NCLEX-RN LEARNING ENGINE & NCLEX-RN TEST QUESTIONS ANSWERS

NCLEX-RN Learning Engine & NCLEX-RN Test Questions Answers

NCLEX-RN Learning Engine & NCLEX-RN Test Questions Answers

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q398-Q403):

NEW QUESTION # 398
A client is being admitted to the labor and delivery unit. She has had previous admissions for "false labor." Which clinical manifestation would be most indicative of true labor?

  • A. Progressive dilatation and effacement of the cervix
  • B. Uterine contractions
  • C. Increased bloody show
  • D. Decreased discomfort with ambulation

Answer: A

Explanation:
(A) Bloody show is considered a sign of imminent labor, which usually begins in 24-48 hours. An increase in bloody show is an indication that the cervix is changing. (B) Contractions of true labor produce progressive cervical effacement and dilatation. (C) Contractions of false labor may mimic those of true labor. However, the contractions of false labor do not produce progressive effacement and dilatation of the cervix. (D) In true labor, the discomfort is not relieved by ambulation; walking may intensify the discomfort.


NEW QUESTION # 399
The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

  • A. Nicotine withdrawal
  • B. A birth defect
  • C. Anemia
  • D. A low birth weight

Answer: D

Explanation:
(A) Women who smoke during pregnancy are at increased risk for miscarriage, preterm labor, and IUGR in the fetus. (B) Although smoking produces harmful effects on the maternal vascular system and the developing fetus, it has not been directly linked to fetal anomalies. (C) Smoking during pregnancy has not been directly linked to anemia in the fetus. (D) Smoking during pregnancy has not been linked to nicotine withdrawal symptoms in the newborn.


NEW QUESTION # 400
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?

  • A. Ambulate him to the bathroom to void.
  • B. Place him on NPO restriction for 4 hours.
  • C. Place him in a high Fowler position.
  • D. Monitor the catheterization site every 15 minutes.

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye. (B) Streptokinase activates plasminogen, dissolving fibrin deposits. To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. (C) The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. (D) The client is kept on bed rest for 8-12 hours following the procedure because of the potential for bleeding.


NEW QUESTION # 401
Nursing care for the parents of a child with a congenital heart defect would include:

  • A. Identifying anger and resentment as destructive emotions that serve no purpose
  • B. Expressing to the parents after the corrective surgery has been completed successfully that all their grief feelings will resolve
  • C. Acknowledging the fear and concern surrounding their child's health and assisting the parents through the grieving process as they mourn the loss of their fantasized healthy child
  • D. Encouraging the parents not to tell the child about the seriousness of the congenital heart defect, so the child will function as normally as possible

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) It is important to discuss with parents the need to treat the child as they would any other children, but they must be truthful and honest with the child about the heart defect. As the child grows older, explanations can go into greater depth. (B) Parents of children with congenital heart defects go through a grieving process over the loss of their "healthy" child. The nurse needs to recognize these feelings and give the parents a role in the child's care when they are ready. (C) Anger and resentment are normal feelings that must be dealt with appropriately. (D) Parents may go through a second grieving process after the repair of the cardiac defect. During this grieving period, they mourn the loss of the "defective" child who now may be essentially "normal."


NEW QUESTION # 402
A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

  • A. "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."
  • B. "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16-20 times a minute with shallow chest breaths."
  • C. "Keep breathing with your abdominal muscles as long as you can."
  • D. "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."

Answer: B

Explanation:
(A) Lamaze childbirth preparation teaches the use of chest, not abdominal, breathing. (B) In Lamaze preparation, every patterned breath is preceded by a cleansing breath; as labor progresses, shallow, paced breathing is found to be effective. (C) It is important to assume a comfortable position in labor, but the Lamazeprepared laboring woman is taught to breathe with her chest, not abdominal, muscles. (D) When deep chest breathing patterns are used in Lamaze preparation, they are slowly paced at a rate of 6-9 breaths/min.


NEW QUESTION # 403
......

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