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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q757-Q762):
NEW QUESTION # 757
The client will be more comfortable and the results more accurate when the nurse prepares the client for Leopold's maneuvers by having her:
- A. Force fluids 1 hour prior to procedure
- B. Lie on her left side
- C. Place her arms over her head
- D. Empty her bladder
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) A full bladder would cause discomfort and possible urinary incontinence during the exam. (B) The left side-lying position would not accommodate the exam. The head of the exam table or bed can be slightly elevated to prevent supine hypotension. (C) Arms extended over the head would cause the abdomen to be tighter and less easily palpable. (D) Forcing fluids would encourage a full bladder, which is not desired for the exam.
NEW QUESTION # 758
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy.
Which of the following strategies should be most effective in encouraging the child to eat?
- A. Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.
- B. Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.
- C. Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
- D. Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Because the child's appetite is capricious at best, regular servings may be overwhelming. Praise the child for what is eaten. (B) The child will soon learn that procedures follow meals and may play with food rather than eat it to avoid or delay the procedure. (C) Young children usually do not like highly seasoned foods and may need the security of usual foods. Such a change may actually increase anorexia. (D) Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security.
NEW QUESTION # 759
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. Continue to monitor the foot
- B. Notify the physician immediately
- C. Reposition and reassess the foot
- D. Assure the client that his foot is fine
Answer: B
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 # 760
A pregnant client during labor is irritable and feels the urge to vomit. The nurse should recognize this as the:
- A. Third stage of labor
- B. Transition stage of labor
- C. Second stage of labor
- D. Fourth stage of labor
Answer: B
Explanation:
(A) The fourth stage begins after expulsion of the placenta. Client symptoms are: fatigue; chills; scant, bloody vaginal discharge; and nausea. (B) The third stage is from birth to expulsion of placenta. Client symptoms are uterine contractions, gush of blood, and perineal pain. (C) The transition stage is characterized by strong uterine contractions and cervical dilation. Clientsymptoms are irritability, restlessness, belching, muscle tremors, nausea, and vomiting. (D) The second stage is characterized by full dilation of cervix. Client symptoms are perineal bulge, pushing with contractions, great irritability, and leg cramps.
NEW QUESTION # 761
Which of the following should the nurse anticipate receiving as an as-needed order for a postoperative carotid endarterectomy client?
- A. Nifedipine 10 mg SL for B/P 140/90
- B. Furosemide 20 mg/PO for decreased urine output
- C. Nitroglycerin gr 1/150 for chest pain
- D. Magnesium salicylate to decrease inflammation
Answer: A
Explanation:
(A) It is important to maintain a normal to slightly lower pressure to prevent the graft from blowing and excessive pressure to surgical vascular areas. (B, C, D) None of these drugs is related to managing the problem at hand. Also, none of the problems for which these drugs would be indicated is expected with this type of surgery, except if there is a prior history.
NEW QUESTION # 762
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