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NCLEX-RN EXAM PACK SET 9 75 QUESTIONS & ANSWERS UPDATED EXAM |QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A+ GRADED $16.49   Add to cart

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NCLEX-RN EXAM PACK SET 9 75 QUESTIONS & ANSWERS UPDATED EXAM |QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A+ GRADED

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NCLEX-RN EXAM PACK SET 9 75 QUESTIONS & ANSWERS UPDATED EXAM |QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |A+ GRADED

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  • August 28, 2024
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NCLEX-RN EXAM PACK SET 9 75
QUESTIONS & ANSWERS UPDATED EXAM
|QUESTIONS WITH CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |A+
GRADED


1. 1. Question
V



Which roommate would be most suitable for the 6-year-old
V V V V V V V V

male with a fractured femur in Russell’s traction?
V V V V V V V V




o A. 16-year-old female with scoliosis
V V V V




o B. 12-year-old male with a fractured femur
V V V V V V




o C. 10-year-old male with sarcoma
V V V V




o D. 6-year-old male with osteomyelitis
V V V V




Correct Answer: B. 12-year-old male with a fractured
V V V V V V V

femur
V


The 6-year-old should have a roommate as close to the same age
V V V V V V V V V V V

as possible, so the 12-year-old is the best match. A bed is
V V V V V V V V V V V V

Vavailable and the patient gets assigned. There are certain
V V V V V V V V

Vconstraints—sex, semi-private versus private, isolation issues,
V V V V V

Vacuity, telemetry and specialty needs. All need to be taken into
V V V V V V V V V V

Vaccount to ensure that each patient goes to the right place
V V V V V V V V V V

Vandreceives the proper care. But good capacity management
V V V V V V V V

Vdemands that bed assignment be carefully considered and
V V V V V V V

Vexecuted.
o Option A: The client is too old and is female. Bed
V V V V V V V V V V

assignment simply provides the proper location
V V V V V V

basedon specific patient attributes like sex,
V V V V V V V

isolation, telemetry, acuity, and specialty needs.
V V V V V V

o Option C: The 10-year-old with sarcoma has cancer V V V V V V V

and will be treated with chemotherapy that makes
V V V V V V V V

him immune suppressed. Bed managers aim at
V V V V V V V

finding an assignment of patients to rooms that
V V V V V V V V

strikes a balancebetween patients’ preferences and
V V V V V V V

comfort on the one V V V V

, hand, and patients’ clinical conditions and the
V V V V V V

resulting required room facilities on the other.
V V V V V V V

o Option D: The 6-year-old with osteomyelitis is
V V V V V V V


infectious. Rooms and beds belong to the critical
V V V V V V V V

assets of just any hospital. They account for a
V V V V V V V V V

considerable part of a hospital’s infrastructure, and
V V V V V V V

alarge amount of financial resources are invested in
V V V V V V V V V

equipping them with medical apparatus to facilitate
V V V V V V V

patient care. Furthermore, they also represent the
V V V V V V V

place where most patients will spend a large part of
V V V V V V V V V V

their stay, as they recover from surgery, wait for
V V V V V V V V V

examinations to take place, etc.
V V V V V



• 2. Question
V



A client with osteoarthritis has a prescription for celebrex
V V V V V V V V

(Celecoxib). Which instruction should be included in the
V V V V V V V V

discharge teaching?
V V




o A. Take the medication with milk.
V V V V V




o B. Report chest pain.
V V V




o C. Remain upright after taking for 30 minutes.
V V V V V V V




o D. Allow 6 weeks for optimal effects.
V V V V V V




Correct Answer: B. Report chest pain.
V V V V V

Cox II inhibitors have been associated with heart attacks and
V V V V V V V V V

strokes. Any changes in cardiac status or signs of a stroke should
V V V V V V V V V V V V

be reported immediately, along with any changes in bowel or
V V V V V V V V V V

bladder habits because bleeding has been linked to use of Cox II
V V V V V V V V V V V V

inhibitors. Like all NSAIDs, celecoxib carries an FDA boxed
V V V V V V V V V

warning for cardiovascular risk, including the increased risk of
V V V V V V V V V

