Test Bank For Nclex Rn (Next Generation Format) Latest Updated With Over 1600 Correctly Answered Questions & Detailed Answers With Rationales |Verified & Graded A+|Guaranteed Pass|

bt TEST BANK FOR NCLEX RN (NEXT GENERATION bt bt bt bt bt bt




bt FORMAT) LATEST UPDATED WITH OVER 1600 bt bt bt bt bt




bt CORRECTLY ANSWERED QUESTIONS & DETAILED bt bt bt bt




bt ANSWERS WITH RATIONALES |VERIFIED & GRADED bt bt bt bt bt




bt A+|GUARANTEED PASS| bt




Question: 1 bt




On the third postpartum day, the nurse would expect the lochia to be:
bt bt bt bt bt bt bt bt bt bt bt bt




A. Rubra

B. Serosa

C. Alba

D. Scant



Answer: A bt




Explanation:

(A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




debris, and clots.This discharge occurs from days 4-10. The lochia is brownish, serous, and thin. (C)
tb bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




This dischargeoccurs from day 10 through the 6thweek. The lochia is yellowish white. (D) This is
bt bt tb bt bt bt bt bt bt bt bt bt bt bt bt bt bt




not a classification of lochia but relates to the amount of discharge.
bt bt bt bt bt bt bt bt bt bt bt bt




Question: 2 bt




A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm,lasting
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt b
t




20 seconds, every time the fetus moves. The nurse explains that:
bt bt bt bt bt bt bt bt bt bt bt




A. The test is inconclusive and should be repeated
bt bt bt bt bt bt bt




B. Further testing is needed bt bt bt




C. The test is normal and the fetus is reacting appropriately
bt bt bt bt bt bt bt bt bt




D. The fetus is distressed
bt bt bt

,Explanation:

(A) The test results were normal, so there would be no need to repeat to determine results. (B) There
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




isreported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at
bt tb bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




least 15 seconds during a 15-minute period. (D) The NST results were normal, so there was no fetal
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




distress.
bt




Question: 3 bt




Which stage of labor lasts from delivery of the baby to delivery of the placenta?
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




A. Second

B. Third

C. Fourth

D. Fifth




Answer: B bt




Explanation:

(A) This stage is from complete dilatation of the cervix to delivery of the fetus. (B) This is the correct
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




stage for the definition. (C) This stage lasts for about 2 hours after the delivery of the placenta. (D)
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




Thereis no fifth stage of labor.
bt tb bt bt bt bt bt




Question: 4 bt




A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas
bt bt bt bt bt bt bt bt bt bt




aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat P.
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




aeruginosa such as:
b
t bt bt




A. Cefoperazone (Cefobid) bt




B. Clindamycin (Cleocin) bt




C. Dicloxacillin (Dycill) bt




D. Erythromycin (Erythrocin) bt




Answer: A bt




Explanation:

,(A) Cefoperazone is indicated in the treatment of infection withPseudomonas aeruginosa.(B) bt bt bt bt bt bt bt bt bt




Clindamycin is not indicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




indicated in the treatment of infection withP. aeruginosa.(D) Erythromycin is not indicated in the
tb bt bt bt bt bt bt bt bt bt bt bt bt bt




treatment of infection withP. aeruginosa.
bt bt bt bt bt bt




Question: 5 bt




A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT)by
bt bt bt bt bt bt bt bt bt bt bt bt bt bt b
t




instructing the female client to take her temperature:
bt bt bt bt bt bt bt bt




A. Orally in the morning and at bedtime bt bt bt bt bt bt




B. Only one time during the day as long as it is always at the same time of day
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




C. Rectally at bedtime bt bt




D. As soon as she awakens, prior to any activity
bt bt bt bt bt bt bt bt




Answer: D bt




Explanation:

(A) Monitoring temperature twice a day predicts the biphasic pattern of ovulation. (B) Prediction of
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




ovulation relies on consistency in taking temperature. (C)Nightly rectal temperatures are more
bt bt bt bt bt bt bt bt bt bt bt bt




accurate in predicting ovulation. (D) Activity changes the accuracy of basal body temperature and
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




ability to detectthe luteinizing hormone surge.
bt bt bt tb bt bt bt




Question: 6 bt




A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow.
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




Appropriate nursing actions to help control hyperventilating include:
b
t bt bt bt bt bt bt bt




A. Administering diazepam (Valium) 1015 mg po q4h and q1h prn for hyperventilating episode bt bt bt bt bt bt bt bt bt bt bt bt




B. Keeping the temperature in the client’s room at a high level to reduce respiratory stimulation
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




C. Having the client hold her breath or breathe into a paper bag when hyperventilation episodes
bt bt bt bt bt bt bt bt bt bt bt bt bt bt




occur
b
t




D. Using distraction to help control the client’s hyperventilation episodes
bt bt bt bt bt bt bt bt




Answer: C bt




Explanation:

, (A) An adult diazepam dosage for treatment of anxiety is 210 mg PO 24 times daily. The order as written
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




would place a client at risk for overdose. (B) A high room temperature could increase hyperventilating
tb bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




episodes by stimulating the respiratory system. (C) Breath holding and breathing into a paper bag may
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




be useful in controlling hyperventilation. Both measures increase CO2 retention. (D) Distraction will
bt bt bt bt bt bt bt bt bt bt bt bt bt




not prevent or control hyperventilation caused by anxiety or fear.
bt bt bt bt bt bt bt bt bt bt




Question: 7 bt




A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




A. State, "You have an angel in heaven." bt bt bt bt bt bt




B. Discourage the parents from seeing the baby. bt bt bt bt bt bt




C. Provide an opportunity for the parents to see and hold the baby for an undetermined amount of
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




time.
b
t




D. Reassure the parents that they can have other children. bt bt bt bt bt bt bt bt




Answer: C bt




Explanation:

(A) This is not a supportive statement. There are also no data to indicate the family’s religious beliefs.
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




(B)Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say
bt tb bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




"good-bye." (C) Parents need time to get to know their baby. (D) This is not a comforting statement
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




when a baby has died. There
bt bt bt bt bt bt




are also no guarantees that the couple will be able to have another child.Question:
bt bt bt bt bt bt bt bt bt bt bt bt bt b
t




bt 8

A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




worried about having this surgery, has not slept well lately, and is afraid that her husband will not find
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt




and deep. Assessment reveals that the client is:
b
t bt bt bt bt bt bt bt




A. Having a heart attack bt bt bt




B. Wanting attention from the nurses bt bt bt bt




C. Suffering from complete upper airway obstruction bt bt bt bt bt




D. Hyperventilating