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NCLEX RN #33 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NCLEX RN #33 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (35) 1.3.5.6 The clinic nurse educator is developing a teaching plan for the following 6 clients. The nurse should instruct the client to avoid the VALSALVA MANEUVER when defecating? SELECT ALL THAT APPLY # (40) 1. 22 year old man with a head injury sustained during a college football game. 2. 30 year old woman recently hospitalized for reconstructive augmentation mammoplasty. 3. 56 year old man 2 weeks post myocardial infarction. 4. 68 year old woman recently diagnosed with pancreatic cancer. 5. 74 year old man with portal hypertension related to alcohol induced cirrhosis 6. 82 year old woman 1 week post cataract surgery. valsalva maneuver is contraindicated in the client diagnosed with increased intracranial pressure, stroke, head, injury, heart disease, glaucoma , eye surgery , abdominal surgery, and liver cirrhosis. # (40) 3 The nurse admits a client who fell off a 20 ft ladder. On arrival in the emergency department, the client is arousable but lethargic,. What is the nurse's PRIORITY action? # (41) 1. Ask about client's chronic medical conditions 2. Assess for level and duration of pain 3. Obtain a Glasgow Coma Scale score. 4. Perform a head to toe assessment. 1 An adolescent client with a sore throat is diagno-sed with infectious. mononuclosis. Which comment by the caregiver would alert the nurse that ADDITIONAL INSTRUCTION IS NECESSARY? # (42) 1. "I need to go to the pharmacy to pick up an antibiotic prescription" 2. "It is acceptable for my child to have ibuprofen for discomfort or fever." 3. "My child will be on bed rest with few activi-ties for the next 2 weeks." 4. "Participation in soccer practice will not be allowed for the next month." 4 A client is taking MORPHINE SULFATE for acute pain. Which statement will BEST assist the client worried about nausea and vomiting while taking this medication? # (43) 1. "Nausea and vomiting rarely occur with this medication." 2. "Nausea and vomiting rarely occur when you are up and walking." 3. "Take the medication on an empty stomach." 4. "Tolerance develops quickly and persistent nausea is rare." 4 The public health nurse conducts a teaching prog-ram for parents of infants. Which statement by a participant indicates that teaching has been successful? # (44) 1. "I can offer my 7 month old an egg while omelet with soft, mushy vegetables. 2. "I will switch my 1 year old to low fat milk instead of commercial formula." 3. "It is safe to sweeten my 4 month old infant's formula with honey." 4. "My infant should be able to pick up small finger foods by age 10 months. " Pincer grasp a thumb to forefinger movement, develop at age 8-10 months. This is the time to start offering small finger foods such as cheerios or cut up pieces of nutritious foods. # (44) 30 An infusion of norepinephrine at 8 mcg/min is prescribed for a client in shock. The concen-tration of norepinephrine is 4 mg in 250 mL D5W For how many mL per hour should the nurse program the IV pump? # (45) 1. Convert the prescribed dose to milligrams 1,000 mcg = 1mg 8 mcg/min x 1 mg/1000 mcg = 0.008 mg/min 2, Convert the prescribed dose from milligrams to milliliters Norepinephrine concentration is 4 mg per 250 mL 0.008 mg/min x 250 mL/4 mg = 0.5 mL/min 3, Convert the time from minutes to hours 60 min = 1 hour 0.5 mL/min x 60 min/hr = 30 mL/hr 1 The unit implemented a quality improvement program to address client pain relief. Which set of criteria is the BEST determinant that the goal has been met. ? # (46) 1. Chart audits found clients' self reported pain scores improved by 10% 2. Number of narcotics used on the unit increased by 20% 3. Positive comments on returned client satisfac-tion surveys increased by 30%. 4. Survey found that 90% of the nurses believed clients had pain control

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3/21/25, 2:43 NCLEX RN #33 Flashcards |
PM




NCLEX RN #33 EXAM QUESTIONS AND ANSWERS WITH COMPLETE

SOLUTIONS VERIFIED LATEST UPDATE


Terms in this set (35)




The clinic nurse educator is developing a teaching plan for the following 6 clients.

The nurse should instruct the client to avoid the VALSALVA MANEUVER when

defecating? SELECT ALL THAT APPLY

#70769904 (40)

1. 22 year old man with a head injury sustained during a college football game.

2.30 year old woman recently hospitalized for reconstructive augmentation

1.3.5.6 mammoplasty.

3.56 year old man 2 weeks post myocardial infarction.

4. 68 year old woman recently diagnosed with pancreatic cancer.

5.74 year old man with portal hypertension related to alcohol induced cirrhosis

6.82 year old woman 1 week post cataract surgery.

is contraindicated in the client diagnosed with increased intracranial pressure,

valsalva maneuver stroke, head, injury, heart disease, glaucoma , eye surgery , abdominal surgery, and

liver cirrhosis. #70769904 (40)

The nurse admits a client who fell off a 20 ft ladder.

On arrival in the emergency department, the client

is arousable but lethargic,. What is the nurse's

PRIORITY action? #70769904 (41)

1. Ask about client's chronic medical conditions
3
2. Assess for level and duration of pain

3.Obtain a Glasgow Coma Scale score.

4. Perform a head to toe assessment.

An adolescent client with a sore throat is diagno-sed with infectious. mononuclosis.

Which comment by the caregiver would alert the nurse that ADDITIONAL




1/
10

, 3/21/25, 2:43 NCLEX RN #33 Flashcards |
PM
INSTRUCTION IS NECESSARY? #70769904

(42)

1. "I need to go to the pharmacy to pick up an antibiotic prescription"

2."It is acceptable for my child to have ibuprofen for discomfort or fever."
1

3."My child will be on bed rest with few activi-ties for the next 2 weeks."

4. "Participation in soccer practice will not be allowed for the next month."

A client is taking MORPHINE SULFATE for acute pain. Which statement will BEST

assist the client worried about nausea and vomiting while taking this medication?

#70769904 (43)

1. "Nausea and vomiting rarely occur with this medication."

4 2."Nausea and vomiting rarely occur when you are up and walking."

3."Take the medication on an empty stomach."

4. "Tolerance develops quickly and persistent nausea is rare."

The public health nurse conducts a teaching prog-ram for parents of infants.

Which statement by a participant indicates that teaching has been successful?

#70769904 (44)

1. "I can offer my 7 month old an egg while omelet with soft, mushy vegetables.

4 2."I will switch my 1 year old to low fat milk instead of commercial formula."

3."It is safe to sweeten my 4 month old infant's formula with honey."

4. "My infant should be able to pick up small finger foods by age 10 months. "

a thumb to forefinger movement, develop at age

8-10 months. This is the time to start offering small

finger foods such as cheerios or cut up pieces
Pincer grasp
of nutritious foods.

#70769904 (44)

An infusion of norepinephrine at 8 mcg/min is prescribed for a client in shock. The

concen-tration of norepinephrine is 4 mg in 250 mL D5W For how many mL per hour

should the nurse program the IV pump? #70769904 (45)

1. Convert the prescribed dose to

milligrams 1,000 mcg = 1mg

8 mcg/min x 1 mg/1000 mcg = 0.008 mg/min

2, Convert the prescribed dose from milligrams to milliliters
30 Norepinephrine concentration is 4 mg per 250 mL

0.008 mg/min x 250 mL/4 mg = 0.5 mL/min




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