BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE
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Question: 1
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult- onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:
A. Acute urinary retention
B. Hesitancy in starting urination
C. Increased frequency of urination
D. Decreased force of the urinary stream
Answer: A
Explanation:
(A) Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization. (B, C, D) This choice is a symptom of BPH, but it is not serious or life threatening.
Question: 2
A primigravida is at term. The nurse can recognize the second stage of labor by the client’s desire to:
A. Push during contractions
B. Hyperventilate during contractions
C. Walk between contractions
D. Relax during contractions
Answer: A
Explanation:
(A) The second stage of labor is characterized by uterine contractions, which cause the client to
bear down. (B) Slow, deep, rhythmic breathing facilitates the laboring process. Hyperventilation is abnormal breathing resulting from loss of pain control. (C) The client should remain on bed rest during labor. (D) Contractions result in discomfort.
Question: 3
The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medication is diluted as recommended in 10 mL in the volume control chamber of a set that has a tubing of 12 mL. Which nursing measure is most accurate considering these facts?
A. Infuse volume at 44 mL/hr.
B. Infuse volume at 22 mL/hr.
C. Infuse volume at 10 mL/hr.
D. Infuse volume at 30 mL/hr.
Answer: A
Explanation:
(A) The volume to be infused should be diluted medication volume added to the volume control chamber (10 mL) plus the tubing volume (12 mL). The general formula for calculating IV medications for children is: Rate = Volume to Be Infused X Administration Set Drop Factor (microdrop: 60 gtts/min) Desired Time to Infuse in Minutes Rate = (10 + 12)22 X 60 30 = 44 mL/hr. (B, C, D) These values are incorrect.
Question: 4
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele’s rule is:
A. March 27
B. February 1
C. February 27
D. January 3
Answer: C
Explanation:
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated date of confinement using Nagele’s rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 is a miscalculation.
Question: 5
A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT) by instructing the female client to take her temperature:
A. Orally in the morning and at bedtime
B. Only one time during the day as long as it is always at the same time of day
C. Rectally at bedtime
D. As soon as she awakens, prior to any activity
Answer: D
Explanation:
(A) Monitoring temperature twice a day predicts the biphasic pattern of ovulation. (B) Prediction of ovulation relies on consistency in taking temperature. (C)Nightly rectal temperatures are more accurate in predicting ovulation. (D) Activity changes the accuracy of basal body temperature and ability to detect the luteinizing hormone surge. [Show Less]