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NCLEX QOD EXAM QUESTIONS AND 100% CORRECT ANSWERS
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NCLEX QOD EXAM QUESTIONS AND 100% CORRECT ANSWERSAfter surgery to treat a hip fracture, a client returns from the postanesthesia care unit to
the medical-surgical unit. Postoperatively, how should the nurse position the client?
a) With the affected hip flexed acutely
b) With the leg on the affected side abducted<>
c) With the leg on the affected side adducted><
d) With the affected hip rotated externally - ANSWER b) With the leg on the affected
side abducted<>
The nurse is assessing the urine of a client who has had an ileal conduit and notes that
the urine is yellow with a moderate amount of mucus. Based on these data, the nurse
should?
a) Change the appliance bag.
b) Notify the physician.
c) Obtain a urine specimen for culture.
d) Encourage a high fluid intake. - ANSWER d) Encourage a high fluid intake.
In preparing the client and the family for a postoperative stay in the intensive care unit
(ICU) after open heart surgery, the nurse should explain that:
a) The client will remain in the ICU for 5 days.
b) The client will sleep most of the time while in the ICU.
c) Noise and activity within the ICU are minimal.
d) The client will receive medication to relieve pain. - ANSWER d) The client will receive
medication to relieve pain.
,The nurse is caring for a multigravid client who speaks little English. As the nurse enters
the client's room, the nurse observes the client squatting on the bed and the fetal head
crowning. After calling for assistance and helping the client lie down, which of the
following actions should the nurse do next?
a) Tell the client to push between contractions.
b) Provide gentle support to the fetal head.
c) Apply gentle upward traction on the neonate's anterior shoulder.
d) Massage the perineum to stretch the perineal tissues. - ANSWER b) Provide gentle
support to the fetal head.
Which medication is considered safe during pregnancy?
a) Aspirin
b) Magnesium hydroxide
c) Insulin
d) Oral antidiabetic agents - ANSWER c) Insulin
Which condition or characteristic is related to the cluster of symptoms associated with
disorganized schizophrenia?
a) Odd beliefs
b) Flat affect
c) Waxy flexibility
d) Systematized delusions - ANSWER b) Flat affect
The nurse is assessing a client's testes. Which of the following findings indicate the
testes are normal?
, a) Soft.
b) Egg-shaped
c) Spongy.
d) Lumpy. - ANSWER b) Egg-shaped
A client with major depression sleeps 18 to 20 hours per day, shows no interest in
activities he previously enjoyed and reports a 17-lb (7.7-kg) weight loss over the past
month. Because this is the client's first hospitalization, the physician is most likely to
order:
a) phenelzine (Nardil).
b) thiothixene (Navane).
c) nortriptyline (Pamelor).
d) trifluoperazine (Stelazine). - ANSWER c) nortriptyline (Pamelor).
The American Cancer Society recommends routine screening to detect colorectal
cancer. Which screening test for colorectal cancer should a nurse recommend?
a) Carcinoembryonic antigen (CEA) test after age 50
b) Proctosigmoidoscopy after age 30
c) Annual digital examination after age 40
d) Barium enema after age 20 - ANSWER c) Annual digital examination after age 40
A client's gestational diabetes is poorly controlled throughout her pregnancy. She goes
into labor at 38 weeks and gives birth. Which priority intervention should be included in
the care plan for the neonate during his first 24 hours?
a) Administer insulin subcutaneously.
b) Administer a bolus of glucose I.V.
c) Provide frequent early feedings with formula.
, d) Avoid oral feedings. - ANSWER c) Provide frequent early feedings with formula.
A client has a herniated disk in the region of the third and fourth lumbar vertebrae.
Which nursing assessment finding most supports this diagnosis?
a) Hypoactive bowel sounds
b) Severe lower back pain
c) Sensory deficits in one arm
d) Weakness and atrophy of the arm muscle - ANSWER b) Severe lower back pain
The physician ordered I.V. naloxone (Narcan) to reverse the respiratory depression
from morphine administration. After administration of the naloxone the nurse should:
a) Check respirations in 5 minutes because naloxone is immediately effective in
relieving respiratory depression.
b) Check respirations in 30 minutes because the effects of morphine will have worn off
by then.
c) Monitor respirations frequently for 4 to 6 hours because the client may need
repeated doses of naloxone.
d) Monitor respirations each time the client receives morphine sulfate 10 mg I.M -
ANSWER c) Monitor respirations frequently for 4 to 6 hours because the client may need
repeated doses of naloxone
A group of nurses has established a focus group and pilot study to examine the potential
application of personal data assistants (PDAs) in bedside care. This study is a tangible
application of:
a) Nursing informatics.
b) Electronic medical records.
c) Telemedicine.
d) Computerized documentation - ANSWER a) Nursing informatics.
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