QB3 | Practice Exam #10 -> answers with explanation

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NCLEX-RN | QB3 | Practice Exam #10 (50 questions)

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

 

1. The clinic nurse is performing a psychosocial assessment of a client who has been told that she is pregnant. Which assessment findings indicate to the nurse that the client is at risk for contracting human immunodeficiency virus (HIV)? Select all that apply. 1. The client has a history of intravenous drug use. 2. The client has a significant other who is heterosexual. 3. The client has a history of sexually transmitted infections. 4. The client has had one sexual partner for the past 10 years. 5. The client has a previous history of gestational diabetes mellitus.

2. A client undergone spinal anesthetic, it will be important that the nurse immediately position the client in:

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3. Situation: Burn is cause by transfer of heat source to the body. It can be thermal, electrical radiation or chemical. Q. A client who sustained deep partial thickness and full thickness burns of the face, whole anterior chest and both upper extremities two days ago begins to exhibit extreme restlessness. You recognize that this most likely indicates that the client is developing:

4. Nurse Faith should recognize that fluid shift in an client with burn injury results from increase in the:

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5. Situation: Jolina is an 18 year old beginning college student. Her mother observed that she is having problems relating with her friends. She is undecided about her future. She has lost insight, lost interest in anything and complained and complained of constant tiredness. Q. During the predischarge conference, the nurse suggests vocational guidance because it should help Jolina to:

6. A client with parenteral nutrition (PN) infusing has disconnected the tubing from the central line catheter. The nurse assesses the client and suspects an air embolism. The nurse should immediately place the client in which position?

7. The nurse prepares a teaching plan for the mother of a child diagnosed with bacterial conjunctivitis. Which, if stated by the mother, indicates a need for further teaching?

8. The nurse is taking the history of a client with occupational lung disease (silicosis). The nurse should assess whether the client wears which item during periods of exposure to silica particles?

9. Situation: You are assigned at the surgical ward and clients have been complaining of post pain at varying degrees. Pain as you know is very subjective. Q. The client complained of abdominal distention and pain. Your nursing intervention that can alleviate pain is:

10. The client with color blindness will most likely have problems distinguishing which of the following colors?

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11. Norma, with recent colostomy expresses concern about the inability to control the passage of gas. Nurse Oliver should suggest that the client plan to:

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12. The nurse is inserting a nasogastric [NG) tube into a patient as prescribed. The nurse has advanced the tube into patient's posterior pharynx. The nurse should ask the patient to:

13. Which of the following would the nurse identify as a classic sign of PIH?

14. A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the clients need for:

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15. Parental actions which can help achieve the goal of adolescent years are all of the following, EXCEPT;

16. The nurse is aware the early indicator of hypoxia in the unconscious client is:

17. When providing foot care to a resident it is important for the nurse aide to:

18. A female client with rheumatoid arthritis has been on aspirin grain TID and prednisone l0mg BID for the last two years. The most important assessment question for the nurse to ask related to the client's drug therapy is whether she has

19. In planning for the care of a patient with Crohn's disease, the nurse and patient discuss the interventions. Which of the following treatment modalities would MOST likely be considered a primary intervention for this disease?

20. A client with B positive blood is scheduled for a transfusion of whole blood. Which finding requires nursing intervention?

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21. The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis?

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22. A nurse is caring for a 3-year-old child with a fractured arm. Which of the following interventions is the MOST appropriate for pain management?

23. Mr. Vasquez 56-year-old client with a 40-year history of smoking one to two packs of cigarettes per day has a chronic cough producing thick sputum, peripheral edema and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?

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24. A tracheostomy cuff is to be deflated, which of the following nursing intervention should be implemented before starting the procedures?

25. The nurse is performing a neurological assessment on a client and elicits a positive Romberg's sign. The nurse makes this determination based on which observation?

26. The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:

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27. What does a nurse explain to a pregnant client about the cause of her physiologic anemia?

28. A couple, who have been attempting to become pregnant for 5 years, is seeking assistance from an infertility clinic. The nurse assesses the clients' emotional responses to their infertility. Which of the following responses would the nurse expect to find? Select all that apply. 1. Anger at others who have babies. 2. Feelings of failure because they can't make a baby. 3. Sexual excitement because they want so desperately to conceive a baby. 4. Sadness because of the perceived loss of being a parent. 5. Guilt on the part of one partner because he or she is not able to give the other a baby.

29. A 42-year-old client admitted with an acute myocardial infarction asks to see his chart. What should the nurse do first?

30. Mrs. Hogan, a 43-year-old woman, is admitted to your unit for cholecystectomy. Q. You are responsible for teaching Mrs. Hogan deep breathing and coughing exercises. Why are these exercises especially important for Mrs. Hogan?

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31. Which of the following conditions will lead to a small-for-gestational age fetus due to less blood supply to the fetus?

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32. The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply. 1.A low arterial PCo2 level. 2.A hyperinfiated chest noted on the chest x-ray. 3.Decreased oxygen saturation with mild exercise. 4.A widened diaphragm noted on the chest x-ray. 5.Pulmonary function tests that demonstrate increased vital capacity

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33. Nurse Karen is revising a client plan of care. During which step of the nursing process does such revision take place?

34. Situation: Manuel seeks psychiatric counselling for his ritualistic behavior of counting his money as many as 10 times before leaving home. Q. To be more effective, the nurse who cares for persons with obsessive compulsive disorder must possess one of the following qualities:

35. Situation: Leo lives in the squatter area. He goes to nearby school. He helps his mother gather molasses after school. One day, he was absent because of fever, malaise, anorexia and abdominal discomfort. Q. Disaster control should be undertaken when there are 3 or more hepatitis A cases. Which of these measures is a priority?

36. When feeding a resident, frequent coughing can be a sign the resident is

37. A client is diagnosed with a disorder involving the inner ear. Which is the most common client complaint associated with a disorder involving this part of the ear?

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38. Situation: Because severe burn can affect the person's totality it is important that you apply interventions focusing on the various dimensions of man. You also have to understand the rationale of the treatment. Q. The major disadvantage of whirlpool cleansing of burn wounds is:

39. Situation: If a child with diarrhea registers one sign in the pink row and one in the yellow; row in the IMCI Chart Q. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:

40. Which of the following cluster of data belong to Maslow's hierarchy of needs:

41. After therapy with the thrombolytic alteplase (t-PA., what observation will the nurse report to the physician?

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42. The parents of an infant client ask the nurse to teach them how to administer Cortisporin eye drops. The nurse is correct in advising the parents to place the drops:

43. The nurse is assessing a client following a coronary artery bypass graft (CABG). The nurse should give priority to reporting:

44. Martina, a tennis champ was devastated after many new competitors outpaced her in the Wimbledon event She became depressed and always seen crying. Martina is clearly on what kind of situation?

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45. During a physical in the prenatal clinic the client’s vaginal mucosa is observed to have a purplish discoloration. What sign should the nurse document in the client’s clinical record?

46. To facilitate self-care for a 2-year-old child with spastic cerebral palsy, the nurse should recommend:

47. Which of the following would the nurse expect to assess in a child with celiac disease having a celiac crisis secondary to an upper respiratory infection?

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48. A child is treated for superficial (first-degree) thermal burns to the thigh. The child is in great discomfort and does not eat Which of the following diagnosis should receive PRIORITY?

49. The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions?

50. Situation: You are the nurse in the Out-Patient-Department and during your shift you encountered multiple children's condition. The following questions apply. Q. Which of the following statements about immunization is NOT true:

 

NCLEX-RN | QB3 | Practice Exam #10 (50 questions)