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NCLEX-RN Exam Dumps - NCLEX Certification Questions and Answers

Question # 74

Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

Options:

A.

Relax muscles

B.

Relieve anxiety

C.

Reduce secretions

D.

Act as an anesthetic

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Question # 75

A male client had a right below-the-knee amputation 4 days ago. His incision is healing well. He has gotten out of bed several times and sat at the side of the bed. Each time after returning to bed, he has experienced pain as if it were located in his right foot. Which nursing measure indicates the nurse has a thorough understanding of phantom pain and its management?

Options:

A.

Phantom pain is entirely in the client’s mind. The client should be instructed that the pain is psychological and should not be treated.

B.

The basis for phantom pain may occur because the nerves still carry pain sensation to the brain even though the limb has been amputated. The pain is real, intense, and should be treated.

C.

The cause of phantom pain is unknown. The nurse should provide the client with support, promote sleep, and handle the injured limb smoothly and gently.

D.

Phantom pain is caused by trauma, spasms, and edema at the incisional site. It will decrease when postoperative edema decreases. It should be treated with nonnarcotic medication whenever possible.

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Question # 76

Several months after antibiotic therapy, a child is readmitted to the hospital with an exacerbation of osteomyelitis, which is now in the chronic stage. The mother appears anxious and asks what she could have done to prevent the exacerbation. The nurse’s response is based on the knowledge that chronic osteomyelitis:

Options:

A.

Is caused by poor physical conditions or poor nutrition

B.

Often results from unhygienic conditions or an unclean environment

C.

Is directly related to sluggish circulation in the affected limb

D.

May develop from sinuses in the involved bone that retain infectious material

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Question # 77

Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?

Options:

A.

Creatinine

B.

Sodium

C.

Calcium

D.

Potassium

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Question # 78

A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy test was positive, she has two living children, she had one spontaneous abortion, and one infant died at the age of 3 months. Which of the following best describes the client at the present?

Options:

A.

Gravida 4, para 2, ab 1

B.

Gravida 5, para 3, ab 1

C.

Gravida 5, para 4, ab 0

D.

Gravida 4, para 3, ab 0

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Question # 79

One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

Options:

A.

Peripheral circulatory collapse

B.

Syndrome of inappropriate antiduretic hormone

C.

Cerebral edema resulting in hydrocephalus

D.

Auditory nerve damage resulting in permanent hearing loss

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Question # 80

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

Options:

A.

Digoxin (Lanoxin)

B.

Lidocaine (Xylocaine)

C.

Quinidine gluconate or sulfate (Quinaglute,Quinidex)

D.

Nitroglycerin IV (Tridil)

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Question # 81

When the nurse is evaluating lab data for a client 18–24 hours after a major thermal burn, the expected physiological changes would include which of the following?

Options:

A.

Elevated serum sodium

B.

Elevated serum calcium

C.

Elevated serum protein

D.

Elevated hematocrit

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Question # 82

A pregnant woman at 36 weeks’ gestation is followed for PIH and develops proteinuria. To increase protein in her diet, which of the following foods will provide the greatest amount of protein when added to her intake of 100 mL of milk?

Options:

A.

Fifty milliliters light cream and 2 tbsp corn syrup

B.

Thirty grams powdered skim milk and 1 egg

C.

One small scoop (90 g) vanilla ice cream and 1 tbsp chocolate syrup

D.

One package vitamin-fortified gelatin drink

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Question # 83

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

Options:

A.

Auditory

B.

Gustatory

C.

Olfactory

D.

Visceral

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Exam Code: NCLEX-RN
Exam Name: National Council Licensure Examination(NCLEX-RN)
Last Update: Feb 22, 2025
Questions: 860
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