Unique Top-selling NCLEX-PN Exams - New 2021 NCLEX Pratice Exam
NCLEX Certification Dumps NCLEX-PN Exam for Full Questions - Exam Study Guide
NEW QUESTION 292
A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms. Which of the following medications was the most beneficial in changing the patient's mobility status?
- A. Mivacron
- B. Flexeril
- C. Bethanechol
- D. Atropine
Answer: B
Explanation:
Flexeril is a muscle relaxant for acute muscle pain and spasms.
NEW QUESTION 293
A laboring patient is experiencing late decelerations.
Which position should she be placed in?
- A. right lateral
- B. semi-Fowler's
- C. left lateral
- D. lithotomy
Answer: C
Explanation:
Section: Health Promotion and Maintenance
NEW QUESTION 294
The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:
- A. Impaired Skin Integrity.
- B. Alteration in Nutrition: More than Body Requirements.
- C. Knowledge Deficit: New Diabetes Diagnosis.
- D. Fluid Volume Deficit.
Answer: C
Explanation:
Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly insulin injections, foot care, sick-day plans, and so forth. Choices 1 and 4 are diagnoses to prevent, but no evidence suggests that they exist at this point. Diabetics might have more or less nutrition than body requirements-type II is likely to be more, but type I is likely to be less.Physiological Adaptation
NEW QUESTION 295
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, "I need this surgery because nothing else I have done has helped me to lose weight." Which response by the nurse is most appropriate?
- A. "If you eat less, you can save some money."
- B. "Exercise is a healthier way to lose weight."
- C. "You should try the Atkins diet first."
- D. "I respect your decision to choose surgery."
Answer: D
Explanation:
Section: Physiological Integrity
Explanation:
This statement is most appropriate, as it shows respect and empathy.
The other statements are both insensitive and unprofessional.
NEW QUESTION 296
Acyclovir is the drug of choice for __________.
- A. influenza A viruses
- B. HIV
- C. HSV 1 and 2 and VZV
- D. CMV
Answer: C
Explanation:
Section: Physiological Integrity
Explanation:
Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure for herpes.
Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment.
Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter, ineffective DNA chains.
NEW QUESTION 297
The greatest time savers when planning client care include all of the following except __________.
- A. specifying priorities
- B. reacting to the crisis of the moment
- C. planning
- D. setting goals
Answer: B
Explanation:
Section: Safe and Effective Care Environment
Explanation:
The greatest time-savers when planning client care are activities that facilitate focus and completion of priority items.
Time-savers include setting goals, establishing priorities, planning tasks, delegating where appropriate, re- assessment, and ongoing evaluation of needs.
NEW QUESTION 298
A physician orders a serum creatinine for a hospitalized client.
The nurse should explain to the client and his family that this test __________.
- A. is a better indicator of renal function than the BUN
- B. is normal if the level is 4.0 to 5.5 mg/dl
- C. can be elevated with increased protein intake
- D. reflects the fluid volume status of a person
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
A serum creatinine level should be 0.7 to 1.5 mg/dl, and it does not vary with increased protein intake, so it is a better indicator of renal function than the BUN.
NEW QUESTION 299
The anemias most often associated with pregnancy are:
- A. iron deficiency and thalassemia.
- B. thalassemia and B12 deficiency.
- C. folic acid and iron deficiency.
- D. folic acid deficiency and thalassemia.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Folic acid and iron deficiency anemia are the most common anemias, prevalent in women of childbearing age with 50% of pregnant women having this type of anemia. Iron deficiency anemia during pregnancy is a result (usually) of the increase in the plasma level during pregnancy but not in the constituent level. Also, if a woman has this type of anemia prepregnancy, it gets worse during pregnancy. Physiological Adaptation
NEW QUESTION 300
The major electrolytes in the extracellular fluid are:
- A. sodium and phosphate.
- B. sodium and chloride.
- C. potassium and chloride.
- D. potassium and phosphate.
Answer: B
Explanation:
Sodium and chloride are the major electrolytes in the extracellular fluid.Physiological Adaptation
NEW QUESTION 301
A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist.
What should the nurse do first?
- A. Apply pressure to the site.
- B. Document the bleeding.
- C. Check the blood count.
- D. Monitor the bleeding.
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding.
The remaining choices can be performed later.
NEW QUESTION 302
A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula. The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?
- A. COPD clients depend on a low carbon dioxide level.
- B. COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.
- C. COPD clients thrive on a high oxygen level.
- D. COPD clients are stimulated to breathe by hypoxia.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
COPD clients are compensating for low oxygen and high carbon dioxide levels. Hypoxia is the main stimulus to breathe in persons with chronic hypercapnia. Increasing the level of oxygen decreases the stimulus to breathe. Physiological Adaptation
NEW QUESTION 303
A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and
COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
- A. Taking the patient's breath sounds
- B. Transferring the patient to the shower.
- C. Educating the patient on monitoring fatigue
- D. Ambulating the patient for the first time.
Answer: B
Explanation:
Nursing assistants should be competent on all transfers.
NEW QUESTION 304
A woman is in the active phase of labor. An external monitor has been applied, and a fetal heart deceleration of uniform shape is observed, beginning just as the contraction is under way and returning to the baseline at the end of the contraction. Which of the following
nursing actions is most appropriate?
- A. Turn the client on her left side.
- B. Administer O2.
- C. Notify the physician.
- D. No action is necessary.
Answer: D
Explanation:
It is an early deceleration as a result of head compression, and at this time no action is necessary. Close observation of the mother and baby is needed.Physiological Adaptation
NEW QUESTION 305
Which of the following is not a primary function of the kidneys?
- A. erythropoietin production
- B. blood pressure control
- C. vitamin D activation
- D. reabsorbing waste products
Answer: D
Explanation:
Explanation/Reference:
Explanation:
All of the choices are functions of the kidneys except reabsorbing waste products. The kidneys excrete waste products. Physiological Adaptation
NEW QUESTION 306
Which of the following developmental milestones for a 6-month-old child should be screened by the nurse during a routine office visit?
- A. rolling over
- B. standing while holding something
- C. creeping
- D. sitting up
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and 10 months. Health Promotion and Maintenance
NEW QUESTION 307
A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
- A. Observe for leaks.
- B. Change the drainage system.
- C. Notify the physician.
- D. Observe the client's response.
Answer: B
Explanation:
If a crack is seen in a pleural drainage system, it should be changed immediately. The remaining choices can be performed later.Reduction of Risk Potential
NEW QUESTION 308
A diet high in fiber content can help an individual to __________.
- A. lower cholesterol
- B. lose body weight fast
- C. reduce the need for folate
- D. reduce diabetic ketoacidosis
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
Fiber-rich foods (such as grains, apples, potatoes, and beans) can help lower cholesterol.
NEW QUESTION 309
A 13-year-old girl is admitted to the ER with lower right abdominal discomfort.
Which the following measures should the admitting nursing take first?
- A. Place the patient in right sidelying position for pressure relief.
- B. Start a Central Line.
- C. Administer Loritab to the patient for pain relief.
- D. Provide pain reduction techniques without administering medication.
Answer: D
Explanation:
Section: Physiological Integrity
Explanation:
Do not administer pain medication or start a central line without MD orders.
NEW QUESTION 310
......
Best way to practice test for NCLEX NCLEX-PN: https://www.actualtestsit.com/NCLEX/NCLEX-PN-exam-prep-dumps.html