heart attacks and strokes. As a selective COX-2 inhibitor,
V V V V V V V V V

celecoxib also faces scrutiny for increased cardiovascular risk,
V V V V V V V V

since another selective COX-2 inhibitor, rofecoxib, was
V V V V V V V

withdrawnfrom production in 2004 due to cardiovascular risk
V V V V V V V V V

concerns.
V


o Options A: The medication can be taken with water.
V V V V V V V V V


Celecoxib is a medication that is taken orally and
V V V V V V V V V

comes in 50, 100, 200, and 400 mg doses. In rare
V V V V V V V V V V V

cases, celecoxib can also be added to customized
V V V V V V V V

, compounds for topical administration with or without V V V V V V

the use of iontophoresis or other topical delivery
V V V V V V V V

mechanisms. It is not available via any other route
V V V V V V V V V

ofadministration.
V V

o Option C: The client may remain upright but not
V V V V V V V V

necessarily for 30 minutes. Symptoms of celecoxib
V V V V V V V

overdose would likely be similar to overdoses of
V V V V V V V V

other NSAIDs, which include lethargy, drowsiness,
V V V V V V

nausea, vomiting, and epigastric pain. Activated
V V V V V V

charcoal may be administered for overdose
V V V V V V

treatment at the discretion of emergency medical
V V V V V V V

providers if the patient presents within 4 hours of
V V V V V V V V V

known or suspectedingestion of significant amounts
V V V V V V V

of celecoxib.
V V


o Option D: Allow 6 weeks for optimal effect. In V V V V V V V V

theinpatient setting, as mentioned above,
V V V V V V

celecoxib is increasingly being used as part of
V V V V V V V V

pre-operative andpost-operative multimodal pain
V V V V V

management algorithms. Research has shown in
V V V V V V

several small randomized trials that administering
V V V V V V

celecoxib peri- operatively for elective procedures
V V V V V V

such as total hiparthroplasties, total knee
V V V V V V V

arthroplasties, and other procedures with some
V V V V V V

success in reducing pain and improving
V V V V V V

• 3. Question V



A client with a fractured tibia has a plaster-of-Paris cast applied to
V V V V V V V V V V V

immobilize the fracture. Which action by the nurse indicates an
V V V V V V V V V V

Vunderstanding of a plaster-of-Paris cast? The nurse:
V V V V V V




o A. Handles the cast with the fingertips
V V V V V V




o B. Petals the cast
V V V




o C. Dries the cast with a hair dryer
V V V V V V V




o D. Allows 24 hours before bearing weight
V V V V V V




Correct Answer: D. Allows 24 hours before bearing
V VV VV VV VV VV VV V

weightA plaster-of-Paris cast takes 24 hours to dry, and the
V V V V V V V V V V V

client shouldnot bear weight for 24 hours. After the process of
V V V V V V V V V V V V

applying the casting material is completed, the material will
V V V V V V V V V

start to dry in
V V V V

, about 10 to 15 minutes. The temperature of the skin might rise
V V V V V V V V V V V

as the plaster is drying because of a chemical reaction that
V V V V V V V V V V V

occurs. When plaster is used, it can take from 1 to 2 days for
V V V V V V V V V V V V V V

thecast to harden completely.
V V V V V


o Option A: The cast should be handled with the V V V V V V V V

palms,not the fingertips. Use the palm of hand to
V V V V V V V V V V

apply, hold,or move cast and support on pillows after
V V V V V V V V V V

application. Uneven plaster is irritating to the skin
V V V V V V V V

and may result in abrasions. V V V V V

o Option B: Petaling a cast is covering the end of the V V V V V V V V V V

cast with cast batting or a sock, to prevent skin
V V V V V V V V V V

irritation and flaking of the skin under the cast. Trim
V V V V V V V V V V

excess plaster from edges of the cast as soon as
V V V V V V V V V V

casting is completed; prevents skin breakdown caused
V V V V V V V

by prolonged moisture trapped under the cast.
V V V V V V V


o Option C: The client should be told not to dry the V V V V V V V V V V

castwith a hair dryer because this causes hot spots
V V V V V V V V V V

and could burn the client. This also causes unequal
V V V V V V V V V

drying. Promote cast drying by removing bed linen,
V V V V V V V V

exposing it to circulating air; pressure can cause
V V V V V V V V

ulcerations, necrosis, or nerve palsies. Pad (petal) the
V V V V V V V V

edges of the cast with waterproof tape; provides an
V V V V V V V V V

effective barrierto cast flaking and moisture. Helps
V V V V V V V V

prevent the breakdown of cast material at the edges
V V V V V V V V V

and reduce skin irritation and excoriation.
V V V V V V




• 4. Question V



The teenager with a fiberglass cast asks the nurse if it will be
V V V V V V V V V V V V

okay to allow his friends to autograph his cast. Which
V V V V V V V V V V

response would be best?
V V V V




o A. "It will be alright for your friends to
V V V V V V V V

V autographthe cast." V V




o B. "Because the cast is made of plaster, autographing
V V V V V V V V

can weaken the cast."
V V V V




o C. "If they don’t use chalk to autograph, it is okay."
V V V V V V V V V V




o D. "Autographing or writing on the cast in any form
V V V V V V V V V

V willharm the cast." V V V

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