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NCLEX-RN Exam Answers - 100% Pass NCLEX-RN - First-grade National Council Licensure Examination(NCLEX-RN) Examcollection Dumps

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q412-Q417):

NEW QUESTION # 412
A baby who was diagnosed with pyloric stenosis has continued to have projectile vomiting. With prolonged vomiting, the infant is prone to:

A. Respiratory alkalosis
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory acidosis

Answer: C

Explanation:
(A) Respiratory acidosis is the result of problematic ventilation. Plasma pH decreases, while plasma PCO2 and plasma HCO3 increase. (B) Respiratory alkalosis results from increased respiratory rate and depth. Plasma pH increases, while plasma PCO2 and plasma HCO3 decrease. (C) Metabolic acidosis occurs when there is strong acid gain in the body. Plasma pH, PCO2, and HCO3 decrease. (D) Increased risk for metabolic alkalosis is due to a loss of hydrogen ions; depletion of potassium, sodium, and chloride when vomiting occurs. Plasma pH and plasma PCO2 increase; plasma HCO3 may decrease and then increase to compensate.

NEW QUESTION # 413
A client was admitted to the hospital for a TURP. Within 48 hours of admission and 12 hours postoperatively, both the blood pressure and pulse increased. He became agitated, thought snakes were crawling on his arms and legs, and generally became unmanageable. He pulled out his IV and urinary catheter in attempt to rid himself of the snakes. He was sweating profusely. The admission nurse's notes indicated that the client admitted to "having a few drinks now and then." He is probably experiencing which of the following?

A. Adjustment disorder with mixed features
B. Generalized anxiety disorder
C. Delirium tremens
D. Major psychotic depression

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Symptoms of psychotic depression must exist for at least 2 weeks, and the symptoms must represent a change from previous functioning. (B) Delirium tremens occur approximately on the second or third day following cessation or reduction of alcohol intake. Symptoms would be all those described in the situation.
(C) Symptoms exhibited by this client are not exhibited in clients with anxiety disorders, who manifest excessive or unrealistic worry about life circumstances for at least 6 months. (D) Symptoms for adjustment disorders with mixed emotional features (e.g., depression and anxiety) are different from those exhibited by the client in this situation.

NEW QUESTION # 414
A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner
in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this "psych stuff." When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:

A. Shame
B. Despair
C. Guilt
D. Anger

Answer: D

Explanation:
(A) Guilt relates to depression. (B) Shame is not associated with psychophysiological disorders. (C) Despair relates to depression. (D) Repressed anger is associated with psychophysiological disorders.

NEW QUESTION # 415
A couple is planning the conception of their first child.
The wife, whose normal menstrual cycle is 34 days in length, correctly identifies the time that she is most likely to ovulate if she states that ovulation should occur on day:

A. 22+2 days
B. 20+2 days
C. 16+2 days
D. 14+2 days

Answer: B

Explanation:
(A) Ovulation is dependent on average length of menstrual cycle, not standard 14 days. (B) Ovulation occurs 14+2 days before next menses (34 minus 14 does not equal 16). (C) Ovulation occurs 14+2 days before next menses (34 minus 14 equals 20). (D) Ovulation occurs 14+2 days before next menses (34 minus 14 does not equal 22).

NEW QUESTION # 416
In performing the initial nursing assessment on a client at the prenatal clinic, the nurse will know that which of the following alterations is abnormal during pregnancy?

A. Colostrum
B. Chloasma
C. Dysuria
D. Striae gravidarum

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Striae gravidarum are the normal stretch marks that frequently occur on the breasts, abdomen, and thighs as pregnancy progresses. (B) Chloasma is the "mask of pregnancy" that normally occurs in many pregnant women. (C) Dysuria is an abnormal danger sign during pregnancy and may indicate a urinary tract infection. (D) Colostrum is a yellow breast secretion that is normally present during the last trimester of pregnancy.

NEW QUESTION # 417
......

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NCLEX-RN Exam Answers - 100% Pass NCLEX-RN - First-grade National Council Licensure Examination(NCLEX-RN) Examcollection Dumps

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q412-Q417):

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NCLEX-RN Exam Answers - 100% Pass NCLEX-RN - First-grade National Council Licensure Examination(NCLEX-RN) Examcollection Dumps

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