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| Section | Weight | Objectives |
|---|
| Topic 1: Safe and Effective Care Environment | 17–33% | - Safety and Infection Control - Management of Care
|
| Topic 2: Health Promotion and Maintenance | 6–12% | |
| Topic 3: Psychosocial Integrity | 6–12% | |
| Topic 4: Physiological Integrity | 43–67% | - Pharmacological and Parenteral Therapies - Physiological Adaptation - Reduction of Risk Potential - Basic Care and Comfort
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q675-Q680):
NEW QUESTION # 675
A client has received preoperative teaching for the vertical partial laryngectomy that he is scheduled to have in the morning. The nurse determines that the teaching has been effective when the client states:
- A. "I know I will need special swallowing training after my surgery."
- B. "I will have very little difficulty swallowing after surgery."
- C. "The quality of my voice will be excellent after surgery."
- D. "I may also have to have a radical neck dissection done."
Answer: B
Explanation:
Section: Questions Set D
Explanation:
(A) A client with a supraglottic (horizontal partial) laryngectomy would require special swallowing training, not a vertical partial laryngectomy. (B) The quality of the client's voice will be altered but adequate for communication. (C) The client will have minimal difficulty swallowing. (D) A radical neck dissection may be done with a total laryngectomy, but not with a partial laryngectomy.
NEW QUESTION # 676
A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?
- A. "Wait 4 hours between feedings so that your breasts will fill up."
- B. "Provide supplements for the child between breastfeeding so you will have enough milk."
- C. "Nurse the child more frequently during this growth spurt."
- D. "Start the child on solid food."
Answer: C
Explanation:
(A) Solid foods introduced before 4-6 months of age are not compatible with the abilities of the GI tract and the nutritional needs of the infant. (B) Production of milk is supply and demand. A common growth spurt occurs at 3 months of age, and more frequent nursing will increase the milk supply to satisfy the infant. (C) Supplementation will decrease the infant's appetite and in turn decrease the milk supply. When the infant nurses less often or with less vigor, the amount of milk produced decreases. (D) Rigid feeding schedules lead to a decreased milk supply, whereas frequent nursing signals the mother's body to produce a correspondingly increased amount of milk.
NEW QUESTION # 677
Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?
- A. Bran flakes with fresh peaches
- B. Broiled fish with rice
- C. Lasagna with garlic bread
- D. Cauliflower and lettuce salad
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Broiled fish and rice are both excellent sources of protein. (B) Fresh fruits are not a good source of protein. (C) Foods in the bread group are not high in protein. (D) Most vegetables are not high in protein; peas and beans are the major vegetables higher in protein.
NEW QUESTION # 678
A client is being admitted to the labor and delivery unit. She has had previous admissions for "false labor." Which clinical manifestation would be most indicative of true labor?
- A. Decreased discomfort with ambulation
- B. Progressive dilatation and effacement of the cervix
- C. Uterine contractions
- D. Increased bloody show
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Bloody show is considered a sign of imminent labor, which usually begins in 24-48 hours. An increase in bloody show is an indication that the cervix is changing. (B) Contractions of true labor produce progressive cervical effacement and dilatation. (C) Contractions of false labor may mimic those of true labor. However, the contractions of false labor do not produce progressive effacement and dilatation of the cervix. (D) In true labor, the discomfort is not relieved by ambulation; walking may intensify the discomfort.
NEW QUESTION # 679
A chronic alcoholic client's condition deteriorates, and he begins to exhibit signs of hepatic coma. Which of the following is an early sign of impending hepatic coma?
- A. Hiccups
- B. Anorexia
- C. Mental confusion
- D. Fetor hepaticus
Answer: C
Explanation:
(A) Hiccups are not a sign of impending hepatic coma. (B) Anorexia is not a sign of impending hepatic coma. (C) One of the earliest symptoms of hepatic coma is mental confusion. Asterixis, a flapping tremor of the hand, may also be seen. (D) This sign is associated with the later stages of hepatic coma. Fetor hepaticus, a characteristic odor on the breath that smells like acetone, may sometimes be noted when the liver fails.
NEW QUESTION # 680
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