Latest [Feb 18, 2025] NCLEX NCLEX-RN Real Exam Dumps PDF [Q225-Q247]

NEW QUESTION 225
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:

NEW QUESTION 226
A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy.
The nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

NEW QUESTION 227
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?

NEW QUESTION 228
To prevent fungal infections of the mouth and throat, the nurse should teach clients on inhaled steroids to:

NEW QUESTION 229
A client is pregnant for the fourth time and has had three normal vaginal deliveries. She is in active labor and fully dilated. Suddenly she calls, “Nurse, the baby is coming.” As the nurse responds to her call, which one of the following observations should the nurse make first?

NEW QUESTION 230
A client tells the nurse that he has been hearing voices that tell him to kill his girlfriend because she is a spy. He further states that he is having difficulty not obeying the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:

NEW QUESTION 231
When assessing residual volume in tube feeding, the feeding should be delayed if the amount of gastric contents (residual) exceeds:

NEW QUESTION 232
A 6-year-old child is attending a pediatric clinic for a routine examination. What should the nurse assess for while conducting a vision screening?

NEW QUESTION 233
A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful?

NEW QUESTION 234
Which stage of labor lasts from delivery of the baby to delivery of the placenta?

NEW QUESTION 235
A client has returned to the unit from the recovery room after having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:

NEW QUESTION 236
A female client has been recently diagnosed as bipolar. She has taken lithium for the past several weeks to control mania. What must be included in client education regarding lithium toxicity?

NEW QUESTION 237
A 79-year-old client with Alzheimer’s disease is exhibiting significant memory impairment, cognitive impairment, extremely impaired judgment in social situations, and agitation when placed in a new situation or around unfamiliar people. The nurse should include the following strategy in the client’s care:

NEW QUESTION 238
A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:

NEW QUESTION 239
The client tells the nurse, “I have pain in my left shoulder.”
This is considered:

NEW QUESTION 240
A 2-year-old toddler is hospitalized with epiglottitis. In assessing the toddler, the nurse would expect to find:

NEW QUESTION 241
When preparing insulin for IV administration, the nurse identifies which kind of insulin to use?

NEW QUESTION 242
At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing measure should be included in her plan of care to help alleviate it?

NEW QUESTION 243
Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

NEW QUESTION 244
A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:

NEW QUESTION 245
The nurse teaches a pregnant client that a high-risk symptom occurring at any time during pregnancy that needs to be reported immediately to a healthcare provider is:

NEW QUESTION 246
A client who has gout is most likely to form which type of renal calculi?

NEW QUESTION 247
A client’s behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to: