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National Council Licensure Examination(NCLEX-PN)

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Question # 61

Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?

Options:

A.  

“I should eat right before bedtime.”

B.  

“I should eat large meals.”

C.  

“I should sit up after eating.”

D.  

“I should lie flat after eating.”

Discussion 0
Question # 62

The best lab test to diagnose disseminated intravascular coagulation (DIC) is:

Options:

A.  

platelet count.

B.  

protime (PT).

C.  

partial thromboplastin time (PTT).

D.  

D-dimer.

Discussion 0
Question # 63

The method of splinting is always dictated by:

Options:

A.  

location of the injury and whether it is open or closed.

B.  

the severity of the client’s condition and the priority decision.

C.  

the number of available rescuers and the type of splints.

D.  

all of the above.

Discussion 0
Question # 64

Incidences of child abuse apperar to be higher in the African-American community and might be explained by:

Options:

A.  

the increased number of African Americans viewing violence on television.

B.  

more single-parent households in African- American communities.

C.  

stricter child-rearing practices in African- American households.

D.  

a higher occurrence of rage in African Americans.

Discussion 0
Question # 65

A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:

Options:

A.  

simplify medication administration.

B.  

measure accurate input and output.

C.  

prevent accumulation of fluids and gas.

D.  

facilitate collection of specimens.

Discussion 0
Question # 66

Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca 8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L. Which of the following values should the nurse report to the physician because of its potential risk to the client?

Options:

A.  

Ca

B.  

K

C.  

Na

D.  

Cl

Discussion 0
Question # 67

An elevation in which of the following enzymes is indicative of pancreatitis?

Options:

A.  

alkaline phosphatase

B.  

acid phosphatase

C.  

creatine phosphokinase

D.  

amylase

Discussion 0
Question # 68

A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client’s diet during pregnancy?

Options:

A.  

reduced calories and reduced fat

B.  

caffeine and sodium restrictions

C.  

decreased protein and increased complex carbohydrates

D.  

fluid restriction and reduced calories

Discussion 0
Question # 69

In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?

Options:

A.  

Use a soft toothbrush.

B.  

Use dental floss daily.

C.  

Hold pressure on any scrapes for 1–2 minutes.

D.  

Use a triple-edged razor.

Discussion 0
Question # 70

Appropriate nursing strategies to assist a client in maintaining a sense of self include:

Options:

A.  

using the client’s first name when addressing the client.

B.  

treating the client with dignity.

C.  

explaining procedures only if the client is attentive.

D.  

discouraging the use of personal items.

Discussion 0
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