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NCLEX-RN.515q
Sections
1. Questions Set A i i
2. Question Set B i i
3. Questions Set C i i
4. Questions Set D i i
5. Questions Set E i i
6. Questions Set F i i
7. Questions Set G i i
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Exam A i
QUESTION 1 i
An 8-week-old infant has been diagnosed with gastroesophageal reflux. The
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nurse is teaching the infant’smother to care for the infant at home. Which one
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i of the following statements by the nurse is appropriate regarding the infant’s
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i home care? i
A. “Lay the infant flat on her left side after feeding.”
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B. “Feed the infant every 4 hours with half-strength formula.”
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C. “Antacids need to be given an hour before feeding.”
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D. “Play activities should be carried out before instead of after feedings.”
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Correct Answer: i
i D Section:
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i Question Set B i i
Explanation
i
Explanation/Reference:
Explanation:
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(A) Elevating the child’s head to a 30-degree angle is the recommended
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i position for gastroesophageal reflux. The supine position predisposes the
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i child to aspiration. (B) Small, frequent feedings with thickenedformula are
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i recommended to minimize vomiting. (C) Antacids should be given at thei i i i i i i i i i
i same time as the feeding to improve their buffering action. (D) The infant
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should be kept still after feedings to reduce the riskof vomiting and
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i aspiration. Vigorous activities should be carried out before feedings.
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QUESTION 2 i
A 24-year-old woman who is gravida 1 reports, “I can’t take iron pills
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because they make me sick.” Shecontinues, “My bowels aren’t moving
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i either.” In counseling her based on these complaints, the nurse’smost
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appropriate response would be, “It would be beneficial for you to eat . . .
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A. prunes.”
B. green leafy vegetables.”i i
C. red meat.”
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D. eggs.”
Correct Answer: i
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i A Section:
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i Questions Set F i i
Explanation
i
Explanation/Reference:
Explanation:
(A) Prunes provide fiber to decrease constipation and are an excellent
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i source of dietary iron, as the prenatal client is not taking her supplemental
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iron and iron-deficiency anemia is common during pregnancy.
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(B) Green leafy vegetables provide a source of fiber and iron; however, prunes
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are a better source of both.
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(C) Red meat is a good iron source but will not address the constipation
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problem. (D) Eggs are a good ironsource but do not address the
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i constipation problem. i
QUESTION 3 i
When evaluating a client with symptoms of shock, it is important for the
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i nurse to differentiate between neurogenic and hypovolemic shock. The
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symptoms of neurogenic shock differ from hypovolemic shock inthat:
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