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NCLEX-RN exam is a computerized adaptive test (CAT) and is designed to adjust the difficulty of the questions based on the test-taker's performance. NCLEX-RN exam consists of between 75 and 265 questions, depending on how well the test-taker is performing. The questions are designed to test the test-taker's knowledge of nursing concepts, patient care, and critical thinking skills. NCLEX-RN Exam is also designed to test the test-taker's ability to make clinical judgments and to prioritize patient care.
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NEW QUESTION # 181
The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:
Answer: B
Explanation:
Section: Questions Set G
Explanation:
(A) Alopecia has occurred, and knowing it is a side effect does not address their concern. (B) Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.
NEW QUESTION # 182
When assessing the client 6 hours postpartum, the fundus is found to be U +3, displaced to the right of midline, and slightly boggy. The nurse would first:
Answer: C
Explanation:
(A)Oxytocin may not be necessary if the bladder is emptied and if the uterus remains firm, midline, and at about U11 after massage. (B) The same rationale as for answer "A" applies.
(C)A full bladder is the most common cause of uterine atony. If the bladder is full, it should be emptied and the uterus reassessed before further intervention. (D) If the bladder is full, the uteruswill not stay contracted or return to a normal position. Overly vigorous massage also encourages uterine atony.
NEW QUESTION # 183
Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of breath (SOB), and wheezing. (B) Amrinone has the effect of increased contractility and dilation of the vascular smooth muscle. It has no noted respiratory side effects. (C) Epinephrine has the effect of bronchodilation through β stimulation. (D) Propranolol, esmolol, and labetalol are all β- blocking agents, which can increase airway resistance and cause bronchospasms.
NEW QUESTION # 184
A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:
Answer: A
Explanation:
(A)
Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations.
(B)
The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause
fetal distress and does not stop the delivery process.
NEW QUESTION # 185
A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best response would be:
Answer: A
Explanation:
Explanation
(A) This is normal for a preschooler, and a referral is not appropriate. (B) Telling a parent not to worry is unhelpful. This response does not address the mother's concern. (C) This response is incorrect. The behavior is normal and will usually disappear by the time the child enters school. (D) This behavior is normal development for a preschooler.
NEW QUESTION # 186
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