(Mar-2023) NCLEX-RN Exam Dumps Contains FREE Real Quesions from the Actual Exam
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NEW QUESTION 300
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is "rule out hepatitis." Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this disease?
- A. Jehovah's Witnesses
- B. American Indians
- C. Oncology nurses
- D. Heterosexual males
Answer: C
Explanation:
Explanation
(A) Homosexual males, not heterosexual males, are at high risk for contracting hepatitis. (B) Oncology nurses are employed in high-risk areas and perform invasive procedures that expose them to potential sources of infection. (C) The literature does not support the idea that any ethnic groups are at higher risk. (D) There is no evidence that any religious groups are at higher risk.
NEW QUESTION 301
Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?
- A. Broiled fish with rice
- B. Bran flakes with fresh peaches
- C. Cauliflower and lettuce salad
- D. Lasagna with garlic bread
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Broiled fish and rice are both excellent sources of protein. (B) Fresh fruits are not a good source of protein. (C) Foods in the bread group are not high in protein. (D) Most vegetables are not high in protein; peas and beans are the major vegetables higher in protein.
NEW QUESTION 302
The nurse is teaching a child's parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:
- A. Pencils
- B. Dandelion leaves
- C. Old paint
- D. Stuffing from toy animals
Answer: C
Explanation:
(A) Dandelion leaves are not a source of lead. (B) Pencils are not a source of lead poisoning. (C) Chewing on objects painted before 1960 is a common source of lead poisoning in children. Gasoline is another source. (D) Stuffed animals are not a source of lead.
NEW QUESTION 303
Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?
- A. Playing cards with other clients
- B. Working crossword puzzles
- C. Playing tennis with a staff member
- D. Sewing beads on a leather belt
Answer: C
Explanation:
Section: Questions Set A
Explanation:
(A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the client's attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.
NEW QUESTION 304
The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:
- A. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation
- B. The client may not recognize the early symptoms of PIH
- C. Self-discipline is required to control caloric intake throughout the pregnancy
- D. Immediate treatment of mild PIH includes the administration of a variety of medications
Answer: B
Explanation:
Explanation
(A) Mild PIH is not treated with medications. (B) Emotional stress is not the cause of blood pressure elevation in PIH. (C) Excessive caloric intake is not the cause of weight gain in PIH. (D) The client most frequently is not aware of the signs and symptoms in mild PIH.
NEW QUESTION 305
Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:
- A. Reinforce attempts to eat
- B. Help the child gain weight
- C. Make mealtimes pleasant
- D. Increase his appetite
Answer: A
Explanation:
Explanation
(A) Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake.
(B) This goal is not specific enough or related to the loss of appetite. (C) This goal is not possible at this time based on his illness. (D) This goal is helpful, but alone will not address his loss of appetite.
NEW QUESTION 306
When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:
- A. Leukopenic aplastic anemia
- B. Folate deficiency
- C. Granulocytosis and nephrosis
- D. Stephens-Johnson syndrome
Answer: D
Explanation:
(A) Stephens-Johnson syndrome is a toxic effect of phenytoin. (B) Folate deficiency is a side effect of phenytoin, but not a toxic effect. (C) Leukopenic aplastic anemia is a toxic effect of carbamazepine (Tegretol). (D) Granulocytosis and nephrosis are toxic effects of trimethadione (Tridione).
NEW QUESTION 307
A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:
- A. Fetal lung protection
- B. Prevention of uterine contractions
- C. Sedation
- D. Prevention of seizures
Answer: D
Explanation:
(A) MgSO4 is classified as an anticonvulsant drug. In preeclampsia management, MgSO4 is used for prevention of seizures. (B) MgSO4 has been used to inhibit hyperactive labor, but results are questionable. (C) Negative side effects such as respiratory depression should not be confused with generalized sedation. (D) MgSO4 does not affect lung maturity. The infant should be assessed for neuromuscular and respiratory depression.
NEW QUESTION 308
A pregnant client complains of varicosities in the third trimester. Which of the following activities should she be advised to avoid?
- A. Wearing thromboembolic disease (TED) stockings
- B. Wearing knee-high stockings
- C. Wearing support pantyhose
- D. Sitting with legs crossed at ankles
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Sitting with the legs crossed at the ankles does not interfere with circulation or create pressure points.
(B) TED stockings will help to reduce the varicosity by supporting the vein. Stockings must be applied with legs elevated. (C) Support pantyhose help to reduce the varicosity by supporting the vein. They also provide support to the uterus and allow for better return circulation. Hose must be applied like TED stockings. (D) Knee-high stockings create constriction and pressure points that interfere with circulation in the lower extremities.
NEW QUESTION 309
Assessment of the client with pericarditis may reveal which of the following?
