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NCLEX TEST 7 WITH EXPLANATIONS%5B1%5D

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NCLEX Question Trainer Explanations Test 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? 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? 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? 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. A client on chemotherapy has a WBC count of 1,200/mm3. Which of the following nursing actions should the nurse take FIRST? 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? 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? 8. The nurse is caring for a client with a complete heart block. The nurse should question which of the following orders? 9. The nurse is caring for a client who had a cholecystectomy. Which of the following observations is MOST important for the nurse to report to the next shift? 10. The nurse in the outpatient clinic plans care for a 65-year-old woman with left-sided weakness due to a cerebral vascular accident (CVA). The client has a history of hypertension and osteoporosis. It is MOST important for the nurse to encourage the client to 11. The homecare nurse is visiting a young adult with a diagnosis of hepatitis A. Which of the following statements, if made by the client to the nurse, indicates that further teaching is needed? 12. The nurse is caring for a client in a manic phase of bipolar affective disorder. It is MOST important for the nurse to offer which of the following meals? 13. Which of the following actions should the nurse instruct the client to complete FIRST to establish a normal urinary pattern? 14. The nurse is receiving reports about four pregnant women in active labor who have been admitted to the labor and delivery unit. Which of the following women should the nurse see FIRST? 15. The nurse is planning care for a client who had surgery for an ileal conduit two days ago. It is MOST important for the nurse to take which of the following actions? 16. Which nursing action is MOST appropriate after intubating a postoperative client who had a respiratory arrest? 17. The nurse is caring for a toddler in traction, and the toddler is receiving chloral hydrate (Noctec). The toddler becomes irritable and extremely restless. Which nursing action is MOST appropriate? 18. The nurse performs diet teaching for a client with a spinal cord injury at S-3. Which of the following meals, if chosen by the client, would indicate to the nurse that teaching has been effective? 19. The nurse is screening an eight-month-old girl in a well-baby clinic. The nurse would be MOST concerned if the infant’s mother made which of the following statements? 20. A 16-year-old young woman is brought by her parents to the outpatient clinic for treatment of pelvic inflammatory disease (PID). While the nurse obtains a history, the client says bitterly, “My parents are mean and don’t really care about me.” Which of the following responses by the nurse is BEST? 21. A 55-year-old woman with end-stage metastatic cancer of the breast is admitted to the hospital. It is MOST important for the nurse to 22. One hour after receiving 7 U of regular insulin, the client presents with diaphoresis, pallor, and tachycardia. The priority nursing action would be to 23. An 11-month-old baby is having trouble gaining weight after discharge from the hospital. Which of the following actions by the nurse is BEST? 24. A client has been receiving chlorpromazine (Thorazine) 400 mg/day for four weeks. He experiences an oral temperature of 105°F (40.5°C), severe rigidity, oculogyric crisis, and severe hypertension. It is MOST important for the nurse to take which of the following actions? 25. A 32-year-old man comes to the clinic for a glycosylated hemoglobin assay (HbA1c). The result is 6%. The nurse should 26. A school-aged child informs the school nurse that his right knee “doesn’t feel right.” Which of the following actions should the nurse take FIRST? 27. The nurse is caring for a client receiving treatment for hypoparathyroidism. The nurse determines that treatment has been successful if which of the following was observed? 28. The nurse in the newborn nursery receives report from the previous shift. Which of the following infants should the nurse see FIRST? ...........................................................CONTINUED.......................................... [Show More]

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