NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2019 NCLEX Exam.pdf

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NCLEX RN NGN ACTUAL EXAM TESTBANK
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OF REAL QUESTIONS & ANSWERS NCLEX 2
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QUESTIONm1
Whichmclassificationmofmdrugsmismcontraindicatedmformthemclientmwithmhypertrophicmcardiomyopathy?

A. mPositiveminotropes
B. mVasodilators
C. mDiuretics
D. mAntidysrhythmics

Answer: A
Explanation:
(A)mPositiveminotropicmagentsmshouldmnotmbemadministeredmowingmtomtheir mactionmofmincreasingmmy
ocardialm contractility. mIncreasedmventri cularmcontractilitymwouldmincreasemoutflow mtractmobstructionmi
nmthemclientmwithm hypertrophicm cardiomyopathy. m(B)mVasodilatorsm aremnotmtypicallymprescribedmbut
maremnot mcontraindicated. m (C)
Diureticsmaremusedmwithmcautionmtomavoidmcausingmhypovolemi
A. m(D)mAntidysrhythmics maremtypicallymneededmtomtreatmbothmatrialmandmventricularmdysrhythmias.

QUESTIONm2
Signsmandmsymptomsmofmanmallergymattackmincludemwhichmofmthemfollowing?


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A. mWheezingmonminspiration
B. mIncreasedm respiratorymrate
C. mCircumoral mcyanosis
D. mProlongedm expiration

Answer: D
Explanation:
(A)m Wheezingm occursm duringm expirationm whenm airm movement m ism impairedm becausem ofm constrictedm ede
matousm bronchialmlumin
A. m(B)mRespirationsmaremdifficult, mbutmthemratemismfrequentlymnormal. m(C)mThemcircumoral m areamismusuallymp
ale. m Cyanosismismnotmanmearlymsignmofmhypoxi
A. m(D)mExpirationmismprolongedmbecausemthemalveolimaremgreatlymdistendedmandmairmtrappingmoccurs.

QUESTIONm3
Amclientmconfidesmtomthemnursemthatmhemtastedmpoisonminmhismeveningmmeal. mThismwouldmbemanm examplemo
fmwhatmtypem ofmhallucination?

A. mAuditory
B. mGustatorymC. mOlfactorymD.mVisceral

Answer:mB m Expla
natm ion:
(A)mAuditorymhallucinationsminvolvemsensorymperceptionsmof mhearing. m(B) mGustatory mhallucinations minvolvemse
nsorym perceptionsmofmtaste. m(C)mOlfactorymhallucinationsminvolvemsensorymperceptionsmofmsmell. m(D) mViscer
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,10/10/23,m3:37mPMmNclex mRNmActualmEXAMmTESTmBANKmOFmREALmQuestionsmAnswersmN
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NCLEXmRNmACTUALmEXAMmTESTmBANKmOFmREALmQUESTIONSm&mANSWERSmNCLEXm2022m|mNCLEXmExa
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QUESTIONm4
Whichmofmthemfollowingmfindingsmwouldmbemabnormalminmampostpartal mwoman?
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A. mChillsmshortlymaftermdeliverym m Distributionmofmthismdocumentmismillegal$103mpermmonth?
B. mPulsemratemofm60mbpmminmmorningmonmfirstmpostdeliverymday
C. mUrinarymoutputmofm3000mmLmonmthemsecondmdaymaftermdelivery
D. mAnmoralmtemperaturemofm101F m(38.3C)monmthemthirdmdaymaftermdelivery

Answer: D
Explanation:
(A)mFrequentlymthemmothermexperiencesma mshakingmchillmimmediatelym after mdelivery, mwhich mismrel atedmt
omam nervousmresponsemormtomvasomotormchanges. mIfmnotm followedmbym amfever, mitmismclinicallyminnocuo
us. m(B)mThem pulsemratemduringmthemimmediatempostpartal mperiodmmaymbe mlowmbutmpresentsmnomcausem f
ormalarm. mThembodym attemptsmtomadaptmtomthemdecreasedmpressuresmintra-
abdominallymasmwellmasmfrommthemreductionmofmbloodmflowmtom themvascularmbed. m(C)mUrinary moutputmi
ncreasesmduringmthemearlympostpartal mperiodm (12–
24mhours)mowingmtom diuresis. mThemkidneysmmustmeliminatemanmestimatedm2000–
3000mmLmofmextracellularmfluidmassociatedmwithmam normalmpregnancy. m(D) mAmtemperaturemofm100.4F m(
38C)mmaymoccurmaftermdeliverymasma mresultmof mexertionmandm dehydrationmofml abor. mHowever, many mtem
peraturemgreatermthanm100.4F mneedsmfurtherminvestigationmtomidentifym anyminfectiousmprocess.

QUESTIONm5
Amsix-month-
oldminfantmhasmbeenmadmittedmtomthememergencymroommwithmfebrilemsei zures. mInmthemteachingmofmthem paren
ts, mthemnursemstatesmthat:

A. mSustainedmtemperaturemelevationmoverm103F mismgenerallymrelatedmtomfebrilemseizures
B. mFebrilemseizuresmdomnotmusuallymrecur
C. mTheremismlittlemriskmofmneurological mdeficit mandmmental mretardationmasms equelaemtomfebrilems eizuresmD. m F
ebrilem seizuresmaremassociatedmwithmdiseas esmofmthe mcentralmnervousmsystem

Answer: C
Explanation:
(A)mThemtemperaturemelevationmrelatedmtomfebrilemseizuresmgenerallymexceedsm101F, mandmseizuresmoccur
mduringm themtemperaturemrisemrathermthanmafterm amprolongedmelevation. m(B)mFebrilemsei zures mmaymrecur
mandmaremmorem likelymtomdomsomwhenmthemfirst mseizuremoccursminmthe m1st myearmofmlife. m(C)mTheremism
littlemriskmofmneurological m deficit, mmentalmretardation, mormalteredmbehaviormsecondary mtomfebrilemseizur
es. m(D)mFebrilemseizuresmarem associatedm withmdiseasemofmthem central mnervousmsystem.

QUESTIONm6
Amclientmdiagnosedmwithmbipolarmdisordermcontinuesmtombemhyperactive mand mtomlose mweight. mWhich mof mthe mfol
lowingm nutritional minterventionsmwouldmbemmostmtherapeuticmformhimmatmthismtime?

A. mSmall, mfrequentmfeedingsmofmfoodsmthatmcanmbemcarried
B. mTubemfeedingsmwithmnutritional msupplements
C. mAllowingmhimmtomeatmwhenmandmwhatmhemwants
D. mGivingmhimmamquietmplacemwheremhemcanmsitmdownmtomeatmmeals

Answer: A
Explanation:
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