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NCLEX-RN New Test Camp, NCLEX-RN Reliable Guide Files

NCLEX-RN New Test Camp, NCLEX-RN Reliable Guide Files

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q681-Q686):

NEW QUESTION # 681
Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

  • A. Eating three large meals a day
  • B. Taking a long walk after meals
  • C. Eating a low-carbohydrate diet
  • D. Drinking small amounts of liquids with meals

Answer: C

Explanation:
Section: Questions Set B
Explanation:
(A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low- carbohydrate diet will prevent a hypertonic bolus, which causes dumping.

NEW QUESTION # 682
A 35-year-old client is receiving psychopharmacological treatment of his major depression with tranylcypromine sulfate (Parnate), a monoamine oxidase (MAO) inhibitor. The nurse teaches the client that while he is taking this type of antidepressant, he needs to restrict his dietary intake of:

  • A. Saturated fats
  • B. Tyramine
  • C. Potassium-rich foods
  • D. Tryptophan

Answer: B

Explanation:
(A)
The client may need to avoid some potassium-rich foods (such as bananas, raisins, etc.). However, this is not because of the potassium content of these foods. (B) Tryptophan is an essential amino acid that is present in high concentrations in animal and fish protein.
(C)
The client will need to watch his dietary intake of tyramine. Tyramine is a by-product of the conversion of tyrosine to epinephrine. Tyramine is found in a variety of foods and beverages, ranging from aged cheese to caffeine drinks. Ingestion of tyramine-rich foods while taking a MAO inhibitor may lead to an increase in blood pressure and/or a life-threatening hypertensive crisis. (D) To maintain a healthy lifestyle, restriction of dietary saturated fats is advisable.

NEW QUESTION # 683
A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:

  • A. Have the registered nurse in charge assume responsibility for verifying the client and blood product information
  • B. Hang Ringer’s lactate as the companion fluid
  • C. Take a baseline set of vital signs
  • D. Use microdrip tubing for the blood administration

Answer: C

Explanation:
Section: Questions Set D
Explanation:
(A) A baseline set of vital signs is necessary to determine if any transfusion reactions occur as the blood product is being administered. (B) The only companion fluid to be used during a blood transfusion is normal saline. The calcium in Ringer’s lactate can cause clotting. (C) Only a blood administration set should be used.
A microdrip tube would cause lysis of the red blood cells. (D) Proper identification of the recipient and the blood product must be validated by at least two people.

NEW QUESTION # 684
To ensure proper client education, the nurse should teach the client taking SL nitroglycerin to expect which of the following responses with administration?

  • A. Temporary blurring of vision
  • B. Urinary frequency
  • C. Stinging, burning when placed under the tongue
  • D. Generalized urticaria with prolonged use

Answer: C

Explanation:
Explanation
(A) Stinging or burning when nitroglycerin is placed under the tongue is to be expected. This effect indicates that the medication is potent and effective for use. Failure to have this response means that the client needs to get a new bottle of nitroglycerin. (B, C, D) The other responses are not expected in this situation and are not even side effects.

NEW QUESTION # 685
A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea, vomiting, and sore throat for the past several days. In caring for a young child with symptoms of influenza, the mother must be cautioned about:

  • A. Giving aspirin and bismuth subsalicylate (Pepto-Bismol) to treat the symptoms
  • B. The possibility of pneumonia as a complication
  • C. Giving clear liquids too soon
  • D. Allowing the child to come in contact with other children for 3 days

Answer: A

Explanation:
Explanation
(A) Aspirin should never be given to children with influenza because of the possibility of causing Reye’s syndrome. Pepto- Bismol is also classified as a salicylate and should be avoided. (B) Depending on the severity of symptoms, the child may be receiving IV therapy or clear liquids. (C) The disease has a 1-3 day incubation period and affected children are most infectious 24 hours before and after the onset of symptoms.
(D) Although viral pneumonia can be a complication of influenza, this would not be an initial priority.

NEW QUESTION # 686
……

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