NCLEX RN

06/28/2024

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06/11/2024

9. A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her third admission for
asthma in 7 months. She describes how she doesn't really like having to use her medications all the time. Which explanation
by the nurse best describes the long-term consequence of uncontrolled airway inflammation?
A) The alveoli will degenerate
B) Chronic bronchoconstriction of the large airways will occur
C) Lung remodeling and permanent changes in lung function will result
D) The client will experience frequent bouts of pneumonia

06/11/2024

A client has received her first dose of fluphenazine (Prolixin) 2 hours ago. She suddenly experiences torticollis and
involuntary spastic muscle movement. In addition to administering the ordered anticholinergic drug, what other measure
should the nurse implement?
A) Have respiratory support equipment available
B) Immediately place her in the seclusion room
C) Assess the client for anxiety and agitation
D) Administer prn dose of IM antipsychotic medication

06/06/2024

06/06/2024

NCLEX RN

06/06/2024

The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart.
Which of these describes the normal pathway?
A) AV node, SA node, Bundle of His, Purkinje fibers
B) Purkinje fibers, SA node, AV node, Bundle of His
C) Bundle of His, Purkinje fibers, SA node , AV node
D) SA node, AV node, Bundle of His, Purkinje fibers

06/06/2024

A neonate born 12 hours ago to a methadone maintained woman is exhibiting a hyperactive MORO reflex and slight tremors. The newborn passed one loose, watery stool. Which of these is a nursing priority?
A) Hold the infant at frequent intervals.
B) Assess for neonatal withdrawal syndrome
C) Offer fluids to prevent dehydration
D) Administer paregoric to stop diarrhea

06/06/2024

What principle of HIV disease should the nurse keep in mind when planning care for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated

06/06/2024

The nurse is caring for a 12 year-old with an acute illness. Which of the following indicates the nurse understands common
sibling reactions to hospitalization?
A) Younger siblings adapt very well
B) Visitation is helpful for both
C) The siblings may enjoy privacy
D) Those cared for at home cope better

06/06/2024

Parents of a 7 year-old child call the clinic nurse because their daughter was sent home from school because of a rash. The child had been seen the day before by the provider and diagnosed with Fifth Disease (erythema infectiosum). What is the most appropriate action by the nurse?
A) Tell the parents to bring the child to the clinic for further evaluation
B) Refer the school officials to printed materials about this viral illness
C) Inform the teacher that the child is receiving antibiotics for the rash
D) Explain that this rash is not contagious and does not require isolation

06/06/2024

Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?
A) Direct confrontation
B) Reality orientation
C) Projective identification
D) Active listening

06/06/2024

The nurse walks into a client's room and finds the client lying still and silent on the floor. The nurse should first
A) assess the client's airway
B) call for help
C) establish that the client is unresponsive
D) see if anyone saw the client fall

06/06/2024

The nurse is caring for a client with end stage renal disease. What action should the nurse take to assess for patency in a
fistula used for hemodialysis?
A) observe for edema proximal to the site
B) irrigate with 5 ml of 0.9% Normal Saline
C) palpate for a thrill over the fistula
D) check color and warmth in the extremity

06/06/2024

The nurse cared for a 14 year-old boy with severe Hemophilia A, who was admitted after a fall while playing basketball. In
understanding his behavior and in planning care for this client, the nurse should understand that adolescents with hemophilia ___.
A) must have structured activities
B) often take part in active sports
C) explain limitations to peer groups
D) avoid risks after bleeding episodes