PASS GUARANTEED QUIZ 2025 NCLEX-RN: LATEST NATIONAL COUNCIL LICENSURE EXAMINATION(NCLEX-RN) FRENQUENT UPDATE

Pass Guaranteed Quiz 2025 NCLEX-RN: Latest National Council Licensure Examination(NCLEX-RN) Frenquent Update

Pass Guaranteed Quiz 2025 NCLEX-RN: Latest National Council Licensure Examination(NCLEX-RN) Frenquent Update

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q187-Q192):

NEW QUESTION # 187
At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:

  • A. The client's late prenatal care
  • B. The client's history of drug, ethyl alcohol, and tobacco use
  • C. The client's young age
  • D. The client's previous abortion

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Although adolescents frequently have a higher incidence of low-birth-weight infants, this client is 21 years old. (B) Uncomplicated induced abortions have not been proved to influence the growth of infants of subsequent pregnancies. (C) Compounds in cigarettes and some illicit drugs cause maternal vasoconstriction and a subsequent reduction in O2 availability for the fetus owing to the resulting reduction in uteroplacental blood flow. As few as one or two drinks of alcohol per day will decrease birth weight. (D) Although early prenatal care has been shown to improve pregnancy outcomes, not seeking care until the second week of gestation does not, in and of itself, cause intrauterine growth retardation.


NEW QUESTION # 188
Plans for the care of a client with an ulcer caused by emotional problems need to take into consideration that:

  • A. His priority needs are limited to medical management
  • B. There is no real psychological basis for his illness
  • C. The disorder is a threat to his physical well-being
  • D. He is unable to participate in planning his care

Answer: C

Explanation:
Section: Questions Set D
Explanation:
(A) There may be a medical emergency that takes top priority; however, the basis of the problem is emotional.
(B) The problem is a physical manifestation of an emotional conflict. (C) The bleeding ulcer can be life threatening. (D) For lifestyle change to occur, the client must participate in the planning of his care so that he is committed to changes that will have positive results.


NEW QUESTION # 189
The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, "It's not so easy for me to just go right to the hospital like that." After acknowledging her feelings, which of these approaches by the nurse would probably be best?

  • A. Repeat the physician's reasons for advising immediate hospitalization.
  • B. Explain to the client that she is ultimately responsible for her own welfare and that of her baby.
  • C. Stress to the client that her husband would want her to do what is best for her health.
  • D. Explore with the client her perceptions of why she is unable to go to the hospital.

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This answer does not hold the client accountable for her own health. (B) The nurse should explore potential reasons for the client's anxiety: are there small children at home, is the husband out of town? The nurse should aid the client in seeking support or interventions to decrease the anxiety of hospitalization.
(C) Repeating the physician's reason for recommending hospitalization may not aid the client in dealing with her reasons for anxiety. (D) The concern for self and welfare of baby may be secondary to a woman who is in a crisis situation. The nurse should explore the client's potential reasons for anxiety. For example, is there another child in the home who is ill, or is there a husband who is overseas and not able to return on short notice?


NEW QUESTION # 190
A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?

  • A. Caloric distribution should be calculated to fit activity patterns.
  • B. Food restriction is imposed to reduce weight.
  • C. Concentrated sweets are taken during increased activity.
  • D. Fat requirements are increased owing to the possibility of ketoacidosis.

Answer: A

Explanation:
Section: Questions Set E
Explanation:
(A) Concentrated sweets are eliminated from diet planning. Complex carbohydrates may be taken at the time of increased activity. (B) Food restriction is not used for diabetic control of growing children. Caloric restriction may be imposed for weight control if necessary. (C) Total caloric intake and proportions of basic nutrients should be consistent from day to day. Distribution of these calories should fit the activity pattern. Extra food is needed for increased activity. A balance of food, exercise, and insulin should be maintained. (D) Because of the increased risk of atherosclerosis, the fat percentage of the total caloric intake is reduced.


NEW QUESTION # 191
A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, "I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like." This defense mechanism is an example of:

  • A. Regression
  • B. Reaction formation
  • C. Repression
  • D. Rationalization

Answer: D

Explanation:
Explanation
(A) Repression is blocking a desire from conscious expression. The client is conscious of his desires. (B) Regression is returning to an earlier form of expression, which is not demonstrated here. (C) Reaction formation is acting out the opposite of true feelings. The client felt anger concerning his wife's cooking and acted out his feelings. (D) Rationalization is unconsciously falsifying an experience by giving a "rational" explanation. The client is attempting to justify his behavior by giving an explanation.


NEW QUESTION # 192
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