BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRE, Exams of Nursing

Download BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRE and more Exams Nursing in PDF only on Docsity! BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ 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. Question: 6 A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow. Appropriate nursing actions to help control hyperventilating include: A. Administering diazepam (Valium) 1015 mg po q4h and q1h prn for hyperventilating episode B. Keeping the temperature in the client’s room at a high level to reduce respiratory stimulation BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ (A) This is not a supportive statement. There are also no data to indicate the family’s religious beliefs. (B) Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say "good-bye." (C) Parents need time to get to know their baby. (D) This is not a comforting statement when a baby has died. There are also no guarantees that the couple will be able to have another child. Question: 8 A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is worried about having this surgery, has not slept well lately, and is afraid that her husband will not find her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid and deep. Assessment reveals that the client is: BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ A. Having a heart attack B. Wanting attention from the nurses C. Suffering from complete upper airway obstruction D. Hyperventilating Answer: D Explanation: (A) Classic symptoms of a heart attack include heaviness or squeezing pain in the chest, pain spreading to the jaw, neck, and arm. Nausea and vomiting, sweating, and shortness of breath may be present. The client does not exhibit these symptoms. (B) Clients suffering from anxiety or fear prior to surgical procedures may develop hyperventilation. This client is not seeking attention. (C) Symptoms of complete airway obstruction include not being able to BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ speak, and no airflow between the nose and mouth. Breath sounds are absent. (D) Tightness in the chest; a feeling of suffocation; lightheadedness; tingling in the hands; and rapid, deep respirations are signs and symptoms of hyperventilation. This is almost always a manifestation of anxiety. Question: 9 A 44-year-old client had an emergency cholecystectomy 3 days ago for a ruptured gallbladder. She complains of severe abdominal pain. Assessment reveals abdominal rigidity and distention, increased temperature, and tachycardia. Diagnostic testing reveals an elevated WBC count. The nurse suspects that the client has developed: A. Gastritis B. Evisceration C. Peritonitis D. Pulmonary embolism BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: D Explanation: (A) Regional anesthesia does not produce loss of consciousness and is indicated for excision of moles, cysts, and endoscopic surgeries. (B) Varying amounts of anesthetic agents are used when employing balanced anesthesia. Amounts depend on age, weight, condition of the client, and surgical procedure. (C) General anesthesia is a drug- induced depression of the central nervous system that produces loss of consciousness and decreased muscle activity. (D) Balanced anesthesia is a combination of a number of anesthetic agents that produce a smooth induction, appropriate depth of anesthesia, and appropriate muscle relaxation with minimal complications. Question: 11 Following a gastric resection, a 70-year-old client is admitted to the postanesthesia care unit. He was extubated prior to leaving the BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ suite. On arrival at the postanesthesia care unit, the nurse should: A. Check airway, feeling for amount of air exchange noting rate, depth, and quality of respirations B. Obtain pulse and blood pressure readings noting rate and quality of pulse C. Reassure the client that his surgery is over and that he is in the recovery room D. Review physician’s orders, administering medications as ordered Answer: A Explanation: (A) Adequate air exchange and tissue oxygenation depend on competent respiratory function. Checking the airway is the nurse’s BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ priority action. (B) Obtaining the vital signs is an important action, but it is secondary to airway management. (C) Reorienting a client to time, place, and person after surgery is important, but it is secondary to airway and vital signs. (D) Airway management takes precedence over physician’s orders unless they specifically relate to airway management. Question: 12 A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had episodes of muscle cramps, weakness, and unexplained temperature elevation. Many years ago her father died shortly after surgery after developing a high fever. She further tells the nurse that her surgeon is having her take dantrolene sodium (Dantrium) prophylactically prior to her tonsillectomy. Dantrolene sodium is ordered preoperatively to reduce the risk or prevent: A. Infection postoperatively B. Malignant hyperthermia BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Explanation: (A) Patent ductus arteriosus repair is a closed-heart procedure. The client is not placed on a heart-lung machine. (B) Patent ductus arteriosus is a ductus arteriosus that does not close shortlyafter birth but remains patent. Repair is a closed-heart procedure involving ligation of the patent ductus arteriosus. (C) Coronary artery bypass graft surgery is an open-heart surgical procedure in which blocked coronary arteries are bypassed using vessel grafts. (D) Percutaneous transluminal coronary angioplasty is a closedheart procedure that improves coronary blood flow by increasing the lumen size of narrowed vessels. Question: 14 A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A vial containing atropine 0.4 mg (1/150 g)/mL is on hand. How much atropine should be BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ given? A. 0.06 mL B. 0.38 mL C. 2.7 mL D. Information given insufficient to determine the amount of atropine to be administered Answer: B Explanation: (A, C) Information was incorrectly placed in the formula, resulting in an incorrect answer. (B) The answer is correct. 