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Valid NCLEX-RN Test Simulator - Authorized NCLEX-RN Exam Dumps

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q848-Q853):

NEW QUESTION # 848
A pregnant client continues to visit the clinic regularly during her pregnancy. During one of her visits while lying supine on the examining table, she tells the RN that she is becoming light-headed. The RN notices that the client has pallor in her face and is perspiring profusely.
The first intervention the RN should initiate is to:

A. Obtain the client's vital signs immediately
B. Assess the client to see if she is having vaginal bleeding
C. Place the examining table in the Trendelenburg position
D. Help the client to a sitting position

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This position would cause the gravid uterus to bear the increased pressure of the vena cava, which could lead to maternal hypotension, in turn causing the client to continue to have pallor and to feel light- headed. (B) This would not be the first intervention the RN should initiate. TheRN should understand the supine position and its effect on the gravid uterus and vena cava. (C) The RN's first intervention should be one that helps to alleviate the client's symptoms. Obtaining her vital signs will not alleviate her symptoms.
(D) This would move the gravid uterus off of the client's vena cava, which would alleviate the maternal hypotension that is the cause of her symptoms.

NEW QUESTION # 849
In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:

A. Furosemide
B. Digoxin
C. Nitroglycerin
D. Lidocaine

Answer: D

Explanation:
(A) Furosemide is a loop diuretic. (B) Nitroglycerin is a vasodilator. (C) Lidocaine is the drug of choice to treat ectopic ventricular beats. (D) Digoxin slows down the electrical impulses and increases ventricular contractions, but it does not rapidly correct ventricular ectopy.

NEW QUESTION # 850
A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

A. Cross client's legs tightly
B. Control the delivery by guiding expulsion of fetus
C. Leave the room to call the physician
D. Push against the perineum to stop delivery

Answer: B

Explanation:
Section: Questions Set C
Explanation:
(A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal distress and does not stop the delivery process.

NEW QUESTION # 851
An 18-year-old girl is admitted to the hospital with a depressed skull fracture as a result of a car accident. If the nurse were to observe a rising pulse rate and lowering blood pressure, the nurse would suspect that the client:

A. Is beginning to experience a dangerously high level of anxiety
B. Has sustained an internal injury in addition to the head injury
C. Has a sudden and severe increase in intracranial pressure
D. Is having intracranial bleeding

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Widening pulse pressure (high systolic and low diastolic) with compensatory slowing of pulse rate are late signs of increasing ICP. (B) Rising pulse rate and lowering blood pressure are indicative of hypovolemia due to hemorrhage. (C) High anxiety, in the absence of hemorrhage, would result in a high pulse rate and a high blood pressure. (D) Intracranial bleeding results in increased ICP. A change in level of consciousness is an early sign of increasing ICP, and vital sign changes are late signs of increasing ICP.

NEW QUESTION # 852
An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:

A. 8:30 AM-10:30 AM
B. 2:30 PM-4:30 PM
C. 7:30 PM-9:30 PM
D. 10:30 PM-11:30 PM

Answer: B

Explanation:
(A)
This time describes the time of onset of NPH insulin's action, rather than its peak effect.
(B)
NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 8-14 hours after administration. It has a 20-30 hour duration. (C) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM. (D) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM.

NEW QUESTION # 853
......

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