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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q408-Q413):

NEW QUESTION # 408
When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extravasation occurs, the nurse should be prepared to administer which of the following medications directly into the site?

• A. Phentolamine (Regitine)
• B. Epinephrine
• C. Sodium bicarbonate
• D. Phenylephrine (Neo-Synephrine)

Answer: A Explanation:
Explanation
(A) Phentolamine is given to counteract the-adrenergic effects that cause ischemia and necrosis of local tissue.
(B) Epinephrine is an endogenous catecholamine that produces vasoconstriction and increases heart rate and contractility. (C) Phenylephrine causes constriction of arterioles of skin, mucous membranes, and viscera, which in turn can cause ischemia and necrosis. (D) Sodium bicarbonate is an alkalinizing agent that is incompatible with dopamine.
NEW QUESTION # 409
In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

• A. Clay-colored stools
• B. Steatorrhea stools
• C. Dark brown stools
• D. Blood-tinged stools

Answer: B Explanation:
(A) Clay-colored stools indicate dysfunction of the liver or biliary tract. (B) In the early stages of cystic fibrosis, fat absorption is primarily affected resulting in fat, foul, frothy, bulky stools. (C) Dark brown stools indicate normal passage through the colon. (D) Blood-tinged stools indicate dysfunction of the gastrointestinal (GI) tract.
NEW QUESTION # 410
A client has been uncomfortable in crowds all her life. After the birth of her child, she has been housebound unless her husband can accompany her to the grocery store and for medical appointments.
His schedule will not allow for this, and he has insisted that she must be more independent. Her anxiety has increased to the point of panic. The client has been diagnosed with agoraphobia. Which statement is true about this disorder?

• A. More men suffer from agoraphobia than women.
• B. The fears are persistent, and avoidance is used as the coping mechanism.
• C. Agoraphobia moves into remission when treated with chlorpromazine.
• D. The behavior is not considered disabling.

Answer: B Explanation:
Explanation/Reference:
Explanation:
(A) Agoraphobia is the most pervasive and serious phobic disorder. (B) Women compose 70%-85% of agoraphobia sufferers. (C) Agoraphobia is an acute disorder that immobilizes the sufferer with extreme anxiety. (D) Chlorpromazine is not a drug used to treat phobias.
NEW QUESTION # 411
A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-eight hours after the burn injury, the nurse must begin to monitor the child for which one of the following complications?

• A. Decreased cardiac output
• B. Fluid volume excess
• C. Severe hypotension
• D. Fluid volume deficit

Answer: B Explanation:
Explanation
(A) Fluid volume deficit resulting from fluid shifts to the interstitial spaces occurs in the first 48 hours. (B) Forty-eight hours to 72 hours after the burn injury and fluid resuscitation, capillary permeability is restored and fluid requirements decrease. Interstitial fluid returns rapidly to the vascular compartment, and the nurse must monitor the child for signs and symptoms of hypervolemia. (C) Increased cardiac output results as fluids shift back to the vascular compartment. (D) Hypertension is the result of hypervolemia.
NEW QUESTION # 412
A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The nurse's response is:

• A. Up to 1 oz daily
• B. No alcohol
• C. Up to 4 oz weekly
• D. Up to 2 oz daily

Answer: B Explanation:
Explanation
(A, B, C) No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. (D) The recommended safe dosage of alcohol consumption during pregnancy is none.
NEW QUESTION # 413
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