NCLEX RN 2022  TESTED AUGUST  145 QUESTIONS AND ANSWERS

• NCLEX RN 2022 • TESTED AUGUST • 145 QUESTIONS AND ANSWERS • (THEY CAME AS SCREENSHOTS BUT I TYPED THEM DOWN FOR YOU GUYS) S - The Marketplace to Buy and Sell your Study Material 1. Children often experience visual impairments. Refractive errors affect the child’s visual activity. The main refractive error seen in children is myopia. The nurse explains to the child’s parents that myopia may also be described as: Nearsightedness 2. Which of the following serum laboratory values would the nurse monitor during gentamicin therapy? Creatinine 3. A 33-year-old client was brought into the emergency room unconscious, and it is determined that surgery is needed. Informed consent must be obtained from his next of kin. The sequence in which the next of kin would be asked for the consent would be: Spouse, adult child, parent, sibling 4. Based on your knowledge of genetic inheritance, which of these statements is true for autosomal recessive genetic disorders? Two affected parents always have affected children. 5. Prior to an amniocentesis, a fetal ultrasound is done in order to: Locate the position of the placenta and fetus 6. An expected response to sodium polystyrene sulfonate (Kayexalate) is: Decrease in serum potassium 6. A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would: Discuss the disease process and the importance of the medication in prevention of symptoms. 7. A 37-year-old client has been taking antipsychotic medication for the past 10 days. The nurse observes her walking with a shuffling gait and postural rigidity and notes a masklike expression on her face. Which side effect is this client exhibiting? Parkinsonism 8. A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. The nurse knows that the client understands the discharge teaching about care of her colostomy when she says: “My stoma should be red and slightly raised.” Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material Want to earn $103 per month? 9. A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include: Contracting with him for the amount of time he will spend on the compulsive behaviors 10. A 1-year-old child is to receive an IM injection ordered by his pediatrician. He has fallen asleep in his mother's arms when the nurse approaches. Which approach is most appropriate at this time? Awaken the child first and give the injection in the ventrogluteal site. 11. The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medication is diluted as recommended in 10 mL in the volume control chamber of a set that has a tubing of 12 mL. Which nursing measure is most accurate considering these facts? Infuse volume at 44 mL/hr. 12. An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant? 680 mL/day 13. 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? Emphasize those aspects of the procedure that require cooperation. 14. A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful? Provide time for play and becoming acquainted. 15. An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis? Palpable olive-shaped mass in the epigastrium just right of the umbilical cord 16. A 15-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia. Which of the following would be included in educating the mother and child as part of discharge planning? Know the signs and symptoms of iron overload. 17. Iron dextran (Imferon) is a parenteral iron preparation. The nurse should know that it: Requires use of the Z-track method S - The Marketplace to Buy and Sell your Study Material Want to earn $103 per month? 18. The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include: Eye pain and itching 19. The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1–2 minutes; strong, large amount of “bloody show.” The most appropriate nursing goal for this client would be: Provide strategies to maintain client control. 20. A complication for which the nurse should be alert following a liver biopsy is: Shock 21. A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, “I just couldn’t take it anymore.” The nurse’s best response to this disclosure would be: “Tell me more about what you couldn’t take anymore.” 22. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse’s appropriate response is: “Corn and other starchy vegetables are considered to be bread exchanges.” 23. Which of the following signs might indicate a complication during the labor process with vertex presentation? Appearance of dark-colored amniotic fluid 24. The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay? Vaginal discharge or rubra, serosa, then rubra 25. MgSO4 blood levels are monitored and the nurse would be prepared to administer the following antidote for MgSO4 side effects or toxicity: Calcium gluconate