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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q413-Q418):

NEW QUESTION # 413
In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstrual cycle?

A. Ischemic phase
B. Secretory phase
C. Proliferative phase
D. Menstrual phase

Answer: B

Explanation:
(A) Menses occurs during the menstrual phase, during which levels of both estrogen and progesterone are decreased. (B) The ovarian hormone responsible for the proliferative phase, during which the uterine endometrium enlarges, is estrogen. (C) The ovarian hormone responsible for the secretory phase is progesterone, which is secreted by the corpus luteum and causes marked swelling in the uterine endometrium. (D) The corpus luteum begins to degenerate in the ischemic phase, causing a fall in both estrogen and progesterone.

NEW QUESTION # 414
While changing the dressing on a client's central line, the nurse notices redness and warmth at the needle insertion site. Which of the following actions would be appropriate to implement based on this finding?

A. Begin a peripheral IV.
B. Document in the nurse's notes and notify the physician after redressing the site.
C. Discontinue the central line.
D. Clean the site well and redress.

Answer: B

Explanation:
Explanation
(A) The nurse may never discontinue a central line without a physician's order. (B) The nurse may never initiate a peripheral IV without a physician's order except in an emergency situation. (C) The nurse should always document findings and alert the physician to the findings as well. The physician may then initiate a new central line and order the current central line to be discontinued. (D) Besides cleaning and redressing, the nurse should always document the findings.

NEW QUESTION # 415
A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

A. Chew gum instead
B. Smoke low-tar, filtered cigarettes
C. Smoke cigars instead
D. Smoke only right after meals

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.

NEW QUESTION # 416
A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:

A. Pulse increased from 96 to 102
B. Pulse fell from 102 to 96
C. Evidence of perineal irritation
D. Temperature rose to 102_F rectally

Answer: D

Explanation:
Explanation
(A) Perineal irritation needs to be addressed, but it is probably not necessary to call the physician. (B) This fall in pulse rate remains within normal limits and is probably insignificant. It is important to monitor for continued change. (C) This rise in pulse rate is probably not significant, but it is important to monitor for continued change. (D) This temperature is above normal limits and needs medical investigation. It may or may not be related to the head injury.

NEW QUESTION # 417
A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to:

A. Acidify the small bowel
B. Promote diuresis
C. Decrease ammonia formation
D. Prevent systemic infection

Answer: C

Explanation:
(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic coma. (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the liver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break down protein into ammonia. (D) Lactulose is administered to create an acid environment in the bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and excreted.

NEW QUESTION # 418
......

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Valid NCLEX-RN Test Syllabus & NCLEX-RN Exam Online

NCLEX-RN Exam Online, Frequent NCLEX-RN Updates

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q413-Q418):

100% Pass Quiz NCLEX-RN - National Council Licensure Examination(NCLEX-RN) –Trustable Valid Test Syllabus

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