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NCLEX-RN Practice Questions

National Council Licensure Examination(NCLEX-RN)

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Question # 31

Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:

Options:

A.  

Subsides in<3 weeks

B.  

Is relieved by aspirin

C.  

Is responsive to ibuprofen (Motrin)

D.  

Subsides in 3–6 days

Discussion 0
Question # 32

The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in 1–2 hours if needed. The most likely rationale for this order is:

Options:

A.  

The client will settle down more quickly if he thinks the staff is medicating him

B.  

The medication will sedate the client until the physician arrives

C.  

Haloperidol is a minor tranquilizer and will not oversedate the client

D.  

Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client

Discussion 0
Question # 33

A 23-year-old female client is brought to the emergency room by her roommate for repeatedly making superficial cuts on her wrists and experiencing wide mood swings. She is very angry and hostile. Her medical diagnosis is adjustment disorder versus borderline personality disorder. The client comments to the nurse, “Nobody in here seems to really care about the clients. I thought nurses cared about people!” The client is exhibiting the ego defense mechanism:

Options:

A.  

Reaction formation

B.  

Rationalization

C.  

Splitting

D.  

Sublimation

Discussion 0
Question # 34

A 44-year-old client had an emergency cholecystectomy 3 days ago for a ruptured gallbladder. She complains of severe abdominal pain. Assessment reveals abdominal rigidity and distention, increased temperature, and tachycardia. Diagnostic testing reveals an elevated WBC count. The nurse suspects that the client has developed:

Options:

A.  

Gastritis

B.  

Evisceration

C.  

Peritonitis

D.  

Pulmonary embolism

Discussion 0
Question # 35

Which of the following lab data is representative of a client with aplastic anemia?

Options:

A.  

Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 million

B.  

White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000

C.  

White blood cells 3000, hematocrit 27, red blood cells 2.8 million

D.  

Red blood cells 1 million, white blood cells 1500, thrombocytes 16,000

Discussion 0
Question # 36

The physician orders medication for a client’s unpleasant side effects from the haloperidol. The most appropriate drug at this time is:

Options:

A.  

Lorazepam

B.  

Triazolam (Halcion)

C.  

Benztropine

D.  

Thiothixene

Discussion 0
Question # 37

Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care unit. He was extubated prior to leaving the suite. On arrival at the postanesthesia care unit, the nurse should:

Options:

A.  

Check airway, feeling for amount of air exchange noting rate, depth, and quality of respirations

B.  

Obtain pulse and blood pressure readings noting rate and quality of pulse

C.  

Reassure the client that his surgery is over and that he is in the recovery room

D.  

Review physician’s orders, administering medications as ordered

Discussion 0
Question # 38

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:

Options:

A.  

Novolin Regular

B.  

Humulin NPH

C.  

Lente Beef

D.  

Protamine zinc insulin

Discussion 0
Question # 39

A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?

Options:

A.  

Lifting heavy objects

B.  

Walking briskly

C.  

Ingestion of barbiturates

D.  

Ingestion of antacids

Discussion 0
Question # 40

Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclampsia. In counseling her about her diet, the nurse must emphasize the importance of:

Options:

A.  

Decreasing her sodium intake

B.  

Decreasing her fluids

C.  

Increasing her carbohydrate intake

D.  

Eating a moderate to high-protein diet

Discussion 0
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