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NCLEX-RN NCLEX Exam Lab Questions

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Total 862 questions

National Council Licensure Examination(NCLEX-RN) Questions and Answers

Question 53

A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:

Options:

A.

Evidence of perineal irritation

B.

Pulse fell from 102 to 96

C.

Pulse increased from 96 to 102

D.

Temperature rose to 102_F rectally

Question 54

The nurse in the mental health center is instructing a depressed client about the dietary restrictions necessary in taking her medication, which is a monoamine oxidase (MAO) inhibitor. Which of the following is she restricting from the client’s diet?

Options:

A.

Cream cheese

B.

Fresh fruits

C.

Aged cheese

D.

Yeast bread

Question 55

A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:

Options:

A.

Blood pressure increase from 100/80 to 115/85 after lunch

B.

Headache that is unresponsive to acetaminophen (Tylenol)

C.

Pulse rate ranges between 68 bpm and 76 bpm

D.

Temperature rise to 102_F rectally

Question 56

A 16-year-old female client is admitted to the hospital because she collapsed at home while exercising with videotaped workout instructions. Her mother reports that she has been obsessed with losing weight and staying slim since cheerleader try-outs 6 months ago, when she lost out to two of her best friends. The client is 5’4” and weighs 92 lb, which represents a weight loss of 28 lb over the last 4 months. The most important initial intervention on admission is to:

Options:

A.

Obtain an accurate weight

B.

Search the client’s purse for pills

C.

Assess vital signs

D.

Assign her to a room with someone her own age

Page: 14 / 32
Total 862 questions