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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q679-Q684):

NEW QUESTION # 679
A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates the physician ordering:

Answer: C

Explanation:
Explanation
(A) Oxytocin is prescribed to stimulate uterine contractions. (B)
MgSO4is a central nervous system depressant prescribed to prevent
and control convulsions related to preeclampsia. (C) Ampicillin
is a penicillin derivative with no known teratogenic effects.
This is the safest antibiotic during pregnancy. (D) Tetracycline
stains teeth yellow and is not as safe as ampicillin during pregnancy.


NEW QUESTION # 680
A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitalization, primary nurses were assigned to initiate all infant feedings. The infant's parents question why they cannot feed their own child. Which of the following responses would be most appropriate by the nurse?

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Consistent primary care nurses can better interpret infant cues and note feeding behaviors. (B) In nonorganic failure to thrive the parent-infant dyad has already experienced difficulties in the relationship.
These parents may already feel dissatisfied and frustrated. The primary nurse would be unable to prevent this. (C) Assigning a primary nurse does not ensure that infant fatigue and frustration will not occur or can be prevented. (D) Providing privacy does not ensure a change in feeding behavior.


NEW QUESTION # 681
A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left the unit and was found smoking in the bathroom and spending a large amount of time in the male ward. Which statement by the nurse would best explain to the teenager why she must follow the rules of the unit?

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This statement acknowledges that it is difficult but is not threatening or punitive. (B) This statement is threatening and describes specific punishment for further deviant behavior. (C) This response elicits shame by blaming her for involving others. (D) This response gives her permission to break the rules but indicates that getting caught is wrong.


NEW QUESTION # 682
Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:

Answer: C

Explanation:
(A)
Catheter site care is to be done at least twice daily to prevent pathogen growth at the catheter insertion site. (B) Catheter drainage bags are usually emptied every 8 hours to prevent urine stasis and pathogen growth. (C) Tubing and collection bags are not changed this often, because research studies have not demonstrated the efficacy of this practice.
(D)
Fluid intake needs to be in the 2000-2500 mL range if possible to help irrigate the bladder and prevent infection.


NEW QUESTION # 683
On the third postpartum day, the nurse would expect the lochia to be:

Answer: C

Explanation:
Section: Questions Set G
Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental debris, and clots. (B) This discharge occurs from days 4-10. The lochia is brownish, serous, and thin. (C) This discharge occurs from day 10 through the 6thweek. The lochia is yellowish white. (D) This is not a classification of lochia but relates to the amount of discharge.


NEW QUESTION # 684
......

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