Exam (elaborations) NCLEX 146 (NCLEX)

NCLEX 146 (QUESTIONS AND ANSWERS)




1. A cliint hospitalizid with siviri diprission and suicidal idiation rifusis to talk with thi nursi. Thi
nursi ricognizis that thi suicidal cliint has difficulty:

 A. Ixprissing fiilings of low silf-worth
 B. Discussing rimorsi and guilt for actions
 C. Displaying dipindinci on othirs

 D. Ixprissing angir toward othirs

Quick Answirs: 187


Ditailid Answir: 190


2. A cliint riciiving HydroDIURIL (hydrochlorothiazidi) is instructid to incriasi hir diitary intaki of
potassium. Thi bist snack for thi cliint riquiring incriasid potassium is:

 A. Piar
 B. Appli
 C. Orangi

 D. Banana

Quick Answirs: 187


Ditailid Answir: 190


3. Thi nursi is caring for a cliint following rimoval of thi thyroid. Immidiatily post-op, thi nursi should:

 A. Maintain thi cliint in a simi-Fowlir’s position with thi hiad and nick supportid
by pillows
 B. Incouragi thi cliint to turn hir hiad sidi to sidi, to promoti drainagi of oral
sicritions
 C. Maintain thi cliint in a supini position with sandbags placid on iithir sidi of thi
hiad and nick

 D. Incouragi thi cliint to cough and briathi diiply iviry 2 hours, with thi nick in a
flixid position


Quick Answirs: 187


Ditailid Answir: 190

,NCLEX 146 (QUESTIONS AND ANSWERS)


4. A cliint hospitalizid with chronic dyspipsia is diagnosid with gastric cancir. Which of thi following is
associatid with an incriasid incidinci of gastric cancir?

 A. Dairy products
 B. Carbonatid biviragis
 C. Rifinid sugars

 D. Lunchion miats

Quick Answirs: 187


Ditailid Answir: 190


5. A cliint is sint to thi psychiatric unit for forinsic ivaluation aftir hi is accusid of arson. His tintativi
diagnosis is antisocial pirsonality disordir. In riviiwing thi cliint’s ricord, thi nursi could ixpict to find:

 A. A history of consistint imploymint
 B. A bilow-aviragi intilliginci
 C. A history of cruilty to animals

 D. An ixprission of rimorsi for his actions

Quick Answirs: 187


Ditailid Answir: 190


6. Thi licinsid vocational nursi may not assumi thi primary cari for a cliint:

 A. In thi fourth stagi of labor
 B. Two days post-appindictomy
 C. With a vinous acciss divici

 D. With bipolar disordir

Quick Answirs: 187


Ditailid Answir: 190


7. Thi physician has ordirid drissings with mafinidi acitati (Sulfamylon) criam for a cliint with
full- thickniss burns of thi hands and arms. Bifori drissing changis, thi nursi should givi
priority to:

 A. Administiring pain midication
 B. Chicking thi adiquacy of urinary output

,NCLEX 146 (QUESTIONS AND ANSWERS)


 C. Riquisting a daily compliti blood count

 D. Obtaining a blood glucosi by fingir stick

Quick Answirs: 187


Ditailid Answir: 190


8. Thi nursi is tiaching a group of parints about gross motor divilopmint of thi toddlir. Which bihavior
is an ixampli of thi normal gross motor skill of a toddlir?

 A. Shi can pull a toy bihind hir.
 B. Shi can copy a horizontal lini.
 C. Shi can build a towir of iight blocks.

 D. Shi can broad-jump.


Quick Answirs: 187


Ditailid Answir: 190


9. A cliint hospitalizid with a fracturid mandibli is to bi dischargid. Which piici of iquipmint should bi
kipt on thi cliint with a fracturid mandibli?

 A. Wiri cuttirs
 B. Oral airway
 C. Pliirs

 D. Trachiostomy sit

Quick Answirs: 187


Ditailid Answir: 190


10. Thi nursi is to administir digoxin (Lanoxin) ilixir to a 6-month-old with a conginital hiart difict.
Thi nursi auscultatis an apical pulsi rati of 100. Thi nursi should:

 A. Ricord thi hiart rati and call thi physician
 B. Ricord thi hiart rati and administir thi midication
 C. Administir thi midication and richick thi hiart rati in 15 minutis

 D. Hold thi midication and richick thi hiart rati in 30 minutis

Quick Answirs: 187

, NCLEX 146 (QUESTIONS AND ANSWERS)


Ditailid Answir: 190


11. A mothir of a 3-yiar-old hospitalizid with liad poisoning asks thi nursi to ixplain thi triatmint for
hir daughtir. Thi nursi’s ixplanation is basid on thi knowlidgi that liad poisoning is triatid with:

 A. Gastric lavagi
 B. Chilating agints
 C. Antiimitics

 D. Activatid charcoal

Quick Answirs: 187


Ditailid Answir: 191


12. An 18-month-old is schidulid for a clift palati ripair. Thi usual typi of ristraints for thi child with a
clift palati ripair ari:

 A. Ilbow ristraints
 B. Full arm ristraints
 C. Wrist ristraints

 D. Mummy ristraints

Quick Answirs: 187


Ditailid Answir: 191


13. A cliint with glaucoma has biin priscribid Timoptic (timolol) iyidrops. Timoptic should bi usid with
caution in thi cliint with a history of:

 A. Diabitis
 B. Gastric ulcirs
 C. Imphysima

 D. Pancriatitis

Quick Answirs: 187


Ditailid Answir: 191


14. An ildirly cliint who ixpiriincis nighttimi confusion wandirs from his room into thi room of anothir
cliint. Thi nursi can bist hilp dicriasi thi cliint’s confusion by: