Free PDF NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Updated Vce Files

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q56-Q61):

NEW QUESTION # 56
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

A. October 22
B. October 15
C. October 8
D. October 29

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Incorrect application of Nägele's rule: correctly subtracted 3 months but subtracted 7 days rather than added. (B) Incorrect application of Nägele's rule: correctly subtracted 3 months but did not add 7 days. (C) Correct application of Nägele's rule: correctly subtracted 3 months and added 7 days. (D) Incorrect application of Nägele's rule: correctly subtracted 3 months but added 14 days instead of 7 days.

NEW QUESTION # 57
A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' An appropriate response for the RN teaching him would be:

A. "You need to learn this because your doctor ordered it.''
B. "It is not too much trouble. This is the best way to manage urination.''
C. "OK. I'll ask your physician if we can replace the Foley.''
D. "I know. It is a lot to learn. In the long run, though, you will be able to reduce infections if you do an intermittent catheterization program.''

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This response acknowledges the client's feelings, gives him factual information, and acknowledges that the final decision is his. (B) This response is judgmental and discourages the client from expressing his feelings about the procedure. (C) Catheterization is a procedure thattakes time to learn, but which, for the spinal cord-injured client, can significantly reduce the incidence of urinary tract infections. A young client with a T-4 injury has the hand function to learn this procedure fairly easily. (D) The final decision about bladder elimination management ultimately rests with the client and not the physician.

NEW QUESTION # 58
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

A. Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.
B. Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.
C. Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
D. Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.

Answer: B

Explanation:
Section: Questions Set D
Explanation:
(A) Because the child's appetite is capricious at best, regular servings may be overwhelming. Praise the child for what is eaten. (B) The child will soon learn that procedures follow meals and may play with food rather than eat it to avoid or delay the procedure. (C) Young children usually do not like highly seasoned foods and may need the security of usual foods. Such a change may actually increase anorexia. (D) Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security.

NEW QUESTION # 59
A 28-year-old client performs a long, involved ritual in getting up and preparing for the day. He became unable to get to his job before noon. His family, in desperation, has admitted him to the hospital's psychiatric unit. On the unit, he is always late for breakfast, which is served at 8 am. The nurse identifies that the best approach to this problem is to:

A. Get him up early so that he can complete the ritual before breakfast
B. Ask him to get all the other clients up so that he will forget about his ritual
C. Suggest that he do the rituals after breakfast
D. Allow him to eat late

Answer: A

Explanation:
(A) Allowing him to eat late is not a solution to the problem because the ritual affects more than just this meal. (B) He is helpless to change this behavior because the rituals occur as a result of an irrational effort to control his anxiety. (C) To interfere with the ritual will increase anxiety. Until the basic problem is resolved, and in turn his need for the ritual relieved, arrange the schedule so that essential activities may be included (such as meals with the group). (D) This approach would be very disruptive to the other clients and would not serve to relieve the anxiety of the client.

NEW QUESTION # 60
An obstructing stone in the renal pelvis or upper ureter causes:

A. Dull, aching, back pain
B. Urinary frequency and dysuria
C. Radiating pain into the urethra with labia pain experienced in females or testicular pain in males
D. Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor

Answer: D

Explanation:
Explanation
(A) Radiating pain in the urethra in both sexes, extending into the labia in females and into the testicle or penis in the male, indicates a stone in the middle or lower segment of the ureter. (B) Urinary frequency and dysuria are caused by a stone in the terminal segment of the ureter withinthe bladder wall. (C) An obstructing stone in the renal pelvis or upper ureter causes severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor. (D) Dull and aching pain may indicate early stages of hydronephrosis. Also, a stone in the renal pelvis or upper ureter causes severe flank and abdominal pain.

NEW QUESTION # 61
......

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Free PDF NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Updated Vce Files

NCLEX NCLEX-RN Questions - Quick Tips To Pass [2025]

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q56-Q61):

High Pass-Rate Vce NCLEX-RN Files - Pass NCLEX-RN in One Time - Perfect Accurate NCLEX-RN Answers

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