Fortis College NUR 101 NCLEX Exam QUESTION and Answers 100%Correct/Verified Rated A+ Latest Update

Fortis College NUR 101 NCLEX Exam QUESTION and Answers 100%Correct/Verified Rated A+ Latest Update NCLEX 1. The nurse is caring for a client diagnosed with a magnesium imbalance whose magnesium level is 4 mEq/L (2 mmol/L). The nurse interprets that the electrolyte imbalance is resolving if the client has relief from which sign/symptom? Loss of deep tendon reflexes 2. The nurse is caring for a client diagnosed with depression. Which therapeutic intervention should the nurse employ to promote sleep for the client? Sugggest restful, quiet music and sleep-inducing relaxation techniques. 3. The nurse is monitoring the laboratory values of a child diagnosed with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes severely thrombocytopenic, indicated by a platelet count at or below which level? 20,000 mm3 (20 × 109/L) 4. A client presents to the emergency department with lethargy and a fruity odor to the breath, and has deep, regular respirations. The client's arterial blood gas (ABG) results are pH of 7.25; Pco2, 34 mm Hg; Po2, 86 mm Hg; and HCO3, 14 mEq/L. The nurse should interpret that the client has which acid-base disturbance? Metabolic acidosis 5. The nurse manager of a hemodialysis unit observes a new nurse preparing hemodialysis on a client with a diagnosis of chronic kidney disease. The nurse manager should note that the new nurse needs further teaching and intervene if which action is carried out by the new nurse? Covers the connection site with a bath blanket to enhance extremity warmth 6. The mother of an infant newly diagnosed with cystic fibrosis is being taught proper nutritional needs for the infant. Which comment by the mother most indicates that the mother understands the infant's nutritional needs? "I know I need to monitor my infant's stools, and if there are more than four stools a day, I will increase the pancreatic enzyme." 7. The nurse is monitoring a client diagnosed with cardiac disease for the presence of cyanosis. The nurse monitors the client, knowing that which body area will be the best site for checking for the presence of cyanosis? Nail beds 8. The nurse is preparing to collect a sterile urine specimen from a client who has an indwelling Foley catheter. The nurse clamps the catheter and returns to the client to collect the specimen 30 minutes later. Arrange the actions in the order that they should be performed. All options must be used. Explain the procedure to the client. Perform hand hygiene and put on gloves. Cleanse the needle entry port with disinfectant, and insert the needle into the sampling port. Draw urine into the syringe and place into the urine specimen container Unclamp the catheter. Label the specimen according to agency protocol and send to laboratory. 9. The nurse is taking care of a client who earlier today had surgery under spinal anesthesia. Which nursing interventions will best prevent headache in this client? Select all that apply. Keeping the client lying flat Maintaining a quiet environment 10. A male client being treated for a diagnosis of urethritis from chlamydial infection asks the nurse how long it will be necessary to refrain from sexual relations. The nurse bases the response on which information regarding chlamydial infection transmission? Should refrain from sexual activity until fully cured 11. The nurse is participating in end-of-life care for a client who has recently immigrated from Vietnam. Which interventions should the nurse consider in the plan of care for this client? Select all that apply. Respect family wishes for use of herbal medicines Acknowledge that lack of eye contact does not mean disinterest 12. A home care nurse is instructing a mother of a child diagnosed with cystic fibrosis (CF) about the appropriate dietary measures. Which diet should the nurse tell the mother that the child needs to consume? High-calorie, high-protein diet 13. The client with a diagnosis of bladder cancer is to undergo weekly intravesical chemotherapy for the next 8 weeks. Which statement by the client should indicate to the nurse that the client understands how to manage urine as a biohazard? Disinfect the toilet with household bleach after voiding for 6 hours after a treatment 14. A client has been taught to use a walker to aid in mobility after internal fixation of a hip fracture. After which observation should the nurse determine that the client needs further teaching on how to use the walker correctly? Advances the walker with reciprocal motion 15. The nurse interprets that which observation is related to the dysfunction of cranial nerve III (oculomotor nerve)? Unilateral ptosis 16. The nurse is reviewing the laboratory results of an adult client seen in the health care clinic. The nurse determines that the serum protein level is normal if which result is noted on the laboratory report? 6.4 g/dL (64 g/dL) 17. The nurse who is performing a respiratory assessment is listening to the client's breath sounds. The nurse hears musical, whistling noises on inspiration and expiration scattered throughout the right lung fields. What should the nurse interpret these sounds to be? Wheezes 18. The nurse is caring for a Hispanic client who reports that she is a practicing Roman Catholic. Which actions by the nurse most demonstrate spiritual and cultural sensitivity? Select all that apply. Allow the client to observe communion daily if requested. Facilitate anointing of the client by the priest if requested 19. A client with no history of immunosuppressive disease has a Mantoux tuberculin skin test. The results indicate an area of induration that is 8 mm in size. How should the nurse interpret this result? A negative response 20. When a client is prescribed seizure precautions, which interventions should the nurse include in the plan of care? Select all that apply. Having suction equipment readily available