EASY TO USE FORMATS OF EXAMCOST NCLEX NCLEX-RN PRACTICE EXAM MATERIAL

Easy to use Formats of ExamCost NCLEX NCLEX-RN Practice Exam Material

Easy to use Formats of ExamCost NCLEX NCLEX-RN Practice Exam Material

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q22-Q27):

NEW QUESTION # 22
The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly-High risk for injury: Increased susceptibility to bleeding related to:

  • A. Increased absorption of vitamin K
  • B. Thrombocytopenia due to hypersplenism
  • C. Increased synthesis of the clotting factors
  • D. Diminished function of the Kupffer cells

Answer: B

Explanation:
Explanation
(A) There is a decreased absorption of vitamin K with cirrhosis of the liver. This decrease impairs blood coagulation and the formation of prothrombin. (B) Thrombocytopenia, an increased destruction of platelets, occurs secondary to hypersplenism. (C) A diminished function of the Kupffer cells occurs with cirrhosis of the liver, causing the client to become more susceptible to infections. (D) A decrease in the synthesis of fibrinogen and clotting factors VII, IX, and X occurs with cirrhosis of the liver and increases the susceptibility to bleeding.


NEW QUESTION # 23
To ensure proper client education, the nurse should teach the client taking SL nitroglycerin to expect which of the following responses with administration?

  • A. Temporary blurring of vision
  • B. Generalized urticaria with prolonged use
  • C. Urinary frequency
  • D. Stinging, burning when placed under the tongue

Answer: D

Explanation:
Explanation
(A) Stinging or burning when nitroglycerin is placed under the tongue is to be expected. This effect indicates that the medication is potent and effective for use. Failure to have this response means that the client needs to get a new bottle of nitroglycerin. (B, C, D) The other responses are not expected in this situation and are not even side effects.


NEW QUESTION # 24
A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postoperative recovery progressed without complications, and she is ready for discharge. Client education in preparation for discharge began 7 days ago on her admission to the nursing unit. Evaluation of nursing care related to client education is based on evaluation of expected outcomes. Which statement made by the client would indicate that she is ready for discharge?

  • A. "I am allowed to exercise by walking for short periods."
  • B. "I will not drive but ride in the front seat of the car with a seat belt on for my first doctor's appointment."
  • C. "Teach my husband about the diet. He'll be doing all the cooking now."
  • D. "When I bathe tomorrow morning, I will be very careful not to get soap on my incision."

Answer: A

Explanation:
Section: Questions Set D
Explanation:
(A) Postoperatively, clients with major abdominal surgery are instructed to avoid driving, riding in the front seat, and wearing seat belts because any sudden impact may injure a fresh incision. She should ride in back seat without a seat belt. (B) Clients should not sit in the tub and allow the incision to soak in water because this may predispose the client to infection. A short, cool shower would be preferable. Allowing soap to come in contact with the incision would not harm it and is frequently used as postoperative wound care at home on discharge from the hospital. (C) Activity instructions include: avoid sitting for long periods and get exercise by walking.
Lifting more than 5 lb of weight is also prohibited. (D) The client must also learn her diet. Her husband cooking is probably a temporary measure unless he did the cooking prior to her hospitalization. A statement such as this may indicate the need for further exploration of feelings regarding her illness, dependence, and self-care expectations.


NEW QUESTION # 25
Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?

  • A. Bran flakes with fresh peaches
  • B. Lasagna with garlic bread
  • C. Broiled fish with rice
  • D. Cauliflower and lettuce salad

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Broiled fish and rice are both excellent sources of protein. (B) Fresh fruits are not a good source of protein. (C) Foods in the bread group are not high in protein. (D) Most vegetables are not high in protein; peas and beans are the major vegetables higher in protein.


NEW QUESTION # 26
A behavioral modification program is recommended by the multidisciplinary team working with a 15-year-old client with anorexia nervosa. A nursing plan of care based on this modality would include:

  • A. Encouraging her to verbalize her feelings concerning food and food intake
  • B. Provision for a high-calorie, high-protein snack between meals
  • C. Role playing the client's eating behaviors
  • D. Restriction to the unit until she has gained 2 lb

Answer: D

Explanation:
Explanation
(A) This answer is incorrect. Role playing is based on learning but is not based on the behavioral modification model. (B) This answer is correct. The behavioral modification model is based on negative and positive reinforcers to change behavior. (C) This answer is incorrect. Verbal catharsis is not an intervention based on behavioral modification. (D) This answer is incorrect. Although an acceptable nursing intervention, it is not based on behavioral modification.


NEW QUESTION # 27
......

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