Free NCLEX NCLEX-RN Exam Dumps Questions & Answers

A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:

• A.  Auscultate the site for a bruit
• B.  Inspect the site for color, warmth, and sensation
• C.  Assess the site for bruising or hematoma
• D.  Assess the site for leakage of blood or fluids

Assessment of severe depression in a client reveals feelings of hopelessness, worthlessness; inability to feel pleasure; sleep, psychomotor, and nutritional alterations; delusional thinking; negative view of self; and feelings of abandonment. These clinical features of the client's depression alert the nurse to prioritize problems and care by addressing which of the following problems first:

• A.  Rest and activity impairment
• B.  Nutritional status
• C.  Impaired thinking
• D.  Possible harm to self

A depressed client is seen at the mental health center for follow-up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur within:

• A.  2 months
• B.  2-4 weeks
• C.  3 months
• D.  10 days

The nurse enters the playroom and finds an 8-year-old child having a grand mal seizure. Which one of the following actions should the nurse take?

• A.  Move furniture out of the way and place a blanket under his head.
• B.  Go to the nurses station and call the physician.
• C.  Place a tongue blade in the child's mouth.
• D.  Restrain the child so he will not injure himself.

After several days, an IDDM client's serum glucose stabilizes, and the registered nurse continues client teaching in preparation for his discharge. The nurse helps him plan an American Diabetes Association diet and explains how foods can be substituted on the exchange list. He can substitute 1 oz of poultry for:

• A.  Two slices of bacon
• B.  One frankfurter
• C.  One-fourth cup dry cottage cheese
• D.  One ounce of ham