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NCLEX NCLEX-RN Exam Experience & NCLEX-RN Valid Test Online

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q382-Q387):

NEW QUESTION # 382
A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in onehalf normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10-15 mg IM q4h prn for pain.
She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would:

A. Maintain IV, increasing the rate hourly until the client voids
B. Report to the surgeon if the client is unable to void within 8 hours of surgery
C. Provide food and fluids at the client's request
D. Hold morphine sulfate injections for pain until the client voids, explaining to her that morphine sulfate can cause urinary retention

Answer: B

Explanation:
Explanation
(A) Provision of food and fluid promotes bowel elimination. Nutritional needs postoperatively are determined by the physician, not the client. (B) Increasing IV fluids postoperatively will not cause a client to void. Any change in rate of administration of IV fluids should be determined by the physician. (C) The postoperative client with normal kidney function who cannot void 8 hours after surgery is retaining urine. The client may need catheterization or medication. The physician must provide orders for both as necessary. (D) Although morphine sulfate can cause urinary retention, withholding pain medication will not ensure that the client will void. The client with uncontrolled pain will probably not be able to void.

NEW QUESTION # 383
A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of "not feeling well." At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

A. Monitor him closely until dinner arrives
B. Have him drink 4 oz of orange juice
C. Ask him to dissolve three pieces of hard candy in his mouth
D. Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drink

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The combination of sugar and juice will increase the blood sugar beyond the normal range. (B) Concentrated sweets are not absorbed as fast as juice; consequently, they elevate the blood sugar beyond the normal limit. (C) Four ounces of orange juice will act immediately to raise the blood sugar to a normal level and sustain it for 30 minutes until supper is served. (D) There is an increased potential for the client's blood sugar to decrease even further, resulting in diabetic coma.

NEW QUESTION # 384
A psychotic client who believes that he is God and rules all the universe is experiencing which type of delusion?

A. Somatic
B. Persecutory
C. Nihilistic
D. Grandiose

Answer: D

Explanation:
Section: Questions Set A
Explanation:
(A) These delusions are related to the belief that an individual has an incurable illness. (B) These delusions are related to feelings of self-importance and uniqueness. (C) These delusions are related to feelings of being conspired against. (D) These delusions are related to denial of self-existence.

NEW QUESTION # 385
A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse's best response is:

A. "You'll have to get permission from the physician to visit. Clients are pretty sick after the first treatment."
B. "Yes, you may visit. She may experience temporary drowsiness, confusion, or memory loss after each treatment."
C. "There's really no need to stay with her. She's going to sleep for several hours after the treatment."
D. "Visitors are not allowed. We will telephone you to inform you of her progress."

Answer: B

Explanation:
Section: Questions Set F
Explanation:
(A) It is within the nurse's realm of practice to grant visiting privileges according to hospital policy. ECT treatments do not make clients sick. (B) Visitors are allowed and encouraged, particularly family members. (C) Clients are usually awake within 1 hour posttreatment. Drowsiness wanes as the anesthetic wears off. (D) A family member is encouraged to stay with the client after return to the unit. The nurse has used an opportunity to do family teaching and allay fears by explaining temporary side effects of the treatment.

NEW QUESTION # 386
A nurse is performing a vaginal exam on a client in active
labor. An important landmark to assess during labor
and delivery are the ischial spines because:

A. They measure pelvic floor
B. Ischial spines are the narrowest diameter of the pelvis
C. Ischial spines are the widest diameter of the pelvis
D. They represent the inlet of birth canal

Answer: B

Explanation:
(A) The fetal descent, or station, is determined by the relationship of the presenting part to the spine. (B) Ischial spines are the narrowest measurement. (C) Ischial spines measure the pelvic outlet. (D) Pelvic floor measurement is not related to fetal descent.

NEW QUESTION # 387
......

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NCLEX NCLEX-RN Exam Experience & NCLEX-RN Valid Test Online

NCLEX-RN Valid Test Online | NCLEX-RN New Dumps Pdf

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q382-Q387):

Real & Free NCLEX-RN Exam Experience Now Available at Discounted Prices

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