Kaplan Nclex Exam 7 with correct answers and explanations

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Kaplan Nclex Exam 7 1. The father of a one-day-old son works the evening shift (3 PM to 11 PM) at another hospital. Which of the following plans would be a priority 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. 2. The nurse believes a coworker is diverting narcotics. 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. S/he was acting really strange, like s/he didn’t even recognize me.” 3. “I think my coworker is stealing narcotics because s/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.” 3. A woman with chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Her vital signs are: BP 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/hr 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.” 5. A client on chemotherapy 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. 6. 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 would be 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.” 7. The nurse is performing 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 state that she feels a numbness and a cold sensation in the area. ..............................................................................................continued............................................................................................ [Show More]

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