- A. Ventricular gallop and substernal chest pain
- B. Pericardial friction rub and pain on deep inspiration
- C. Pericardial tamponade and widened pulse pressure
- D. Narrowed pulse pressure and shortness of breath
Answer: B
Explanation:
Section: Questions Set A
Explanation:
(A) No S3 or S4 are noted with pericarditis. (B) No change in pulse pressure occurs. (C) The symptoms of pericarditis vary with the cause, but they usually include chest pain, dyspnea, tachycardia, rise in temperature, and friction rub caused by fibrin or other deposits. The pain seen with pericarditis typically worsens with deep inspiration. (D) Tamponade is not typically seen early on, and no change in pulse pressure occurs.
NEW QUESTION 310
A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:
- A. Notify the physician immediately
- B. Continue to monitor the foot
- C. Assure the client that his foot is fine
- D. Reposition and reassess the foot
Answer: A
Explanation:
Explanation
(A) The client is losing blood supply to his left foot. Continuing to monitor the foot will not help restore the blood supply to the foot. (B) The physician should be notified immediately because the client is losing blood supply to his left foot and is in danger of losing the foot and/or leg. (C) The presenting symptoms are of an emergency nature and require immediate intervention. (D) This action would be giving the client false assurance.
NEW QUESTION 311
A client has been taking lithium 300 mg po bid for the past two weeks. This morning her lithium level was 1 mEq/L. The nurse should:
- A. Administer the morning lithium dose as scheduled
- B. Obtain an order for benztropine (Cogentin)
- C. Notify the physician immediately
- D. Hold the morning lithium dose and continue to observe the client
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) There is no need to phone the physician because the lithium level is within therapeutic range and because there are no indications of toxicity present. (B) There is no reason to withhold the lithium because the blood level is within therapeutic range. Also, it is necessary to give the medication as scheduled to maintain adequate blood levels. (C) The lab results indicate that the client's lithium level is within therapeutic range (0.2-1.4 mEq/L), so the medication should be given as ordered. (D) Benztropine is an antiparkinsonism drug frequently given to counteractextrapyramidal symptoms associated with the administration of antipsychotic drugs (not lithium).
NEW QUESTION 312
The nurse begins morning assessment on a male client and notices that she is unable to palpate either of his dorsalis pedis pulses in his feet. What is the first nursing action after assessing this finding?
- A. Palpate these pulses again in 15 minutes.
- B. Document the finding that the pulses are not palpable.
- C. Use a Doppler to determine presence and strength of these pulses.
- D. Call the physician and notify the physician of this finding.
Answer: C
Explanation:
Section: Questions Set D
Explanation:
(A) Palpating these pulses again in 15 minutes may only result in the same findings. (B) Any time during an assessment that the nurse is unable to palpate pulses, the nurse should then obtain a Doppler and assess for presence or absence of the pulse and pulse strength, if a pulse is present. (C) Pulses may be present and assessed through use of a Doppler. Absence of palpable pulses does not indicate absence of blood flow unless pulses cannot be located with a Doppler. (D) The nurse would only call the physician after determining that the pulses are absent by both palpation and Doppler.
NEW QUESTION 313
A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?
- A. A mobile to improve hand-eye coordination
- B. A pull toy to encourage locomotion
- C. Various large colored blocks to teach visual discrimination
- D. A large toy with movable parts to improve pincer grasp
Answer: B
Explanation:
Explanation
(A) Increased locomotive skills make push-pull toys appropriate for the energetic toddler. (B) Infants progress from reflex activity through simple repetitive behaviors to imitative behavior. Hand-eye coordination forms the foundation of other movements. (C) At age 8 months, infants begin to have pincer grasp. Toys that help infants develop the pincer grasp are recommended for this age group. (D) Various large colored blocks are suggested toys for infants 6-12 months of age to help visual stimulation.
NEW QUESTION 314
A 78-year-old female client has a total hip arthroplasty. Her nurse should know that which of the following is contraindicated?
- A. Place a trochanter roll along the upper thigh of the affected leg.
- B. Encourage her to cross and uncross her legs.
- C. Check neurological and circulatory status of the affected leg hourly.
- D. Encourage exercises in the unaffected extremities.
Answer: B
Explanation:
(A) Exercising the unaffected extremities will prevent contractures and emboli. (B) Crossing and uncrossing the affected leg after surgery can dislocate the joint. (C) Neurological and circulatory status of the affected leg has been compromised by surgery. Hourly checks are needed to monitor the status of the leg. (D) A trochanter roll will prevent the upper thigh from rolling outward, increasing the chances of dislocation.
NEW QUESTION 315
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What is the purpose of the NCLEX-RN® Exam?
Industry recognized credentials (BLS, ACLS, PALS) are also included in the exam. Ready to be a nurse, you need to pass the NCLEX-RN® exam. Demo testing is available. Fail the exam and your future career as a nurse is jeopardized. Weight gain and weight loss, pregnancy and labor, medical problems, and death all play a role in how you do on the NCLEX-RN® exam. Service staff has the ability to change the score for students who do not answer questions. Accurate answers to every question are necessary for passing the NCLEX-RN® exam. Sufficient to pass (50 percent or more) is not sufficient. You must receive a passing score to be licensed to practice as a nurse. Passing scores are different on each test date, so make sure you study!
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