QB3 | Practice Exam #9 -> answers with explanation

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NCLEX-RN | QB3 | Practice Exam #9 (50 questions)

All 50 questions are randomized each time you take the test, and do not appear in the same order.

 

1. After a hearing restoration operation, a patient has no signs of complications and soon recovers which of the following is an expected outcome 5 days after the hearing restoration surgery?

2. Before helping a male client who has been sexually assaulted, nurse Maureen should recognize that the rapist is motivated by feelings of:

3. The nurse is taking the vital signs of the client admitted with cancer of the pancreas. The nurse is aware that the fifth vital sign is:The nurse is taking the vital signs of the client admitted with cancer of the pancreas. The nurse is aware that the fifth vital sign is:

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4. Prior to initiating therapy with unfractionated heparin for a patient hospitalized with a deep vein thrombosis, the nurse should plan to:

5. A 32 year-old woman with diabetes mellitus type 1 underwent a cholecystectomy and is now on day two of recovery. The patient's bowel sounds have returned and she has resumed a normal diet but has been finishing less than half of each meal on the tray. The nurse enters the room to perform a routine assessment and finds the patient confused and shaky Blood pressure: 110/60 mmHg Heart rate: 96/min Respiratory rate: 22/mm Temperature: 37.0°C. What is the most appropriate initial intervention?

6. During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen, when the IV is touched Stacy shouts in pain. The first nursing action to take is:

7. In patient with renal failure, the diet should be:

8. Situation: Jose seeks psychiatric counselling for his ritualistic behavior of counting his money as many as 10 times before leaving home. Q. Obsessive compulsive disorder is BEST described by:

9. Situation: Mrs. Andres brought his son, Juanito, age 3 to the Pediatric clinic. She noticed that her son is not speaking and tend to repeat everything she says. The mother also told the nurse that Juanito prefers to be alone, will cry when someone will come near him and tend to rock himself from morning till he will fell asleep. Q. Headbanging is a common manifestation of an autistic child. A relevant nursing diagnosis would be:

10. Situation: You are the nurse in the Out-Patient-Department and during your shift you encountered multiple children's condition. The following questions apply. You assessed a child with visible severe wasting, he has:

11. A nursing is caring for a 3-weeks-old infant who was just admitted to the hospital Which of the following nursing interventions does NOT support this infants basic emotional and social needs?

12. A client taking antiretroviral drugs reports his last blood work showed a drop of 3 units in the viral load. The nurse understands that:

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13. When planning care for Dory with schizotypal personality disorder, which of the following would help the client become involved with others?

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14. The nurse is caring for a patient with stage III pressure ulcer to the coccyx. Three days after initiating the plan of care, the nurse observes that the ulcer has hard black crust covering the center of the ulcer. The nurse should understand that this indicates

15. A nurse is caring for a client with Parkinson's disease who has been taking carbidopa/ levodopa (Sinemet) for a year. Which of the following adverse reactions will the nurse monitor the client for?

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16. If nurse administers an injection to a patient who refuses that injection, she has committed:

17. Vitamin K. 10 mg given IM is ordered. Vitamin K is available as 5 mg/ml. How much would the nurse administer?

18. Tommy, with dependent personality disorder is working to increase his self-esteem. Which of the following statements by the Tommy shows teaching was successful?

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19. Situation: Rene is a 3 y/o boy brought to the health center for fever and cough. You noted grayish pinpoint dots located at the buccal mucosa. A maculopapular rash was noted on his face. Q. Measles vaccine is given at how many months?

20. A voluntary client has been taking haloperidol (Haldol) as prescribed. One morning, she refuses to take the Haldol. Which of the following actions should the nurse take?

21. A type of record wherein each person or department makes notation in separate records. A nurse will use the nursing notes, the doctor will use the Physician's order sheet etc. Data is arranged according to information source.

22. The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:

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23. The nurse is preparing a client for cervical uterine radiation implant insertion. Which will be included in the teaching plan?

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24. A patient is being followed in the clinic for hypertension, adult onset diabetes, and obesity. The patient is apathetic about learning about nutritional guidelines to reach the goals of weight loss and consumption of a healthy diet The patient admitted to eating "whatever is put in front of me" Which of the following actions would the nurse take?

25. Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his unit. Patient satisfaction rate is 60% for two consecutive months and staff morale is at its lowest He decides to plan and initiate changes that will push for a turnaround in the condition of the unit. Which of the following actions is a priority for Henry?

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26. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

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27. A client has sustained a fracture of the femur and balanced skeletal traction with a Thomas splint has been applied. To prevent pressure points from occurring around the top of the splint, the most important intervention is to:

28. Situation Records are vital tools in any institution and should be properly maintained for specific use and time. Q. In the hospital, when you need-the medical record of a discharged patient for research, you will request permission through:

29. The chief complaint in a client with Vincent's Angina is:

30. The single most effective way to prevent nosocomial infections is to:

31. St. Raphael Medical Center just opened its new Performance Improvement Department Ms. Valencia is appointed as the Quality Control Officer. She commits herself to her new role and plans her strategies to realize the goals and objectives of the department. Which of the following is a primary task that they should perform to have an effective control system?

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32. Which medication is used to treat iron toxicity?

33. A client 12 weeks' pregnant come to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation.The nurse would document these findings as which of the following?

34. The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess the urine output?

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35. The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?

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36. When caring for a dying client who is in the denial stage of grief, the best nursing approach would be to:

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37. A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?

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38. A community health nurse assesses a 68 year-old patient who lives in a group home. During physical assessment nurse notice that patient skin and mucus membrane are dry and and pale. What type of data is the nurse collecting from the above information?

39. A patient on a medical floor is diagnosed with pneumonia. Which of the following interventions is appropriate for a nursing diagnosis of ineffective airway clearance related to tracheobronchial secretions secondary to infection?

40. A pneumonectomy is performed on a client with lung cancer Which of the following would probably be omitted from the clients plan of care?

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41. Situation: Cancer of the prostate is the leading cancer in Men other than skin cancer The following questions will assess your knowledge and theoretical foundation in dealing with clients with prostate cancer. Q. Which among the following is NOT a risk factor for prostate cancer?

42. Region IV Hospital is classified as what level of facility?

43. A client has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism?

44. A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

45. Situation: You are actively practicing nurse who just finished your Graduate Studies. You earned the value of Research and would like to utilize the knowledge and skills gained in the application of research to Nursing service. The following questions apply to research. Which of the following studies is based on qualitative research?

46. The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?

47. The nurse is making initial rounds at the beginning of the shift and notes that the parenteral nutrition (PN) bag of an assigned client is empty. Which solution should the nurse hang until another PN solution is mixed and delivered to the nursing unit?

48. Kathleen knows that one of her staff is experiencing burnout Which of the following is the best thing for her to do?

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49. To prevent the formation of thrombi in the postoperative patient, the nurse should:

50. Nurse Judy is aware that following condition would reflect presence of congenital G.I. anomaly?

 

NCLEX-RN | QB3 | Practice Exam #9 (50 questions)