0.4 mg = 1 mL:0.15 mg 5 = mL 0.4 x = 0.15 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ x = 0.15/0.4 x = 0.375 or 0.38 mL (D)Sufficient information is provided to determine the amount of atropine to administer. The amount of atropine available and the amount of atropine ordered is required to determine the amoun Question: 15 The mother of a preschooler reports to the nurse that he frequently tells lies. The admission assessment of the child indicates possible child abuse. The nurse knows that his: A. Behavior is not normal, and a child psychiatrist should be consulted. B. Mother is lying to protect herself. C. Lying is normal behavior for a preschool child who is learning to separate fantasy from reality. D. Behavior indicates a developmental delay, because preschoolers should be able to tell right from wrong. BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ saturation. The pulse oximeter does not measure the PO2. (B) The pulse oximeter is a noninvasive method of measuring the arterial oxygen saturation. (C) The PO2 is the amount of O2 dissolved in plasma, which the pulse oximeter does not measure. (D) The affinity of hemoglobin for O2 is the relationship between oxygen saturation and PO2 and is not measured by the pulse oximeter. Question: 17 A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, and legs. His mother states that he fell down some steps. The nurse suspects that he may have been physically abused. In accordance with the law, the nurse must: A. Tell the physician her concerns B. Report her suspicions to the authorities C. Talk to the child’s father D. Confront the child’s mother BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: B Explanation: (A) Although the nurse probably would talk to the physician about these concerns, the nurse is not required by law to do so. (B) All healthcare workers are required by the Federal Child Abuse Prevention and Treatment Act of 1974 to report suspected and actual cases of child abuse and/or neglect. (C) Talking to the child’s father may or may not help the child, and the nurse is not required by law to do so. (D) Confrontation may not be indicated; the nurse is not required by law to confront the child’s mother with these suspicions. Question: 18 The nurse knows that children are more susceptible to respiratory tract infections owing to physiological differences. These childhood differences, when compared to an adult, include: A. Fewer alveoli, slower respiratory rate BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ B. Diaphragmatic breathing, larger volume of air C. Larger number of alveoli, diaphragmatic breathing D. Rounded shape of chest, smaller volume of air Answer: D Explanation: (A) Although a child has fewer alveoli than an adult, the child’s respiratory rate is faster. (B) Although a child may use diaphragmatic breathing, the adult exchanges a larger volume of air. (C) The adult has a larger number of alveoli than a child. (D) The child’s chest is rounded whereas the adult chest is more of an oval shape, and the child does exchange a smaller volume of air than an adult. Question: 19 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Which of the following nursing care goals has the highest priority for a child with epiglottitis? A. Sleep or lie quietly 10 hr/day. B. Consume foods from all four food groups. C. Be afebrile throughout her hospital stay. D. Participate in play activities 4 hr/day. Answer: A Explanation: (A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to allow for rest is the most important. (B) Although nutrition is important, the child needs fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child may not be able to swallow solid foods owing to epiglottic BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ swelling. (C) This goal is unrealistic because fever is a common symptom of the infection associated with epiglottitis. (D) If overexerted, the child will need more O2 and energy than available, and these requirements may exacerbate the condition. t of atropine to be given. Question: 21 A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH 7.30, PCO2 51 mm Hg, HCO3, 18 mEq/L, PaO2, 84 mm Hg. The nurse would interpret these results as: A. Compensated metabolic alkalosis B. Respiratory acidosis C. Partially compensated metabolic alkalosis D. Combined respiratory and metabolic acidosis BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: D Explanation: BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Question: 23 The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly–High risk for injury: Increased susceptibility to bleeding related to: A. Increased absorption of vitamin K B. Thrombocytopenia due to hypersplenism C. Diminished function of the Kupffer cells D. Increased synthesis