Exam NCLEX NCLEX-RN Collection, NCLEX-RN Study Guides
Exam NCLEX NCLEX-RN Collection, NCLEX-RN Study Guides
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q570-Q575):
NEW QUESTION # 570
Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am just no good." Which response by the nurse is most appropriate at this time?
- A. "You've been feeling sad and alone for some time now?"
- B. "I know with your wife and new baby that you do have a lot to live for."
- C. "Don't you think this is a sign of your illness?"
- D. "I don't think you are worthless. I'm glad to see you, and we will help you."
Answer: A
Explanation:
(A)
This response does not acknowledge the client's feelings.
(B)
This is a closed question and does not encourage communication.
(C)
This response negates the client's feelings and does not require a response from the client. (D) This acknowledges the client's implied thoughts and feelings and encourages a response.
NEW QUESTION # 571
Which of the following lab data is representative of a client with aplastic anemia?
- A. White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000
- B. White blood cells 3000, hematocrit 27, red blood cells 2.8 million
- C. Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 million
- D. Red blood cells 1 million, white blood cells 1500, thrombocytes 16,000
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A, B, C) Although all of the lab data are abnormal and although these values are decreased in aplastic anemia, the disorder is defined by severe deficits in red cell, white cell, and platelet counts. (D) Aplastic anemia is typically defined in terms of abnormalities of red blood cell count, usually <1 million, white cell count <2,000, and thrombocytes <20,000.
NEW QUESTION # 572
The nurse is teaching a child's parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:
- A. Old paint
- B. Pencils
- C. Dandelion leaves
- D. Stuffing from toy animals
Answer: A
Explanation:
Explanation
(A) Dandelion leaves are not a source of lead. (B) Pencils are not a source of lead poisoning. (C) Chewing on objects painted before 1960 is a common source of lead poisoning in children. Gasoline is another source. (D) Stuffed animals are not a source of lead.
NEW QUESTION # 573
The nurse is admitting an infant with bacterial meningitis and is prepared to manage the following possible effects of meningitis:
- A. Seizure
- B. Sunken fontanelles
- C. Hypothermia
- D. Constipation
Answer: A
Explanation:
Section: Questions Set F
Explanation:
(A) Constipation may occur if the child is dehydrated, but it is not directly associated with meningitis. (B) It is more likely the child will have fever. (C) Seizure is often the initial sign of meningitis in children and could become frequent. (D) It is more likely the child will have bulging fontanelles.
NEW QUESTION # 574
An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant's mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant's home care?
- A. "Play activities should be carried out before instead of after feedings."
- B. "Feed the infant every 4 hours with half-strength formula."
- C. "Antacids need to be given an hour before feeding."
- D. "Lay the infant flat on her left side after feeding."
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Elevating the child's head to a 30-degree angle is the recommended position for gastroesophageal reflux. The supine position predisposes the child to aspiration. (B) Small, frequent feedings with thickened formula are recommended to minimize vomiting. (C) Antacids should be given at the same time as the feeding to improve their buffering action. (D) The infant should be kept still after feedings to reduce the risk of vomiting and aspiration. Vigorous activities should be carried out before feedings.
NEW QUESTION # 575
......
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