble. This is the best way to manage urination.”

“OK. I’ll ask your physician if we can replace the Foley.”

“You need to learn this because your doctor ordered it.”

QUESTION 484
The physician prescribes amitriptyline (Elavil) for a client. What does the patient need to know about this medication?

Prolonged use of this medication will result in extrapyramidal side effects.

When the medication is effective, he will experience no anxiety.

The medication should relieve his symptoms of depression.

Blood must be drawn weekly to test for toxicity.

QUESTION 485
During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:

Dyskinesia

Akathisia

Echopraxia

Echolalia

QUESTION 486
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:

Novolin Regular

Humulin NPH

Lente Beef

Protamine zinc insulin