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Latest NCLEX NCLEX-RN Study Notes & Latest NCLEX-RN Study Materials

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Latest NCLEX NCLEX-RN Study Notes & Latest NCLEX-RN Study Materials

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q731-Q736):NEW QUESTION # 731
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?
  • A. Ingestion of antacids
  • B. Lifting heavy objects
  • C. Ingestion of barbiturates
  • D. Walking briskly
Answer: B
Explanation:
Explanation
(A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.

NEW QUESTION # 732
A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this "psych stuff." When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:
  • A. Guilt
  • B. Anger
  • C. Shame
  • D. Despair
Answer: B
Explanation:
Section: Questions Set D
Explanation:
(A) Guilt relates to depression. (B) Shame is not associated with psychophysiological disorders. (C) Despair relates to depression. (D) Repressed anger is associated with psychophysiological disorders.

NEW QUESTION # 733
Except for initial explosiveness on admission, a client diagnosed with schizophrenia stays in her room. She continues to believe other people are out to get her. A nursing intervention basic to improving withdrawn behavior is:
  • A. Assigning her to occupational therapy
  • B. Helping her to make friends
  • C. Having her sit with the nurses while they chart
  • D. Facilitating communication
Answer: D
Explanation:
(A) The nurse does not make this assignment. (B) One-to-one observation is not
appropriate. It does not focus on the client or encourage communication. (C) The client is too suspicious to accomplish this goal. (D) The withdrawn individual must learn to communicate on a one-to-one level before moving on to more threatening situations.

NEW QUESTION # 734
Which of the following blood values would require further nursing action in a newborn who is 4 hours old?
  • A. Serum glucose 30 mg/dL
  • B. White blood cells 18,000/mm3
  • C. Hemoglobin 17.2 g/dL
  • D. Platelets 250,000/mm3
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) The normal range for hemoglobin in the newborn is 17-19 g/dL; 17.2 g/dL is within normal limits. (B) A normal value range for platelets in the newborn is 150,000-400,000 mm3; 250,000/mm3 is within normal range. (C) A serum glucose of 30 mg/dL in the first 72 hours of life is indicative of hypoglycemia and warrants further intervention. (D) On the day of birth, a white blood cell count of 18,000-40,000/mm3 is normal in the newborn.

NEW QUESTION # 735
A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:
  • A. Withdraw the breast from the infant's mouth
  • B. Compress the areolar tissue until the infant drops the nipple from her mouth
  • C. Gently pull the infant away
  • D. Insert a clean finger into the baby's mouth beside the nipple
Answer: D
Explanation:
Section: Questions Set B
Explanation:
(A) In pulling the infant away from the breast without breaking suction, nipple trauma is likely to occur. (B) In pulling the breast away from the infant without breaking suction, nipple trauma is likely to occur. (C) Compressing the maternal tissue does not break the suction of the infant on the breast and can cause nipple trauma. (D) By inserting a finger into the infant's mouth beside the nipple, the lactating mother can break the suction and the nipple can be removed without trauma.

NEW QUESTION # 736
......
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