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[Hardware] NCLEX-RN Practice Guide - Latest Braindumps NCLEX-RN Ppt

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【Hardware】 NCLEX-RN Practice Guide - Latest Braindumps NCLEX-RN Ppt

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NCLEX-RN exam consists of multiple-choice questions that are designed to test the candidate's knowledge and understanding of nursing concepts and principles. NCLEX-RN exam is divided into four categories, including Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity.
NCLEX-RN (National Council Licensure Examination) is a certification exam that is required for individuals who wish to become licensed registered nurses (RNs). NCLEX-RN Exam is designed to test the knowledge, skills, and abilities that are necessary to perform the duties of an entry-level RN. The NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is taken by nursing graduates who have completed an accredited nursing program.
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q253-Q258):NEW QUESTION # 253
A client has just received an epidural block. She is laboring on her right side. The nurse notes that her blood pressure has dropped from 132/68 to 78/42 mm Hg. The nurse's first action would be to:
  • A. Increase the rate of IV fluids and start O2 by mask
  • B. Call the physician immediately and give dopamine IM
  • C. Administer oxytocin (Pitocin) immediately and increase the rate of IV fluids
  • D. Turn her on her left side and recheck her blood pressure in 5 minutes
Answer: A
Explanation:
Explanation
(A) Nursing measures to support fetal oxygenation and promote maternal blood pressure would precede calling the physician. (B) Systolic pressures below 100 mm Hg or a reduction in the systolic pressure of>30% necessitate treatment. Assessing the blood pressure in 5 minutes may allow for further fetal and/or maternal compromise. Turning the client on her left side will promote uteroplacental perfusion and is appropriate. (C) Oxytocin (Pitocin) increases the strength of uterine contractions and may cause maternal hypotension; thus it is an inappropriate drug for use in this clinical situation. IV fluids would be increased to expand the circulating blood volume and promote increased blood pressure. (D) Turning the mother to her left lateral side promotes uteroplacental perfusion. IV fluids are administered to increase the circulating blood volume, and O2 is administered to promote fetal oxygenation and decrease the nausea accompanying the hypotension.

NEW QUESTION # 254
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:
  • A. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures
  • B. Febrile seizures are associated with diseases of the central nervous system
  • C. Febrile seizures do not usually recur
  • D. Sustained temperature elevation over 103F is generally related to febrile seizures
Answer: A
Explanation:
Section: Questions Set A
Explanation:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur during the temperature rise rather than after a prolonged elevation. (B) Febrile seizures may recur and are more likely to do so when the first seizure occurs in the 1st year of life. (C) There is little risk of neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. (D) Febrile seizures are associated with disease of the central nervous system.

NEW QUESTION # 255
The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:
  • A. Lidocaine (Xylocaine)
  • B. Digoxin (Lanoxin)
  • C. Nitroglycerin IV (Tridil)
  • D. Quinidine gluconate or sulfate (Quinaglute,Quinidex)
Answer: A
Explanation:
Section: Questions Set A
Explanation:
(A) Side effects of digoxin include headache, hypotension, AV block, blurred vision, and yellow-green halos. (B) Side effects of lidocaine include heart block, headache, dizziness, confusion, tremor, lethargy, and convulsions.
(C) Side effects of quinidine include heart block, hepatotoxicity, thrombocytopenia, and respiratory depression.
(D) Side effects of nitroglycerin include postural hypotension, headache, dizziness, and flushing.

NEW QUESTION # 256
The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?
  • A. Povidone-iodine
  • B. Silver sulfadiazine
  • C. Mafenide acetate
  • D. Neosporin sulfate
Answer: C
Explanation:
Section: Questions Set A
Explanation:
(A) The side effects of neomycin sulfate include rash, urticaria, nephrotoxicity, and ototoxicity. (B) The side effects of mafenide acetate include bone marrow suppression, hemolytic anemia, eosinophilia, and metabolic acidosis. The hyperventilation is a compensatory response to the metabolic acidosis. (C) The side effects of silver sulfadiazine include rash, itching, leukopenia, and decreased renal function. (D) The primary side effect of povidone-iodine is decreased renal function.

NEW QUESTION # 257
A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is using a microdrip tubing set. How many drops per minute should the nurse administer?
  • A. 1 gtt/min
  • B. 100 gtt/min
  • C. 5 gtt/min
  • D. 50 gtt/min
Answer: D
Explanation:
Section: Questions Set C
Explanation:
(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C) 50 gtt/min. (D) This answer is a miscalculation.

NEW QUESTION # 258
......
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