AUTHORIZED NCLEX-RN CERTIFICATION & NCLEX-RN PAPER

Authorized NCLEX-RN Certification & NCLEX-RN Paper

Authorized NCLEX-RN Certification & NCLEX-RN Paper

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q291-Q296):

NEW QUESTION # 291
A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone, the client should be instructed to:

  • A. Use his bronchodilator inhaler
  • B. Sit and rest
  • C. Drink a glass of water
  • D. Clean his inhaler with warm water and soak it in a 10% bleach solution

Answer: C

Explanation:
(A) Inhalers should be cleaned once a day. They should be taken apart, washed in warm water, and dried according to manufacturer's instructions. Soaking in bleach is inappropriate. (B) A common side effect of inhaled steroid preparations is oral candidal infection. This can be prevented by drinking a glass of water or gargling after using a steroid inhaler. (C) There is nothing wrong with sitting and resting after using a steroid inhaler, but it is not necessary. (D) If a person is using a steroid inhaler as well as a bronchodilator inhaler, the bronchodilator shouldalways be used first. The reason for this is that the bronchodilator opens up the person's airways so that when the steroid inhaler is used next, there will be better distribution of medication.


NEW QUESTION # 292
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. Dandelion leaves
  • B. Pencils
  • C. Stuffing from toy animals
  • D. Old paint

Answer: D

Explanation:
Explanation/Reference:
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 # 293
A 56-year-old client is admitted to the psychiatric unit in a state of total despair. She feels hopeless and worthless, has a flat affect and very sad appearance, and is unable to feel pleasure from anything. Her husband has been assisting her at home with the housework and cooking; however, she has not been eating much, lies around or sits in a chair most of the day, and is becoming confused and thinks her family does not want her around anymore. In assessing the client, the nurse determines that her behavior is consistent with:

  • A. Mild depression
  • B. Transient depression
  • C. Moderate depression
  • D. Severe depression

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Transient depression manifests as sadness or the "blues" as seen with everyday disappointments and is not necessarily dysfunctional. (B) Mild depression manifests as symptoms seen with grief response, such as denial, sadness, withdrawal, somatic symptoms, and frequent or continuous thoughts of the loss.
(C) Moderate depression manifests as feelings of sadness, negativism; low self-esteem; rumination about life's failures; decreased interest in grooming and eating; and possibly sleep disturbances. These symptoms are consistent with dysthymia. (D) Severe depression manifests as feelings of total despair, hopelessness, emptiness, inability to feel pleasure; possibly extreme psychomotor retardation; inattention to hygiene; delusional thinking; confusion; self-blame; and suicidal thoughts. These symptoms are consistent with major depression.


NEW QUESTION # 294
When caring for a postoperative cholecystectomy client, the nurse assesses patency and documents drainage of the T-tube. The nurse recognizes that the expected amount of drainage during the first 24 hours postoperatively is:

  • A. 200-300 mL
  • B. 50-100 mL
  • C. 1000-1200 mL
  • D. 300-500 mL

Answer: D

Explanation:
(A) During the first 24 hours after surgery, the drainage is normally 300-500 mL and then
decreases to about 200 mL in 24 hours during the next 3-4 days. (B) This range is the amount of drainage after the first 24 hours postoperatively. During the first 24 hours, it is 300-500 mL. (C) During the first 24 hours after surgery, this range is the expected amount of drainage. (D) The expected amount of drainage during the first 24 hours is 300-500 mL. An output of >500 mLshould be reported to the physician, because an occlusion of some type, caused by a retained gallstone or an inflammatory process within the biliary drainage system, is evident.


NEW QUESTION # 295
A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several years. He is experiencing symptoms such as numbness of the lips, muscle weakness, carpopedal spasms, and wheezing. Given the client's symptoms, nursing assessment would focus on:

  • A. Detection of tetany
  • B. Detection of hypocalcemia to prevent seizures
  • C. Evidence of depression
  • D. Detection of premature cataract formation

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Assessment should focus on detection of tetany, which is the most common symptom of hypoparathyroidism. Left undetected and untreated, tetany resulting from hypocalcemia can progress to seizures. (B) Hypocalcemia is difficult to detect on nursing assessment alone. Abdominal cramping may be an indication of hypocalcemia, but laboratory data are required to confirm diagnosis. (C) Depression can be a symptom of hypoparathyroidism, but it is not definitive. (D) Premature cataract formation can occur, but it also is not specific to parathyroidism and poses no immediate danger to the client.


NEW QUESTION # 296
......

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