of the clotting factors Answer: B Explanation: (A) There is a decreased absorption of vitamin K with cirrhosis of the liver. This decrease impairs blood coagulation and the formation of prothrombin. (B) Thrombocytopenia, an increased destruction of BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ platelets, occurs secondary to hypersplenism. (C) A diminished function of the Kupffer cells occurs with cirrhosis of the liver, causing the client to become more susceptible to infections. (D) A decrease in the synthesis of fibrinogen and clotting factors VII, IX, and X occurs with cirrhosis of the liver and increases the susceptibility to bleeding. Question: 24 During the assessment, the nurse observes a client scratching his skin. He has been admitted to rule out Laennec’s cirrhosis of the liver. The nurse knows the pruritus is directly related to: A. A loss of phagocytic activity B. Faulty processing of bilirubin C. Enhanced detoxification of drugs D. The formation of collateral circulation Answer: B BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Explanation: (A) A loss in the phagocytic activity of the Kupffer cells occurs with cirrhosis of the liver, which increases the BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ following foods would be appropriate for his bedtime snack? A. Fresh fruit B. A milkshake C. Saltine crackers and peanut butter D. A ham and cheese sandwich Answer: B Explanation: (A) Albumin, a blood volume expander, increases the circulating blood volume by exerting an osmotic pull on tissue fluids, pulling them into the vascular system. This fluid shift causes an increase in the heart rate and blood pressure. (B) Albumin, a blood volume expander, exerts an osmotic pull on fluids in the interstitial spaces, pulling the fluid back into the circulatory system. This fluid shift BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ causes an increase in the urinary output. (C) Adventitious breath sounds and dyspnea can occur due to circulatory overload if the albumin is infused too rapidly. (D) Chills, fever, itching, and rashes are signs of a hypersensitivity reaction to albumin. Question: 27 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to: A. Prevent systemic infection B. Promote diuresis C. Decrease ammonia formation D. Acidify the small bowel Answer: C BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Explanation: (A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic coma. (B) BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ A. Increase your oral intake of fluids to at least 4000 mL every day. B. Avoid contact with people who have contagious illnesses. C. Brush your teeth at least 4 times a day with a firm toothbrush. D. Immediately stop taking the prednisone if you feel depressed. Answer: B Explanation: (A) Fluid retention is a side effect of prednisone. The nurse should teach clients to weigh themselves daily and to observe for signs of edema. If these signs of fluid retention occur, they should notify the physician. (B) Prednisone, a glucocorticoid, suppresses the normal immune response making the client more susceptible to infections. (C) An increase in bleeding tendencies is a side effect of prednisone therapy. The nurse should teach clients to use preventive measures BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ (i.e., electric razors and soft toothbrushes). (D) Depression and personality changes are side effects of prednisone therapy. Prednisone should never be discontinued abruptly. Question: 30 When assessing a client, the nurse notes the typical skin rash seen with systemic lupus erythematosus. Which of the following descriptions correctly describes this rash? A. Small round or oval reddish brown macules scattered over the entire body B. Scattered clusters of macules, papules, and vesicles over the body C. Bright red appearance of the palmar surface of the hands D. Reddened butterfly shaped rash over the cheeks and nose Answer: D BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Explanation: (A) The appearance of small, round or oval reddish brown macules scattered over the entire body is characteristic of rubeola. (B) The appearance of scattered clusters of macules, papules, and vesicles throughout the body is characteristic of chickenpox. (C) Palmar redness is seen in clients with cirrhosis of the liver. (D) The characteristic BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: B Explanation: (A) A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye. (B) Streptokinase activates plasminogen, dissolving fibrin deposits. To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. (C) The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. (D) The client is kept on bed rest for 812 hours following the procedure because of the potential for bleeding. Question: 33 BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ The nurse notes scattered crackles in both lungs and 1+ pitting edema when assessing a cardiac client. The physician is notified and orders furosemide (Lasix) 80 mg IV push stat. Which of the following diagnostic studies is monitored to assess for a major complication of this therapy? A. Serum electrolytes B. Arterial blood gases C. Complete blood count D. 12-Lead ECG Answer: A Explanation: (A) Furosemide, a potassium-depleting diuretic, inhibits the reabsorption of sodium and chloride from the loop of Henle and the BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ distal renal tubules. Serum electrolytes are monitored for hypokalemia. (B) Severe