National Council Licensure Examination(NCLEX-RN) study guide & NCLEX-RN reliable questions & National Council Licensure Examination(NCLEX-RN) pdf dumps

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q626-Q631):

NEW QUESTION # 626
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

A. 150/96 to 160/104
B. 130/88 to 144/92
C. 136/90 to 148/100
D. 118/70 to 130/88

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A, B, C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. (D) The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A-C choices, and client should receive more frequent evaluations and care.

NEW QUESTION # 627
After performing a sterile vaginal exam on a client who has just been admitted to the unit in active labor and placed on an electronic fetal monitor, the RN assesses that the fetal head is at 21 station. She documents this on the monitor strip. Fetal head at 21 station means that the fetal head is located where in the pelvis?

A. One centimeter below the ischial spines
B. Located in the pelvic outlet
C. One centimeter above the ischial spines
D. Has not entered the pelvic inlet yet

Answer: C

Explanation:
Explanation
(A) The ischial spines are located on both sides of the midpelvis. These spines mark the diameter of the narrowest part of the pelvis that the fetus will encounter. They are not sharp protrusions that will harm the fetus. Station refers to the relationship between the ischial spines in the pelvis and the fetus. The ischial spines are designated at 0 station. If the presenting part of the fetus is located above the ischial spines, a negative number is assigned, noting the number of centimeters above the ischial spines. Therefore, 1 centimeter below the ischial spines is designated as +1 station. (B) See explanation in A. One centimeter above the ischial spines is designated as +1 station. (C) The pelvic inlet is the first part of the pelvis that the fetus enters in routine delivery. The midpelvis is the second part of the pelvis to be entered by the fetus. The ischial spines are located on both sides of the midpelvis. (D) The pelvic outlet is the last part of the pelvis that the fetus will enter. When the fetus reaches this part of the pelvis, birth is near.

NEW QUESTION # 628
Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

A. It is best for girls to choose a wig similar to their hair style and color before the hair falls out
B. The hair will come out gradually, and the loss will not be noticeable for some time
C. Children seldom show concern about losing their hair
D. The parents will soon get used to seeing their children without hair, and it will no longer bother them

Answer: A

Explanation:
Explanation
(A) Children may become depressed with a changed appearance and not want to look at themselves or have others see them. (B) The hair will fall out in clumps, causing patchy baldness that is quite noticeable and traumatic to children and their families. (C) Having a wig that looks like a girl's own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss. (D) Families may become accustomed to seeing their children without hair, but the loss is traumatic to them and will continue to bother them.

NEW QUESTION # 629
During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?

A. Dermatitis and blurred vision
B. Unconsciousness and acetone odor of the breath
C. Chills and an elevation of temperature
D. Tinnitus and nausea

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) These are toxic symptoms of sodium salicylate. (B, C, D) These are not symptoms associated with sodium salicylate.

NEW QUESTION # 630
The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:

A. Inspiration is longer than expiration
B. Breath sounds are slightly muffled
C. Breath sounds are high pitched
D. Inspiration and expiration are equal

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Inspiration is normally longer in vesicular areas. (B) Highpitched sounds are normal in bronchial area.
(C) Muffled sounds are considered abnormal. (D) Inspiration and expiration are equal normally in this area, and sounds are medium pitched.

NEW QUESTION # 631
......

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National Council Licensure Examination(NCLEX-RN) study guide & NCLEX-RN reliable questions & National Council Licensure Examination(NCLEX-RN) pdf dumps

Valid NCLEX-RN Mock Exam & Guaranteed NCLEX-RN Success

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q626-Q631):

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