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NCLEX Based MCQs #3

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Exam of 5 pages for the course nursing at A university (NCLEX Based MCQs #3)

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NCLEX Based MCQs #3

🏆 AIIMS NORCET High Yields Topics :-
https://www.youtube.com/playlist?list=PLzC-84UMNJ4wq6snWRdn9noA9yKsabAYN

( 🖕🖕 OBG , MSN & FON Sub. )

🏆 All CHO papers :-
https://www.youtube.com/playlist?list=PLzC-84UMNJ4yS9VaOVPm0c6RQg8oxe6p0

Q.1 The post-anesthesia care unit (PACU) provides a report to the pediatric nurse on a
15-month-old who has had repair of a congenital hip deformity. What type of traction does the
nurse anticipate will be used for the child?
1.Russell's
2.Bryant's
3.Buck's
4.Dunlop's

Correct Answer 2 ✔✔Bryant's
traction is used following surgery to correct a congenital hip deformity. The child's legs are
wrapped with moleskin tape and adhesive elastic bandages, which are connected to the
traction's ropes and weights. Russell's traction is used to align a fractured femur. Buck's traction
is skin traction used for femoral, acetabular, and hip fractures as well as low back pain. Dunlop's
traction is used on children with certain fractures of the upper arm.

Q.2 When caring for a client who has an order for strict I & O, which is the best way to obtain
accurate measurements?

, 1.Give the client a marked cup to measure urine output.
2.Ask the client to write down how many cups of fluid he or she drinks.
3.Remind the client not to drink anything that's not on the meal tray.
4.Clear and reset all IV pumps to zero on each shift.

Correct Answer :- D
✔✔The nurse or nursing delegate has sole responsibility for maintaining accurate I & O.
Clearing and resetting IV pumps will provide this information.

Q.3 Which type of ostomy puts a client at the MOST risk for skin breakdown?
1.Ileostomy
2.Transverse colostomy
3.Sigmoid colostomy
4.Ileal conduit

Correct Answer 1
✔✔An ostomy is an artificial excretory opening of the body, such as a colostomy or ileostomy.
The ostomy type and leakage are major risk factors for skin complications. Ileostomy patients
have been found to be at significantly greater risk of developing skin complications than
colostomy patients. Ileostomy output, which is from the small intestine, is of a continuous, liquid
nature.

Q.4 A client with a diagnosis of congestive heart failure (CHF) is placed on strict intake and
output (I&O). The unlicensed assistive personnel (UAP) records the client's intake at lunch as 8
oz. of black coffee, 6 oz. of orange juice, 4 oz. of lime jello, (a fruit - flavoured gelatin dessert
made up from a commercially prepared powder.) and 4 oz. of vanilla pudding. What is the
client's intake?
1. 660 mL
2. 240 mL
3. 420 mL
4. 540 mL

Correct Answer :- 4
✔✔Intake is considered any food that is liquid at room temperature. The client's intake is
8+6+4=18 fluid ounces. 1 fluid ounce = 30 mL, so 18 ounces = 540 mL. Pudding is not included,
because it is not a liquid at room temperature. Liquids include coffee, tea, milk, soft drinks,
water, gelatin (jello), broth, ice cream, popsicles, sorbet, and nutritional supplement drinks, such
as Ensure. Note: Ice chips melt to half their volume. For example, if the client receives 8 oz. of
ice chips, record the intake as 4 oz.

➡ रोजाना टे स्ट दे ने और सभी प्रकार की इंफॉर्मेशन जल्दी से जल्दी प्राप्त करने के लिए नीचे दिए गए ग्रप
ु और
चैनल दोनों को अभी ज्वाइन करें 👇👇👇
⭕ Group :- http://t.me/Nsgchallangers
⭕ Channel :- http://t.me/Nursingchallangers
Q.5 What is the most common complication of a myocardial infarction

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