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| Section | Weight | Objectives |
|---|
| Topic 1: Safe and Effective Care Environment | 17–33% | - Management of Care - Safety and Infection Control
|
| Topic 2: Health Promotion and Maintenance | 6–12% | |
| Topic 3: Psychosocial Integrity | 6–12% | |
| Topic 4: Physiological Integrity | 43–67% | - Pharmacological and Parenteral Therapies - Basic Care and Comfort - Physiological Adaptation - Reduction of Risk Potential
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q356-Q361):
NEW QUESTION # 356
Following TURP, which of the following instructions would be appropriate to prevent or alleviate anxiety concerning the client's sexual functioning?
- A. "Check with your doctor about resuming sexual activity."
- B. "You may resume sexual intercourse in 2 weeks."
- C. "Many men experience impotence following TURP."
- D. "A transurethral resection does not usually cause impotence."
Answer: D
Explanation:
(A) Sexual activity should be delayed until cleared by the client's physician. (B) Although many men experience retrograde ejaculation following prostate surgery, potency is seldom affected. (C) Although the client may experience retrograde ejaculation, it will not limit his ability to engage in sexual intercourse. (D) Although the client should obtain clearance from his physician before resuming sexual activity, this statement does not give the client any information or reassurance about future sexual activity or potency that could decrease his anxiety.
NEW QUESTION # 357
One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:
- A. At a level of toxic poisoning
- B. Above therapeutic range
- C. Below therapeutic range
- D. Within therapeutic range
Answer: D
Explanation:
Section: Questions Set D
Explanation:
(A) This answer is correct. The therapeutic range is 1.0-1.5 mEq/L in the acute phase. Maintenance control levels are 0.6-1.2 mEq/L. (B, C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. (D) This answer is incorrect. Toxic poisoning is usually at the 2.0 level or higher.
NEW QUESTION # 358
When caring for a postoperative cholecystectomy client, the nurse assesses patency and documents drainage of the T-tube. The nurse recognizes that the expected amount of drainage during the first 24 hours postoperatively is:
- A. 1000-1200 mL
- B. 300-500 mL
- C. 50-100 mL
- D. 200-300 mL
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) During the first 24 hours after surgery, the drainage is normally 300-500 mL and then decreases to about 200 mL in 24 hours during the next 3-4 days. (B) This range is the amount of drainage after the first
24 hours postoperatively. During the first 24 hours, it is 300-500 mL. (C) During the first 24 hours after surgery, this range is the expected amount of drainage. (D) The expected amount of drainage during the first 24 hours is 300-500 mL. An output of >500 mLshould be reported to the physician, because an occlusion of some type, caused by a retained gallstone or an inflammatory process within the biliary drainage system, is evident.
NEW QUESTION # 359
During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?
- A. Tinnitus and nausea
- B. Unconsciousness and acetone odor of the breath
- C. Dermatitis and blurred vision
- D. Chills and an elevation of temperature
Answer: A
Explanation:
Explanation
(A) These are toxic symptoms of sodium salicylate. (B, C, D) These are not symptoms associated with sodium salicylate.
NEW QUESTION # 360
Four days after admission for cirrhosis of the liver, the nurse observes the following when assessing a male client: increased irritability, asterixis, and changes in his speech pattern. Which of the following foods would be appropriate for his bedtime snack?
- A. A milkshake
- B. Saltine crackers and peanut butter
- C. A ham and cheese sandwich
- D. Fresh fruit
Answer: D
Explanation:
(A) High levels of ammonia, a by-product of protein metabolism, can precipitate metabolic encephalopathy. These clients need a diet high in carbohydrates and bulk. (B) Metabolic encephalopathy of the brain associated with liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism. (C, D) Metabolic encephalopathy in liver failure is precipitated by elevated ammonia levels. Ammonia is a by-product of protein metabolism.
NEW QUESTION # 361
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