Real NCLEX-RN are Uploaded by BraindumpsPass provide 2022 Latest NCLEX-RN Practice Tests Dumps [Q316-Q340]

NEW QUESTION 316
A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,
“Nobody cares about the clients.” The nurse’s most effective response would be:

NEW QUESTION 317
A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self- mutilation. A few hours after admission, she requests special privileges, and when these are not granted, she stands up and angrily shouts that the people on the unit do not care, and she storms across the room.
The nurse should respond to this behavior by:

NEW QUESTION 318
Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, “Begin oxytocin induction at 1 mU/min.” The nurse should:

NEW QUESTION 319
During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child’s change in behavior?

NEW QUESTION 320
A murmur has been discovered during the routine physical examination of a 1-year-old child. The parent is extremely concerned about this diagnosis. Which of the following explanations by the nurse indicates understanding of this dysfunction?

NEW QUESTION 321
A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being “on the move,” sleeping 3-4 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

NEW QUESTION 322
A client had a vaginal delivery 3 days ago and is discharged from the hospital on the 2nd day postpartum. She told the RN, “I need to start exercising so that I can get back into shape. Could you suggest an exercise I could begin with?” The RN could suggest which one of the following?

NEW QUESTION 323
A female client is exhibiting signs of respiratory distress. Which of the following signs indicate a possible pneumothorax?

NEW QUESTION 324
A postoperative TURP client returns from the recovery room to the general surgery unit and is in stable condition. One hour later the nurse assesses him and finds him to be confused and disoriented. She recognizes that this is most likely caused by:

NEW QUESTION 325
When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

NEW QUESTION 326
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:

NEW QUESTION 327
Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?

NEW QUESTION 328
The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?

NEW QUESTION 329
The nurse assesses a client’s monitor strip and finds the following: uterine contractions every 3-4 minutes, lasting 60-70 seconds; FHR baseline 134-146 bpm, with accelerations to 158 bpm with fetal movement. Which nursing intervention is appropriate?

NEW QUESTION 330
Primary nursing diagnoses for the antisocial client are:

NEW QUESTION 331
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

NEW QUESTION 332
A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?

NEW QUESTION 333
A male client is being treated in the burn unit for thirddegree burns on his head, neck, and upper chest received in the last 24 hours. The nurse is evaluating the effectiveness of fluid resuscitation. Which of the following indicates effective fluid balance?

NEW QUESTION 334
A client has returned to the unit from the recovery room after having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:

NEW QUESTION 335
Hematotympanum and otorrhea are associated with which of the following head injuries?

NEW QUESTION 336
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?

NEW QUESTION 337
Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

NEW QUESTION 338
Which of the following procedures is necessary to establish a definitive diagnosis of breast cancer?

NEW QUESTION 339
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?

NEW QUESTION 340
A 22-year-old client who is being seen in the clinic for a possible asthma attack stops wheezing suddenly as the nurse is doing a lung assessment. Which one of the following nursing interventions is most important?