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Exam (elaborations)

NEW NCLEX PN E-BOOK QUESTIONS AND ANSWERS

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Teachers and lecturers use this locked documents to design exams, including MOCK EXAMS. The following questions are sourced from previous exams done by students ad verified by lecturers. All answers are correct and up to date. Good luck I your exams The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS) the best position to place the baby after nursing is (select all that apply): 2. Side-lying 3. Supine 28. A client has a diagnosis of primary insomnia. Before assessing this client, the nurse recalls the numerous causes of this disorder. Select all that apply: 1. Chronic stress 4. Excessive caffeine 6. Environmental noise 29. Select all that apply to the use of barbiturates in treating insomnia: 2. Barbiturates deprive people of REM sleep 4. When the barbiturates are discontinued, the REM sleep increases. 5. Nightmares are often an adverse effect when discontinuing barbiturates. 30. Select all that apply that is appropriate when there is a benzodiazepine overdose: 2. Gastric lavage 3. Activated charcoal and a saline cathartic 5. Administration of Flumazenil 31. A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective isolation procedures. Which interventions would the nurse initiate? Select all that apply. 2. Place the child on a low-bacteria diet. 3. Change dressings using sterile technique. 5. Perform meticulous hand washing before caring for the child. 32. A 16-year-old child is brought to the emergency department by his mother with a complaint that the child just experienced a tonic-clonic seizure. On arrival in the emergency department no apparent seizures were occurring. The mother states that her son is taking medication for the seizure disorder. The nurse plans care, knowing that which of the following medications are used for long-term control of tonic-clonic seizures? Select all that apply. 3. Gabapentin (Neurontin) 4. Ethosuximide (Zarontin) 5. Carbamazepine (Tegretol) 33. A child has been diagnosed with meningococcal meningitis. Which of the following isolation techniques is appropriate? 4. Isolation precautions for at least 24 hours after the initiation of antibiotics 34. A client enters the emergency department confused, twitching, and having seizures. His family states he recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. On data collection, he has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor. His serum sodium level is 172 mEq/L. Choose the interventions that the health care provider would likely prescribe. Select all that apply. 1. Monitor intake and output. 2. Monitor vital signs. 3. Maintain sodium-reduced diet. 4. Monitor electrolyte levels. 5. Increase water intake orally. 35. A client has died, and a nurse asks a family member about the funeral arrangements. The family member refuses to discuss the issue. The nurse’s appropriate action is to: 4. Remain with the family member without discussing funeral arrangements. 36. A client is scheduled for a myelogram, and the nurse provides a list of instructions to the client regarding preparation for the procedure. Which instructions should the nurse place on the list? Select all that apply. 1. Jewelry will need to be removed. 2. An informed consent will need to be signed. 4. The procedure will take approximately 45 minutes. 37. A client with a closed head injury is receiving phenytoin (Dilantin), an anticonvulsant medication. Which of the following would indicate that the client is experiencing side effects related to this medication? Select all that apply. 3. Constipation 4. Bleeding gums 5. Hyperglycemi


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