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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q253-Q258):

NEW QUESTION # 253
The client has been in active labor for the last 12 hours. During the last 3 hours, labor has been augmented with oxytocin because of hypoactive uterine contractions. Her physician assesses her cervix as
95% effaced, 8 cm dilated, and the fetus is at 0 station. Her oral temperature is 100.2F at this time. The physician orders that she be prepared for a cesarean delivery. In preparing the client for the cesarean delivery, which one of the following physician's orders should the RN question?

A. Prepare abdominal area from below the nipples to below the symphysis pubis area.
B. Administer meperidine (Demerol) 100 mg IM 1 hour prior to the delivery.
C. Insert an indwelling Foley catheter prior to delivery.
D. Discontinue the oxytocin infusion.

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Meperidine is a narcotic analgesic medication that crosses the placental barrier and reaches the fetus, causing respiratory depression in the fetus. A narcotic medication should never be included in the preoperative order for a cesarean delivery. (B) Oxytocin infusion would be discontinued if client is being prepared for a cesarean delivery because the medication would not be needed. (C) The bladder is always emptied prior to and during the surgical intervention to prevent the urinary bladder from accidentally being incised while the uterine incision is made. (D) The abdominal area is always prepared to rid the area of hair before the abdominal incision is made. Abdominal hair cannot be sterilized and could become a source for postoperative incisional infection.

NEW QUESTION # 254
When assessing a female child for Turner's syndrome, the nurse observes for which of the following symptoms?

A. Gynecomastia
B. Secondary sex characteristics
C. Tall stature
D. Amenorrhea

Answer: D

Explanation:
Explanation
(A) This syndrome is caused by absence of one of the X chromosomes. These children are short in stature. (B) Amenorrhea is a symptom of Turner's syndrome, which appears at puberty. (C) Sexual infantilism is characteristic of this syndrome. (D) Gynecomastia is a symptom in Klinefelter's syndrome.

NEW QUESTION # 255
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 Nagele's rule is:

A. February 27
B. January 3
C. March 27
D. February 1

Answer: A

Explanation:
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated date of confinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 is a miscalculation.

NEW QUESTION # 256
The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

A. "I will wear an eye patch for the first 3 postoperative days."
B. "I will wash my hands before instilling eye medications."
C. "I will wear sunglasses when going outside."
D. "I will maintain the sterility of the eye medications."

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Hand washing would be an important action designed to prevent transmission of pathogens from the hands to the eye. (B) Wearing sunglasses when going outside will prevent airborne pathogens from entering the eye. (C) Eye patches are most frequently ordered to be worn while the client sleeps or naps, not constantly for this length of time. (D) Eye medications are sterile; clients need to be taught how to maintain this sterility.

NEW QUESTION # 257
A 2-year-old toddler is hospitalized with epiglottitis. In assessing the toddler, the nurse would expect to find:

A. Drooling
B. Expiratory stridor
C. A productive cough
D. Crackles in the lower lobes

Answer: A

Explanation:
Explanation
(A) A productive cough is not associated with epiglottitis. (B) Children with epiglottitis seldom have expiratory stridor. Inspiratory stridor is more common due to edema of the supraglottic tissues. (C) Because of difficulty with swallowing, drooling often accompanies epiglottitis. (D) Crackles are not heard in the lower lobes with epiglottitis because the infection is usually confined to the supraglottic structures.

NEW QUESTION # 258
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