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Notes
The emergency depa rtment nurse assesses a 3-day-old newborn brought in
by the mother. The mother states, "My baby is always so sweaty and hot and
doesn't want to eat! I think something is wrong:' The nurse cannot palpate a
femoral pulse but notes +3 brachial pulses. Which congenital heart defect
does the nurse suspect?
O A. Hypoplastic left heart syndrome (HLHS)
O B. Patent ductus arteriosus (PDA)
O C. Transposition of the great arteries (d-TGA)
O D. Coarctation of the aorta (COA)
NCLEX-RN I Question 2 of150 Time Remaining: 5 hrs 58 mins
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The nurse is caring for a client experiencing auditory
hallucinations.
Which of the following statements would be most appropriate
for the nurse to make to the client?
O A "What are you hearing? This sounds quite frightening for you."
,NCLEX-RN I Question of 150
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O B. "What are the voices saying to you? Would you like to go to
another room?'
O C. "What are the voices saying to you? This sounds difficult to
experience."
O D. This must be tough to hear voices. Can you try to listen
to me and the others you can see around you?
Time
Remaining: 5 hrs 14 mins
The nurse is evaluating a patient's response to peripheral pain.
Which technique should the nurse use to perform this evaluation
O A. Pressure on the patient's mid-back
O B. Sternal rub
O C. Squeezing the sternocleidomastoid muscle
O D. Pressing on the patient's nail bed
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,NCI-EX-RN I Question Time Remaining: 5 hrs mins
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Time Remaining 5
hrs 58 mins
Notes
The nurse is teaching a client scheduled for a vaginal and cervical
colposcopy with biopsy. Which of the following information
should the nurse include?
A You should not eat or drink eight hours before this test O B. You will
need to have someone drive you home after this test
O C. A metallic taste is common once you get the contrast dye
O D. Vaginal intercourse may be painful after the procedure
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5 of150
The nurse plans to use a mechanical lift to transfer a client from a
stretcher to a wheelchair. Which appropriate action should the nurse
take?
O A. Keep the stretcher's side rails raised during the transfer
O B. Instruct the client to fold their arms over their chest O
C. Apply gloves and gown for this procedure
O D. Unlock the wheels on the stretcher and wheelchair
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NCLEX-RN I Question 6 of 150 Time Remaining: 5 hrs 57 mins
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The nurse is reviewing the assignment for the shift and will
be caring for the following Clients. Which client is at risk for
hypokalemia?
A client with hyper-
emesis gravidarum. O B. end-
stage renal failure.
o C. diabetic ketoacidosis.
O D. third-degree burns.