Past Nclex Questions 6

Past Nclex Questions 6 1.131.Which situation(s) are classified as natural disasters? Select all that apply.A.Blizzards B.Terrorist attacks C.Volcanic eruptions D.Structural collapse E.Communicable diseases 2.132.The nurse is analyzing laboratory values for the assigned clients. Which finding, based on the client’s medical history, indicates the need for immediate follow-up?A.Client with chronic kidney disease and serum creatinine of 1.6mg/dL B.Client with diabetes mellitus and a glycosylated hemogloblin A (HbA1C. of 7% C.Client with heart failure and a B-type natriuretic peptide (BNP) of 140 pg/mL D.Client who is male and has anemia with hemoglobin of 16.5 g/dL and hematocrit of 45% 3.133.The hypertonicity of the muscles in an infant with cerebral palsy causes scissoring of the legs. The nurse teaches the mother

that the preferred way to carry the infant is in a sitting position:

A.Astride one of her hips B.Strapped in an infant seat C.Wrapped tightly in a blanket D.under the arm using a football hold This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:52:19 GMT -05:00

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4.134.The nurse administers 2 units of salt-poor albumin to a client with portal hypertension and ascites. The nurse explains to the

client that this is administered to:

A.Provide nutrients B.Increase protein stores C.Elevate the circulating blood volume D.Divert blood flow away from the liver temporarily 5.135.A 31-year-old client is seeking contraceptive information.Before responding to the client’s questions about contraceptives, the nurse obtains a health history. What factor in the client’s history indicates to the nurse that oral contraceptives are contraindicated?A.More than 30 years of age B.Had two multiple pregnancies C.C. Smokes 1 pack of cigarettes a day D.Has a history of borderline hypertension 6.136.A nurse administers albuterol to a child with asthma. For what common side effect should the nurse monitor the child?A.Flushing B.Dyspnea C.Tachycardia D.Hypotension 7.138.Before administering an MMR (measles, mumps, and rubella) vaccine to a 15-month-old child, which question should the nurse ask the mother of the child?A.“Has your child had any sore throats?” B.“Has your child been eating properly?” This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:52:19 GMT -05:00

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C.“Is your child allergic to any antibiotics?’ D.“Has your child been exposed to any infections?” 8.139.A nurse is caring for an 8-year-old child who is admitted to the pediactric unit with a tentative diagnosis of acute poststreptococcal glomerulonephritis (APSGN). Diagnostic tests are ordered. Which tests will help confirm the diagnosis? Select all that apply.A.ASO titer B.Urinalysis C.Blood chemistry D.Intravenous pyelogram E.Chest x-ray examination 9.140.A nurse is reviewing the health history and laboratory report of a child with lead poisoning. What complications does the nurse expect in relation to lead toxicity? Select all that apply.A.Anemia B.Proteinuria C.Heart failure D.Encephalopathy E.Gastrointestinal bleeding 10.141.Six hours after major abdominal surgery a male client complains of severe abdominal pain; is pale and perspiring; has a thread, rapid pulse; and states he feels faint. The nurse checks the client’s medication administration record and determines that the client can receive another injection of pain medication in an hour.What is the most appropriate action by the nurse? This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:52:19 GMT -05:00

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A.Explain to the client that is is too early to have an injection for pain B.Call the practitioner, report the client’s symptoms, and obtain further orders C.Reposition the client for greater comfort and turn on the television as a distraction D.Prepare the injection and administer it to the client early because of the severe pain 11.142.A client is ordered lisinopril (Zestril) for treatment of hypertension. He asks the nurse about possible adverse effects. The nurse should teach him about which common adverse effects of angiotensin-converting enzyme (ACE. inhibitors? Select all that apply.A.Constipation B.Dizziness C.Headache D.Hyperglycemia E.Hypotension F.Impotence 12.143.A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client’s fluid status?A.Measuring and recording fluid intake and output B.Weighing the client daily at the same time each day C.Assessing the client’s vital signs every 4 hours D.Checking the client’s lungs for crackles during every shift This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:52:19 GMT -05:00

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