NCLEX Practice Exam 36 (10 Questions)
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The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?
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The presence of scant bloody discharge
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Frequent urination
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The presence of green-tinged amniotic fluid
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Moderate uterine contractions
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
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- 2.
Which of the following diet instructions should be given to the client with recurring urinary tract infections?
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Increase intake of meats.
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Avoid citrus fruits.
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Perform pericare with hydrogen peroxide.
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Drink a glass of cranberry juice every day.
Correct Answer
A. Drink a glass of cranberry juice every day.Explanation
Cranberry juice is more alkaline and. when metabolized by the body. is excreted with acidic urine. Bacteria does not grow freely in acidic urine. Increasing intake of meats is not associated with urinary tract infections. so answer A is incorrect. The client does not have to avoid citrus fruits and peri care should be done. but hydrogen peroxide is drying. so answers B and C are incorrect.Rate this question:
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- 3.
The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room. a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?
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The tube will allow for equalization of the lung expansion.
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Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.
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Chest tubes relieve pain associated with a collapsed lung.
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Chest tubes assist with cardiac function by stabilizing lung expansion.
Correct Answer
A. Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.Explanation
Chest tubes work to reinflate the lung and drain serous fluid. The tube does not equalize expansion of the lungs. Pain is associated with collapse of the lung. and insertion of chest tubes is painful. so answers A and C are incorrect. Answer D is true. but this is not the primary rationale for performing chest tube insertion.Rate this question:
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- 4.
A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:
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Mother’s educational level
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Infant’s birth weight
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Size of the mother’s breast
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Mother’s desire to breastfeed
Correct Answer
A. Mother’s desire to breastfeedExplanation
Success with breastfeeding depends on many factors. but the most dependable reason for success is desire and willingness to continue the breastfeeding until the infant and mother have time to adapt. The educational level. the infant’s birth weight. and the size of the mother’s breast have nothing to do with success. so answers A. B. and C are incorrect.Rate this question:
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- 5.
The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin. the nurse should monitor for:
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Maternal hypoglycemia
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Fetal bradycardia
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Maternal hyperreflexia
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Fetal movement
Correct Answer
A. Fetal bradycardiaExplanation
The client receiving Pitocin should be monitored for decelerations. There is no association with Pitocin use and hypoglycemia. maternal hyperreflexia. or fetal movement; therefore. answers A. C. and D are incorrect.Rate this question:
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- 6.
The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:
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1900
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1200
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1000
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700
Correct Answer
A. 1900Explanation
Clients who are being retrained for bladder control should be taught to withhold fluids after about 7 p.m.. or 1 The times in answers B. C. and D are too early in the day.Rate this question:
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- 7.
The client with a pacemaker should be taught to:
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Report ankle edema
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Check his blood pressure daily
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Refrain from using a microwave oven
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Monitor his pulse rate
Correct Answer
A. Monitor his pulse rateExplanation
The client with a pacemaker should be taught to count and record his pulse rate. Answers A. B. and C are incorrect. Ankle edema is a sign of right-sided congestive heart failure. Although this is not normal. it is often present in clients with heart disease. If the edema is present in the hands and face. it should be reported. Checking the blood pressure daily is not necessary for these clients. The client with a pacemaker can use a microwave oven. but he should stand about 5 feet from the oven while it is operating.Rate this question:
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- 8.
The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?
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Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.
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Duration is measured by timing from the end of one contraction to the beginning of the next contraction.
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Duration is measured by timing from the beginning of one contraction to the end of the same contraction.
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Duration is measured by timing from the peak of one contraction to the end of the same contraction.
Correct Answer
A. Duration is measured by timing from the beginning of one contraction to the end of the same contraction.Explanation
Duration is measured from the beginning of one contraction to the end of the same contraction. Answer A refers to frequency. Answer B is incorrect because we do not measure from the end of one contraction to the beginning of the next contraction. Duration is not measured from the peak of the contraction to the end. as stated in D.Rate this question:
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- 9.
The client with color blindness will most likely have problems distinguishing which of the following colors?
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Orange
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Violet
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Red
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White
Correct Answer
A. VioletExplanation
Clients with color blindness will most likely have problems distinguishing violets. blues. and green. The colors in answers A. C. and D are less commonly affected.Rate this question:
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- 10.
The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
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“I will make sure I eat breakfast within 2 hours of taking my insulin.”
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“I will need to carry candy or some form of sugar with me all the time.”
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“I will eat a snack around three o’clock each afternoon.”
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“I can save my dessert from supper for a bedtime snack.”
Correct Answer
A. “I will eat a snack around three o’clock each afternoon.”Explanation
NPH insulin peaks in 8–12 hours. so a snack should be offered at that time. NPH insulin onsets in 90–120 minutes. so answer A is incorrect. Answer B is untrue because NPH insulin is time released and does not usually cause sudden hypoglycemia. Answer D is incorrect. but the client should eat a bedtime snack.Rate this question:
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Mar 22, 2023Quiz Edited by
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Jul 13, 2017Quiz Created by
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