NCLEX-RN Exam & Nursing Resources by KAD
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238- A nurse is caring for a client in labor. She determines that the client is beginning in the 2nd stage of labor when which of the following assessments is noted?
Anonymous Quiz
13%
The contractions are regular
13%
The membranes have ruptured
60%
The cervix is dilated completely
13%
The client begins to expel clear vaginal fluid
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240- Which of the following nutrients is most important in preventing neural tube defects during pregnancy?
Anonymous Quiz
11%
Iron
5%
Calcium
79%
Folate (Folic Acid)
5%
Vitamin B12
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241- A patient with celiac disease should avoid which of the following?
Anonymous Quiz
14%
Dairy products
63%
Gluten-containing foods
11%
Citrus fruits
12%
Fatty foods
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A 6-month-old infant is brought to the clinic for a well-baby check-up. Which of the following gross motor skills should the nurse expect the infant to exhibit?
Anonymous Quiz
34%
Sitting up without support
23%
Crawling
35%
Rolling from back to stomach
7%
Pulling to a standing position
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A child is diagnosed with otitis media. The nurse expects to see which common clinical manifestation?
Anonymous Quiz
45%
Red, bulging tympanic membrane
31%
Clear fluid drainage from the ear
16%
Perforation of the eardrum
8%
Excessive earwax
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A child with cystic fibrosis is prescribed pancreatic enzymes. When should the nurse instruct the parents to administer the medication?
Anonymous Quiz
43%
30 minutes before meals
31%
With meals and snacks
18%
On an empty stomach
8%
Once daily in the morning
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245- A 5-year-old child with leukemia is receiving chemotherapy. The nurse should prioritize which of the following interventions?
Anonymous Quiz
6%
Encourage physical activity
32%
Ensure the child eats a high-protein diet
50%
Monitor for signs of infection
13%
Administer pain medication regularly
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246- A nurse is caring for an infant with suspected pyloric stenosis. Which of the following assessment findings supports this diagnosis?
Anonymous Quiz
28%
Bilious vomiting
59%
Palpable olive-shaped mass in the epigastric region
11%
Constipation
3%
Increased appetite
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247- A toddler is admitted with dehydration due to severe diarrhea. Which of the following would be the most important to monitor?
Anonymous Quiz
13%
Bowel movements
42%
Skin turgor
31%
Urinary output
14%
Capillary refill
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248- A child diagnosed with bacterial meningitis is admitted to the pediatric unit. What is the nurseโ€™s priority action?
Anonymous Quiz
35%
Place the child in a private room with droplet precautions
13%
Administer the meningococcal vaccine
37%
Monitor for signs of increased intracranial pressure
15%
Initiate seizure precautions
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249- A client is prescribed warfarin for chronic atrial fibrillation. Which laboratory value should the nurse monitor to evaluate the effectiveness of the medication?
Anonymous Quiz
53%
PT/INR
22%
aPTT
13%
Hemoglobin
12%
Platelet count
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250- A nurse is administering furosemide to a client with heart failure. Which electrolyte imbalance is most important to monitor for?
Anonymous Quiz
9%
Hypercalcemia
27%
Hyperkalemia
44%
Hypokalemia
20%
Hyponatremia
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251- A client with severe pain is prescribed morphine sulfate. Which of the following assessments is the nurse's priority?
Anonymous Quiz
30%
Level of consciousness
13%
Urinary output
54%
Respiratory rate
3%
Bowel sounds
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252- A nurse is providing discharge teaching to a client prescribed digoxin. Which of the following signs of digoxin toxicity should the nurse include in the teaching?
Anonymous Quiz
9%
Increased appetite
54%
Visual disturbances
16%
Constipation
21%
Tinnitus
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253- A client with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium. Which of the following instructions should the nurse give regarding this medication?
Anonymous Quiz
21%
"Use this medication as a rescue inhaler."
38%
"Rinse your mouth after using the inhaler."
27%
"This medication may cause your heart rate to slow down."
14%
"You should use this medication at bedtime."
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254- A nurse is caring for a client in labor who is receiving an oxytocin infusion. Which of the following findings requires immediate intervention?
Anonymous Quiz
34%
Contractions occurring every 3-5 minutes
49%
Fetal heart rate of 90 beats per minute
8%
Blood pressure of 130/80 mmHg
9%
Uterine resting tone of 20 mmHg
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255- A client is receiving magnesium sulfate for severe preeclampsia. Which assessment finding would indicate magnesium toxicity?
Anonymous Quiz
23%
Hyperreflexia
43%
Respiratory rate of 10 breaths per minute
17%
Urine output of 30 mL/hour
17%
Blood pressure of 160/100 mmHg
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256- A client with major depressive disorder states, โ€œI have no reason to go on living.โ€ What is the priority nursing action?
Anonymous Quiz
38%
Encourage the client to express feelings.
34%
Implement suicide precautions immediately
9%
Contact the healthcare provider for an increased medication dose.
19%
Teach the client coping strategies for depressive episodes
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