acid-base imbalances influence the movement of potassium into and out of the cells, but arterial blood gases to not measure the serum potassium level. (C) Furosemide is a potassium-depleting diuretic. A complete blood count does not reflect potassium levels. (D) Abnormalities in potassium (both hyperkalemia and hypokalemia) are reflected in BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ therapy? A. "If you forget to take your morning dose, double the night time dose." B. "You should take aspirin instead of acetaminophen (Tylenol) for headaches." C. "Carry a medications alert card with you at all times." D. "You should use a straight-edge razor when shaving your arms and legs." Answer: C Explanation: (A) Warfarin must always be taken exactly as directed. Clients should be instructed never to skip or double up on their dosage. (B) Aspirin decreases platelet aggregation, which would potentiate the BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ effects of the coumadin. (C) Healthcare providers need to be aware of persons on warfarin therapy prior to the initiation of any diagnostic tests and/or surgery to help prevent bleeding complications. (D) An electric razor should be used to prevent accidental cutting, which can lead to bleeding. Question: 36 A 40-year-old client has been admitted to the hospital with severe substernal chest pain radiating down his left arm. The nurse caring for the client establishes the following priority nursing diagnosis– Alteration in comfort, pain related to: A. Increased excretion of lactic acid due to myocardial hypoxia B. Increased blood flow through the coronary arteries C. Decreased stimulation of the sympathetic nervous system D. Decreased secretion of catecholamines secondary to anxiety BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: A Explanation: (A) Anaerobic metabolism results because the decreased blood supply to the myocardium causes a release of lactic acid. Lactic acid is an irritant to the myocardial neural receptors, producing chest pain. (B) Chest pain is caused by a decrease in the O2 supply to the myocardial cells. Treatment modalities for chest pain are aimed toward increasing the blood flow through coronary arteries. (C) Chest pain causes an increase in the stimulation of the BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ client for this procedure? A. Validate that he is not allergic to iodine or shellfish. B. Instruct him to start active range of motion of his left leg immediately following the procedure. C. Inform him that he will not be able to eat or drink anything for 4 hours after the procedure. D. Inform him that vital signs will be taken every hour for 4 hours after the procedure. Answer: A Explanation: (A) Angiography, an invasive radiographic examination, involves the injection of a contrast solution (iodine) through a catheter that has been inserted into an artery. (B) The client is kept on complete bed BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ rest for 612 hours after the procedure. The extremity in which the catheter was inserted must be immobilized and kept straight during this time. (C) The contrast dye, iodine, is nephrotoxic. The client must be instructed to drink a large quantity of fluids to assist the kidneys in excreting this contrast media. (D) The major complication of this procedure is hemorrhage. Vital signs are assessed every 15 minutes initially for signs of bleeding. Question: 39 An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following: A. Both lower extremities warm to touch with 2_pedal pulses B. Both lower extremities cyanotic when placed in a dependent position C. Decreased or absent pedal pulse in the left leg BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ D. The left leg warmer to touch than the right leg Answer: C Explanation: (A) This statement describes a normal assessment finding of the lower extremities. (B) This assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal pulses reflect a problem caused by BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: B Explanation: (A) A lactose-restricted diet is prescribed for children with lactose intolerance or diarrhea. (B) A gluten-restricted diet is the diet for children with celiac disease. (C) A phenylalaninerestricted diet is prescribed for children with phenylketonuria. (D) A fat-restricted diet is prescribed for children with disorders of the liver, gallbladder, or pancreas. Question: 42 A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is: A. Disorientation B. Low-grade fever C. Diarrhea D. Hypertension BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: A Explanation: (A) Disorientation is the first sign of sepsis in burn children. (B) Low-grade fever is not indicative of sepsis. (C) Diarrhea is not indicative of sepsis. (D)Hypertension is not indicative of sepsis. Question: 43 Nursing assessment of early evidence of septic shock in children at risk includes: A. Fever, tachycardia, and tachypnea B. Respiratory distress, cold skin, and pale extremities C. Elevated blood pressure, hyperventilation, and thready pulses D. Normal pulses, hypotension, and oliguria Answer: A BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Explanation: (A) Fever, tachycardia, and tachypnea are the classic early signs of septic shock in children. (B) Respiratory distress, cold skin, and pale extremities are later signs of septic shock. (C) Elevated blood pressure, hyperventilation, and thready pulses are later signs of septic shock. (D) Normal pulses, hypotension, and