NCLEX Question Trainer Test 7 Real Exam Questions & Answers, Rated A+

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NCLEX Question Trainer Test 7 Real Exam Questions & Answers, Rated A+,The father of a 1-day-old son works the evening shift (3 PM to 11 PM) at another hospital. Which of the following plans is a prior... ity to meet the needs of this father? 1. Encourage the father to call his wife after work. 2. Instruct the father about visiting policy and suggest AM visitation. 3. Adjust visiting hours to meet the new parents' needs. 4. Present a change of visiting hours to the appropriate hospital committee. - 3 The nurse believes a coworker is diverting narcotics for personal consumption. The nurse approaches the nurse manager to report the suspicions. Which of the following statements by the nurse is BEST? 1. "After my coworker has been on duty, the patients often need repeated doses of pain medication. I have seen her/him sleeping on duty three times." 2. "I saw my coworker downtown after work. She/he was acting really strange, like she/he didn't even recognize me." 3. "I think my coworker is stealing narcotics because she/he is always acting euphoric and seems high." 4. "My coworker is hanging around with drug dealers, and I think I saw tracks on her/his arms." - 1 A client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The client's vital signs are B/P 162/100, pulse 78, respirations 30 and labored with wheezing. The nurse should question which of the following orders? 1. Theophylline (Somophyllin) 0.7 mg/kg/h IV. 2. Tetracycline hydrochloride (Sumycin) 250 mg IM qd. 3. Ipratropium bromide (Atrovent) inhaler 2 inhalations qid. 4. Propranolol hydrochloride (Inderal) 40 mg PO bid. - 4 A husband and wife meet at the mental health clinic to make an appointment for family therapy. Suddenly, the wife begins to sob loudly. As the nurse approaches, the husband says, "I guess we just don't get along." Which of the following responses by the nurse is MOST appropriate? 1. "Your wife seems to be upset by the situation." 2. "Perhaps you should both go home now." 3. "Try to think about what precipitated her crying." 4. "The situation is difficult for both of you." - 4 The nurse cares for a client receiving chemotherapy. The client has a WBC count of 1,200/mm3. Which of the following nursing actions should the nurse take FIRST? 1. Check temperature q4h. 2. Monitor urine output. 3. Assess for bleeding gums. 4. Obtain an order for blood cultures. - 1 A woman is in active labor with her first child when her membranes rupture. She voices a concern to the nurse that she is afraid of having a "dry labor." Which of the following responses by the nurse is MOST appropriate? 1. "The amniotic fluid provides only minimal lubrication for the labor process." 2. "The amniotic sac may impede the progress of labor and is often ruptured artificially." 3. "Labor is only slightly more difficult with early rupture of the amniotic sac." 4. "Because there is limited amniotic fluid, additional fluids will be supplied." - 2 The nurse performs an ice massage for a client in chronic pain. The nurse is MOST concerned if which of the following is observed? 1. Redness or inflammation of the tissue. 2. Mottling or graying of the tissue. 3. The client states that she feels a burning and tingling sensation in the area. 4. The client states that she feels a numbness and a cold sensation in the area. - 2 The nurse cares for a client with a complete heart block. The nurse should question which of the following orders? 1. Administer lidocaine (Xylocaine) 50 mg IV push for PVCs in excess of six per minute. 2. Administer atropine sulfate (Atropine) 0.05 mg IV for symptomatic bradycardia. 3. Anticipate scheduling the client for a temporary pacemaker if the pulse continues to decrease. 4. Mix 10 ml of 1:5,000 solution of isoproterenol (Isuprel) in 500 ml D5W for sustained bradycardia below 30. - 1 The nurse cares for a client who had a cholecystectomy. Which of the following observations is MOST important for the nurse to report to the next shift? 1. Resting after receiving IM pain medication. 2. No bowel sounds present. 3. IV infusing at 100 ml/h. 4. Breath sounds decreased in both lower lobes. - 4 The nurse in the outpatient clinic plans care for an older client with left-sided weakness due to a cerebral vascular accident (CVA). The client has a history of hypertension and osteoporosis. It is MOST important for the nurse to encourage the client to increase which of the following? 1. Calcium in the daily diet. 2. Vitamin D in the daily diet. 3. Time of exposure to sunlight. 4. Activities that involve weight bearing. - 4 The home care nurse visits a young adult with a diagnosis of hepatitis A. Which of the following statements, if made by the client to the nurse, indicates that further teaching is needed? 1. "I have been very careful to wash my hands after I go to the bathroom." 2. "I have had to take Tylenol several times this week for this sinus infection I have." 3. "I have been very careful not to handle my child's toys or eating utensils." 4. "My husband has been preparing all of the meals since I've been sick." - 2 The nurse is caring for a client in a manic phase of bipolar disorder. It is MOST important for the nurse to offer which of the following meals? 1. Tuna salad sandwich and orange slices. 2. Bologna sandwich and french fries. 3. Milkshake and banana. 4. Fried chicken and tossed salad. - 1 Which of the following actions should the nurse instruct the client to complete FIRST to establish a normal urinary pattern? 1. Urinate every two hours. 2. Record each time the client urinates. 3. Keep a record of daily fluid intake. 4. Stay near a bathroom. - 3 The nurse receives report about four pregnant women in active labor who have been admitted to the labor and delivery unit. Which of the following women should the nurse see FIRST? 1. A 22-year-old nullipara at term, cervical dilation of 10 cm, 100% effaced, fetus presenting as left occiput posterior with short-term variability of the FHT at three to five beats. 2. A 27-year-old nullipara at 38 weeks' gestation has a cervical dilation of 2 cm, fetus in transverse lie with baseline FHT of 155 bpm. 3. A 32-year-old multipara at term, cervical dilation of 8 cm, fetus in a vertex presentation with the presenting part at +2 station. 4. A 34-year-old multipara at 37 weeks' gestation has intact amniotic membranes, cervical dilation of 3 cm, and fetus in a frank breech presentation with the presenting part at 0 station. - 3 The nurse plans care for a client who had surgery for an ileal conduit 2 days ago. It is MOST important for the nurse to take which of the following actions? 1. Remove the appliance regularly, and clean the skin with antiseptic solution. 2. Apply a close-fitting drainage bag to the stoma. 3. Massage the skin around the stoma with an emollient. 4. Expose the area around the stoma to air twice a day. - 2 Which nursing action is MOST appropriate after intubating a postoperative client who had a respiratory arrest? 1. Soak the intubation equipment in concentrated Betadine solution. 2. Place the intubation blade in a bag, and arrange for gas sterilization. 3. Soak the intubation blade in Cidex solution. 4. Wash the equipment with soap and water and allow to air-dry. - 2 [Show More]

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