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National Council Licensure Examination(NCLEX-RN)

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Question # 71

A male client is started on IV anticoagulant therapy with heparin. Which of the following laboratory studies will be ordered to monitor the therapeutic effects of heparin?

Options:

A.  

Partial thromboplastin time

B.  

Hemoglobin

C.  

Red blood cell (RBC) count

D.  

Prothrombin time

Discussion 0
Question # 72

Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, “Begin oxytocin induction at 1 mU/min.” The nurse should:

Options:

A.  

Begin the oxytocin induction as ordered

B.  

Increase the dosage by 2 mU/min increments at15-minute intervals

C.  

Maintain the dosage when duration of contractions is 40–60 seconds and frequency is at 21⁄2–4 minute intervals

D.  

Question the order

Discussion 0
Question # 73

A group of nursing students at a local preschool day care center are going to screen each child’s fine and gross motor, language, and social skills. The students will use which one of the most widely used screening tests?

Options:

A.  

Revised Prescreening Developmental Questionnaire

B.  

Goodenough Draw-a-Person Screening Test

C.  

Denver Development Screening Test

D.  

Caldwell Home Inventory

Discussion 0
Question # 74

One of the medications that is prescribed for a male client is furosemide (Lasix) 80 mg bid. To reduce his risk of falls, the nurse would teach him to take this medication:

Options:

A.  

On arising and no later than 6 PM

B.  

At evenly spaced intervals, such as 8 AM and 8 PM

C.  

With at least one glass of water per pill

D.  

With breakfast and at bedtime

Discussion 0
Question # 75

A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:

Options:

A.  

Give the child 15 mL of syrup of ipecac.

B.  

Give the child 10 mL of syrup of ipecac with a sip of water.

C.  

Give the child 1 cup of water to induce vomiting.

D.  

Bring the child to the ER immediately.

Discussion 0
Question # 76

A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse’s initial assessment reveals a temperature of 104.5◦F (40.3◦C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation. These symptoms are indicative of which one of the following?

Options:

A.  

Acute tracheitis

B.  

Acute spasmodic croup

C.  

Acute epiglottis

D.  

Acute laryngotracheobronchitis

Discussion 0
Question # 77

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, “The swelling occurred for no reason, and it keeps getting worse.” The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

Options:

A.  

A decreased urinary output and flank pain

B.  

A fever of over 103F occurring over the last 2–3 weeks

C.  

Rashes covering the palms of the hands and the soles of the feet

D.  

Headaches, malaise, or sore throat

Discussion 0
Question # 78

The priority nursing goal when working with an autistic child is:

Options:

A.  

To establish trust with the child

B.  

To maintain communication with the family

C.  

To promote involvement in school activities

D.  

To maintain nutritional requirements

Discussion 0
Question # 79

The following medications were noted on review of the client’s home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

Options:

A.  

KCl

B.  

Thyroid agents

C.  

Quinidine

D.  

Theophylline

Discussion 0
Question # 80

What is the most effective method to identify early breast cancer lumps?

Options:

A.  

Mammograms every 3 years

B.  

Yearly checkups performed by physician

C.  

Ultrasounds every 3 years

D.  

Monthly breast self-examination

Discussion 0
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