PEARSON NCLEX-RN QUESTIONS RATIONALES EXAM

PDF Download PEARSON NCLEX-RN QUESTIONS & RATIONALES EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -100 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: 74. The nurse is evaluating nutritional outcomes for an elderly client with bulimia. Which data best indicates that the plan of care is effective?The client selects a balanced diet from the menu.The client's hemoglobin and hematocrit improve.The client's tissue turgor improves.The client gains weight.

Answer:

The client gains weight.Question 2: 112. A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when: Estrogen levels are low.Lutenizing hormone is high.The endometrial lining is thin.The progesterone level is low.

Answer:

Lutenizing hormone is high.Luteinizing hormone released by the pituitary is responsible for ovulation. At about day 14. the continued increase in estrogen stimulates the release of luteinizing hormone from the anterior pituitary.The LH surge is responsible for ovulation. or the release of the dominant follicle in preparation for conception. which occurs within the next 10-12 hours after the LH levels peak. Answers

• C. and D are incorrect because estrogen levels are high at the beginning of ovulation. the

endometrial lining is thick. not thin. and the progesterone levels are high. not low.Question 3: 26. The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?Report muscle weakness to the physician.Allow six months for the drug to take effect.Take the medication with fruit juice.Ask the doctor to perform a complete blood count before starting the medication.

Answer:

Report muscle weakness to the physician.The client taking antilipidemics should be encouraged to report muscle weakness because this is a sign of rhabdomyositis. The medication takes effect within 1 month of beginning therapy, so answer B is incorrect. The medication should be taken with water because fruit juice, particularly grapefruit, can decrease the effectiveness, making answer C incorrect. Liver function studies should be checked before beginning the medication, not after the fact Question 4: 53. During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The

nurse is aware that the most likely source of the lesion is:

Syphilis Herpes Gonorrhea Condylomata

Answer:

Herpes.A lesion that is painful is most likely a herpetic lesion.A chancre lesion associated with syphilis is not painful .Condylomata lesions are painless warts.Gonorrhea does not present as a lesion. but is exhibited by a yellow discharge.Question 5: 63. The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?Inspection of the abdomen for enlargement Bimanual palpation for hepatomegaly Daily measurement of abdominal girth Assessment for a fluid wave

Answer:

Daily measurement of abdominal girth .Question 6: 2. A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?Side-lying with knees flexed Knee-chest High Fowler's with knees flexed Semi-Fowler's with legs extended on the bed

Answer:

Semi-Fowler's with legs extended on the bed Question 7: 86. Which nurse should be assigned to care for the postpartal client with preeclampsia?The RN with 2 weeks of experience in postpartum The RN with 3 years of experience in labor and delivery The RN with 10 years of experience in surgery The RN with 1 year of experience in the neonatal intensive care unit

Answer:

The RN with 3 years of experience in labor and delivery.Question 8: 78. The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective?The client loses consciousness.The client vomits.The client's ECG indicates tachycardia.The client has a grand mal seizure.

Answer:

The client has a grand mal seizure .During ECT, the client will have a grand mal seize. This indicates completion of the electroconvulsive therapy.Question 9: 15. Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?Oral mucous membrane, altered related to chemotherapy Risk for injury related to thrombocytopenia Fatigue related to the disease process Interrupted family processes related to life-threatening illness of a family member

Answer:

Risk for injury related to thrombocytopenia The client with acute leukemia has bleeding tendencies due to decreased platelet counts, and any injury would exacerbate the problem. The client would require close monitoring for hemorrhage, which is of higher priority Question 10: 81. The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?The client receiving linear accelerator radiation therapy for lung cancer The client with a radium implant for cervical cancer The client who has just been administered soluble brachytherapy for thyroid cancer The client who returned from placement of iridium seeds for prostate cancer

Answer:

The client receiving linear accelerator radiation therapy for lung cancer.The client receiving linear accelerator therapy travels to the radium department for therapy. The radiation stays in the department, so the client is not radioactive . The client in other answer choices pose a risk to the pregnant nurse. These clients are radioactive in very small doses, especially upon returning from the procedures. For approximately 72 hours, the clients should dispose of urine and feces in special containers and use plastic spoons and forks Question 11: 97. The nurse is caring for a client admitted with epiglottis. Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?Intravenous access supplies A tracheostomy set Intravenous fluid administration pump Supplemental oxygen

Answer:

A tracheostomy set.Question 12: 80. The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?Treatment is not recommended for children less than 10 years of age.The entire family should be treated.Medication therapy will continue for 1 year.Intravenous antibiotic therapy will be ordered.

Answer:

The entire family should be treated.Erterobiasis, or pinworms, is treated with Vermox (mebendazole) or Antiminth (pyrantel pamoate). The entire family should be treated to ensure that no eggs remain. Because a single treatment is usually sufficient, there is usually good compliance. The family should then be tested again in 2 weeks to ensure that no eggs remain.