oliguria are not early signs of septic shock. Question: 44 A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child’s case manager knows that treatment has been effective when: A. The child is removed from the home and placed in foster care B. The child’s parents identify the ways in which he is different from the rest of the family C. The child’s father is arrested for child abuse BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ intestines. Administering antibiotics prophylactically can reduce the client’s risk for infection. (C) Antibiotics are indicated in the treatment of infections and have no effect on emotions. (D) Antipyretics are useful in the treatment of elevated temperatures. Antibiotics would have an effect on infection, which causes temperature elevation, but would not directly affect such an elevation. Question: 46 A 19-month-old child is admitted to the hospital for surgical repair of patent ductus arteriosus. The child is being BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ given digoxin. Prior to administering the medication, the nurse should: A. Not give the digoxin if the pulse is_60 B. Not give the digoxin if the pulse is_100 C. Take the apical pulse for a full minute D. Monitor for visual disturbances, a side effect of digoxin Answer: C Explanation: (A) Digoxin should not be given to adults with an apical pulse < 60 bpm. (B) Digoxin should be given to children with an apical pulse > 100 bpm. With a pulse < 100 bpm, the medication should be withheld and the physician notified. (C) Prior to digoxin administration in both children and adults, an apical pulse should be taken for 1 full minute. Aside from the rate per minute, the nurse BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ should note any sudden increase or decrease in heart rate, irregular rhythm, or regularization of a chronic irregular heart rhythm. (D) Early indications of digoxin toxicity, such as visual disturbances, occur rarely as initial signs in children. Question: 47 A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in onehalf normal saline infusing at 125 mL/hr and is receiving morphine sulfate 1015 mg IM q4h prn for pain. She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would: A. Provide food and fluids at the client’s request B. Maintain IV, increasing the rate hourly until the client voids C. Report to the surgeon if the client is unable to void within 8 hours of surgery D. Hold morphine sulfate injections for pain until the client BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: A Explanation: (A) Water is a hypotonic solution and will deplete electrolytes and cause metabolic acidosis when used for nasogastric irrigation. (B) Irrigating with saline does not cause abdominal discomfort. Severe, colicky abdominal pain is a symptom of intestinal obstruction. (C) Irrigating with water will not cause restlessness or insomnia in the postoperative client. Restlessness and insomnia can be emotional complications of surgery. (D) A nasogastric tube BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ placed in the stomach is used to decompress the bowel. Irrigating with saline ensures a patent, well- functioning tube. Irrigating with saline will not increase peristalsis. Question: 49 The nurse writes the following nursing diagnosis for a client in acute renal failure–Impaired gas exchange related to: A. Decreased red blood cell production B. Increased levels of vitamin D C. Increased red blood cell production D. Decreased production of renin Answer: A Explanation: (A) Red blood cell production is impaired in renal failure owing to BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ impaired erythropoietin production. This causes a decrease in the delivery of oxygen to the tissue and impairs gas exchange. (B) The conversion of vitamin D to its physiologically active form is impaired in renal failure. (C) In renal failure, a decrease in red blood cell production occurs owing to an impaired production of erythropoietin, leading to impaired gas exchange at the cellular level. (D) The decreased production of renin in renal failure causes an increased production of aldosterone causing sodium and water retention. Question: 50 A 6-year-old child returned to the surgical floor 20 hours ago after an appendectomy for a gangrenous appendix. His mother tells the nurse that he is becoming more restless and is anxious. Assessment findings indicate that the child has atelectasis. Appropriate nursing actions would include: A. Allowing the child to remain in the position of comfort, BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: B Explanation: (A) Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. (B) If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. (C) Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. (D) Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside. Question: 52 A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ pay close attention to the client’s: A. Level of insight B. Thought processes C. Mood and affect D. Abstracting abilities Answer: C Explanation: (A) Assessing the client’s level of insight is an important part of the mental status exam (MSE), but it does not reflect suicide potential. (B) Assessing the client’s thought processes is an important part of the MSE, but it does not reflect suicide potential. (C) Assessing the client’s mood and affect is an important part of the MSE, and it can be a very valuable indicator of suicide potential. Frequently a client BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ who has decided to proceed with suicide plans will exhibit a suddenly improved mood and affect. (D) Assessing a client’s abstracting abilities is an important part of the MSE, but it does not reflect suicide potential. Question: 53 On assessment, the nurse learns that a chronic paranoid schizophrenic has been taking "the blue pill" (haloperidol) in the morning and evening, and "the white pill" (benztropine) right before bedtime. The nurse might suggest to the BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Explanation: (A) Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or druginduced extrapyramidal symptoms (EPS). (B) Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. (C) Orthostatic hypotension, a drop in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. (D) Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications. Question: 55 A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, "I can’t stay still at night. I toss and turn and can’t fall asleep." The nurse suspects that she may be experiencing: A. Akathisia B. Akinesia C. Dystonia D. Opisthotonos Answer: A Explanation: (A) Akathisia, or motor restlessness, is a reversible EPS frequently associated with the administration of antipsychotic drugs such as BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ haloperidol. (B) Akinesia, or muscular or motor retardation, is an example of reversible EPS frequently associated with the administration of major tranquilizers such as haloperidol. (C) Acute dystonic reactions, bizarre and severe muscle contractions usually of the tongue, face, neck or extraocular muscles, are examples of EPS. (D) Opisthotonos, a severe type of whole-body dystonic reaction in which the head and heels BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ of his major depression with tranylcypromine sulfate (Parnate), a monoamine oxidase (MAO) inhibitor. The nurse teaches the client that while he is taking this type of antidepressant, he needs to restrict his dietary intake of: A. Potassium-rich foods B. Tryptophan C. Tyramine D. Saturated fats Answer: C Explanation: (A) The client may need to avoid some potassium-rich foods (such as bananas, raisins, etc.). However, this is not because of the potassium content of these foods. (B) Tryptophan is an essential amino acid that BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ is present in high concentrations in animal and fish protein. (C) The client will need to watch his dietary intake of tyramine. Tyramine is a by-product of the conversion of tyrosine to epinephrine. Tyramine is found in a variety of foods and beverages, ranging from aged cheese to caffeine drinks. Ingestion of tyramine-rich foods while taking a MAO inhibitor may lead to an increase in blood pressure and/or a life-threatening hypertensive crisis. (D) To maintain a healthy lifestyle, restriction of dietary saturated fats is advisable. Question: 58 A 23-year-old female client is brought to the emergency room by her roommate for repeatedly making superficial cuts on her wrists and experiencing wide mood swings. She is very angry and hostile. Her medical diagnosis is adjustment disorder versus borderline personality disorder. The client comments to the nurse, "Nobody in here seems to really care about the clients. I thought nurses cared about people!" The client is exhibiting the ego defense mechanism: BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ A. Reaction formation B. Rationalization C. Splitting D. Sublimation Answer: C BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ nontherapeutic statement requests that the client explain the reasons for her behavior, a difficult task for an individual with limited insight. (C) This statement is a nontherapeutic response that both ignores the intensity of the client’s emotions and the dynamics underlying "splitting" behavior. (D) By simultaneously acknowledging the client’s emotional intensity and gently challenging her "splitting" behavior, the nurse addresses the client’s current distortions and prepares for further interventions with angry or ambivalent feelings. Question: 60 A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa would be: A. Accepting her present body image B. Verbalizing realistic feelings about her body C. Having an improved perception of her body image D. Exhibiting increased self-esteem BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ Answer: B Explanation: (A) This outcome criterion is inadequate because the term "accepts" is not directly measurable. (B) This outcome criterion is directly measurable because specific goal-related verbalizations can be heard and verified by the nurse. (C) "Improved perception of body image" is not directly measurable and is therefore open to many interpretations. (D) Although long-term goals for the anorexic client should focus on increased self-esteem, this outcome criterion (as stated) does not include specific indicators or behaviors for which to observe. Question: 61 A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+ behavior modification program. Nursing interventions for the teenager will most likely include: A. Establishing routine tasks and activities around mealtimes B. Administering medications such as lithium C. Requiring the client to eat more during meals D. Checking the client’s room frequently BIO 101 NCLEX, NCLEX-RN EXAM (1675 Q & As) BEST EXAM SOLUTION WITH ALL ANSWERS 100% CORRECT/VERIFIED ANSWERS SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 GRADED A+