2 Complete All 160 Questions And Correct Detailed

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Saunders NCLEX RN NGN Newest 2025/2026 Version

• Complete All 160 Questions And Correct Detailed

Answers (Verified Answers) |Already Graded A+||Brand New Version!!

The nurse has given the client diagnosed with hepatitis instructions about post discharge management during convalescence. The nurse determines a need for further teaching if the client makes which statement?

1."I should avoid alcohol and aspirin." 2."I should eat a high-carbohydrate, low-fat diet." 3."I should resume a full activity level within 1 week." 4."I should take the prescribed amounts of vitamin K." - ANSWER-The client with hepatitis is easily fatigued and may require several weeks to resume a full activity level. It is important for the client to get adequate rest so that the liver may heal. The client should take in a high-carbohydrate and low-fat diet. The client should avoid hepatotoxic substances, such as aspirin and alcohol. If prescribed for prolonged clotting times the client should take vitamin K

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The nurse is checking a client's record for probable signs of pregnancy. Which are the probable signs of pregnancy that the nurse should note? Select all that apply. - ANSWER-The probable signs of pregnancy include uterine enlargement; Hegar's sign (the compressibility and softening of the lower uterine segment that occurs at about week 6); Goodell's sign (the softening of the cervix that occurs at the beginning of the second month of pregnancy); Chadwick's sign (the violet coloration of the mucous membranes of the cervix, vagina, and vulva that occurs at about week 4); ballottement (the rebounding of the fetus against the examiner's fingers on palpation); Braxton Hicks contractions; and a positive pregnancy test that measures for human chorionic gonadotropin. Positive signs of pregnancy include a fetal heart rate that is detected by an electronic device (Doppler transducer) at 10 to 12 weeks' gestation and by a nonelectronic device (fetoscope) at 20 weeks' gestation; active fetal movements that are palpable by the examiner; and an outline of the fetus via radiography or ultrasound.

The nurse is monitoring the behavior of the client and understands that the client with anorexia nervosa manages anxiety by which action? - ANSWER-Clients with anorexia nervosa have the desire to please others. Their need to be correct or perfect interferes with rational decision-making processes.These clients are moralistic. Rules and rituals help the clients manage their anxiety. 2 / 4

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A client is receiving heparin sodium by continuous intravenous (IV) infusion. The licensed practical nurse (LPN) is concerned that the client received a bolus of medication when the tubing was removed from the IV pump during a gown change. The LPN immediately notifies the registered nurse or health care provider and then checks to see whether which medication is available in the medication supply area in case it is prescribed? - ANSWER-If the tubing is removed from an IV pump and the tubing is not clamped, the client will receive a bolus of the solution and the medication contained in the solution. The client who receives a bolus dose of heparin is at risk for bleeding. A partial thromboplastin time (PTT) will be drawn and evaluated.If the results of the PTT are too high, a dose of protamine sulfate, the antidote for heparin, may be prescribed.Aminocaproic acid is an antifibrinolytic (inhibits clot breakdown). Enoxaparin is an anticoagulant. Vitamin K is the antidote for warfarin sodium.

The nursing instructor has taught a lecture on the reproductive cycle of the female and asks a nursing student to identify the functions of the vagina. The student correctly responds by identifying which functions? Select all that apply. - ANSWER- The pelvis is a bony structure that supports and protects the lower abdominal and internal reproductive organs. The vagina is the female organ of coitus, allows discharge of the menstrual 3 / 4

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flow, and assists in the passage of the fetus from the uterus to outside the mother's body during childbirth. The fallopian tubes are lined with folded epithelium containing cilia that beat rhythmically toward the uterine cavity to propel the ovum through the tube. The functions of the ovaries include sex hormone production and maturation of an ovum during each reproductive cycle.

A client scheduled for a pulmonary angiography is fearful about the procedure and asks the nurse if the procedure involves significant pain and radiation exposure. The nurse gives a response to the client that provides reassurance, based on which understanding? - ANSWER-Pulmonary angiography involves minimal exposure to radiation. The procedure is painless, although the client may feel discomfort with insertion of the needle for the catheter that is used for dye injection. No and moderate pain and no exposure to radiation are incorrect.

The nurse prepares to administer digoxin to a 3-year-old with a diagnosis of heart failure and notes that the apical heart rate is 120 beats per minute. Which nursing action is appropriate? - ANSWER-The normal apical heart rate for a 3-year-old is 80 to 125 beats per minute. Because the apical heart rate is within normal range, options 1, 3, and 4 are inappropriate.

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