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QUESTION 1 
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele’s rule 
is: 
 
A.	March 27 
B.	February 1 
C.	February 27 
D.	January 3 
 
Correct Answer: C Section: (none) Explanation 
 
Explanation/Reference: 
Explanation: 
(A)March 27 is a miscalculation.... i x Exam (elaborations) • 433 pages • by Docmercy • uploaded 2023 Quick View i x NCLEX RN • NCLEX RN NCLEX PN EXAM (0) $10.49 0x sold NCLEX-PN 
 
QUESTION 1 
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of: 
 
A.	climacteric. 
B.	menopause. 
C.	perimenopause. 
D.	postmenopause. 
 
Correct Answer: C Section: (none) Explanation 
 
Explanation/Reference: 
Explanation: 
 
Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular. Peri... i x Exam (elaborations) • 339 pages • by Docmercy • uploaded 2023 Quick View i x Nclex pn • Nclex pn NURS 7757 NCLEX HURST REVIEW EXAM (0) $10.49 0x sold NURS 7757 NCLEX HURST REVIEW EXAM 
 
o	Calcium has an inverse relation to phosphorus 
•	When Calcium goes up, Phosphorus goes down (Hypophosphatemia) and vice versa 
o	Sodium has an inverse relation to Potassium 
•	When sodium goes up, Potassium goes down and vice versa 
 
 
⟶ HyperParathyroidsm = HYPERCALCEMIA = HYPOPHOSPATEMIA 
 
Every time you see Hyperparathyroidism that’s the same exact thing as Hypercalcemia 
 
o	Epinephrine is secreted – vasoconstrictor 
 
When Hypovolemic (blo... i x Exam (elaborations) • 106 pages • by Docmercy • uploaded 2023 Quick View i x NURS 7757 • NURS 7757 NCLEX RN Cardiovascular Exam 2020 (0) $10.49 0x sold NCLEX RN Cardiovascular Exam 2020 
Questions and Answers 
 
 
 
1.	A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure? 
1.	Glipizide 
 
2.	Metformin 
 
3.	Repaglinide 
 
4.	Regular insulin 
 
 
 
2.	A client who had cardiac surgery 24 hours ago has had a urine output averaging 20 mL/hour for 2 hours. ... i x Exam (elaborations) • 74 pages • by Docmercy • uploaded 2023 Quick View i x NCLEX RN • NCLEX RN NU 301 NCLEX Challenge 1 (0) $10.49 0x sold NU 301 NCLEX Challenge 1 
1.	A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate? 
 
Veracity 
 
2.	A nurse is teaching a client about the physical effects of chemotherapy. Following the teaching, the nurs... i x Exam (elaborations) • 8 pages • by Docmercy • uploaded 2023 Quick View i x NU 301 • NU 301 NURSING 1 NUR 2349 NCLEX Challenge 3 (0) $10.49 0x sold NURSING 1 NUR 2349 NCLEX Challenge 3 
1.	A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number). 
 
100 mL/hr 
 
2.	A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor on the manua... i x Exam (elaborations) • 9 pages • by Docmercy • uploaded 2023 Quick View i x NURSING 1 NUR 2349 • NURSING 1 NUR 2349 NCLEX Challenge 5 (0) $10.49 0x sold NU 301 
 
 
NCLEX Challenge 5 
1.	A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching? 
 
“I may eat 10 ounces of lean protein each day.” 
 
2.	A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? 
 
Do not use salt substitutes while taking this ... i x Exam (elaborations) • 8 pages • by Docmercy • uploaded 2023 Quick View i x NU 301 • NU 301 NU 301:NCLEX Challenge 6 (0) $10.49 0x sold NU 301:NCLEX Challenge 6 
A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan? 
 
 
Grilled chicken breast with white rice 
 
 
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following type of fluid? 
 
 
Oral rehydration solution 
 
 
A nurse is teaching a client who has a new prescription for esomeprazole to m... i x Exam (elaborations) • 12 pages • by Docmercy • uploaded 2023 Quick View i x NU 301 • NU 301 FLUID VOLUME EXCESS: HYPERVOLEMIA (0) $10.49 0x sold FLUID VOLUME EXCESS: HYPERVOLEMIA 
Define: too much volume in the 
l. Causes: 
 
a.	CHF: heart is	, CO 	, decreased	perfusion, UO	 
*the volume stays in the	 
b.	RF: Kidneys aren't	 
 
a.	Alkaseltzer 
Fleets enemas All 3 have a lot of	 
 
IVF with Na 
 
b.		Aldosterone (steroid, mineralocorticoid) Where does aldosterone live? 
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) —aldosterone 
secretion increases— retain Na/water— blood volume 	 
 
** Diseases with too m... i x Summary • 240 pages • by Docmercy • uploaded 2023 Quick View i x NCLEX RN • NCLEX RN COMPLEX CR NR 341 NCLEX CRITICAL CARE TEST Ch 1 (0) $10.49 0x sold COMPLEX CR NR 341 
NCLEX CRITICAL CARE TEST Ch 1 
 
1.	Which of the following professional organizations best supports critical care nursing practice? 
 
 
a.	American Association of Critical-Care Nurses 
 
 
b 
.	American Heart Association 
 
 
c. American Nurses Association 
 
 
d 
.	Society of Critical Care Medicine 
 
 
ANS: A 
 
The American Association of Critical-Care Nurses is the specialty organization that supports and represents critical care nurses. The American Heart Association su... i x Exam (elaborations) • 201 pages • by Docmercy • uploaded 2023 Quick View i x COMPLEX CR NR 341 • COMPLEX CR NR 341 1 ... 7 8 9 ...