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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q169-Q174):

NEW QUESTION # 169
In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:

A. Responds quickly to antimicrobial therapy
B. Has unpredictable remissions and exacerbations
C. Becomes progressively debilitating without remission
D. Is rapidly fatal

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) Multiple sclerosis eventually becomes debilitating, but it is characterized by remission of symptoms. (B) Remissions and exacerbations are unpredictable with multiple sclerosis. The client experiences progressive dysfunction after each exacerbation episode. (C) Multiple sclerosis is usually slowly progressive. (D) Multiple sclerosis is an autoimmune disease. Antimicrobial therapy has no effect on its course.

NEW QUESTION # 170
At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDonald procedure (cerclage) done. She tells the RN who is admitting her to the unit that her physician had explained what this procedure was, but that she did not understand. The RN explains to the client that the purpose for this procedure is to:

A. Dilate the cervix
B. Repair the amniotic sac
C. Evaluate cephalopelvic disproportion
D. Reinforce an incompetent cervix

Answer: D

Explanation:
Section: Questions Set C
Explanation:
(A) The treatment most commonly uses the Shirodkar-Barter procedure (McDonald procedure) or cerclage to enforce the weakened cervix by encircling it with a suture at the level of the internal os. (B) There is no known procedure that is used to repair the amniotic sac. (C) Cephalopelvic disproportion is evaluated later in pregnancy. It is not related to this procedure. (D) No procedure is done to dilate the cervix at 16 weeks' gestation unless the pregnancy is to be terminated.

NEW QUESTION # 171
The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

A. Quinidine
B. Thyroid agents
C. KCl
D. Theophylline

Answer: A

Explanation:
Explanation
(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B) Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D) Theophylline is not noted to have an effect on digoxin levels.

NEW QUESTION # 172
A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-eight hours after the burn injury, the nurse must begin to monitor the child for which one of the following complications?

A. Decreased cardiac output
B. Fluid volume excess
C. Fluid volume deficit
D. Severe hypotension

Answer: B

Explanation:
(A) Fluid volume deficit resulting from fluid shifts to the interstitial spaces occurs in the first 48 hours. (B) Forty-eight hours to 72 hours after the burn injury and fluid resuscitation, capillary permeability is restored and fluid requirements decrease. Interstitial fluid returns rapidly to the vascular compartment, and the nurse must monitor the child for signs and symptoms of hypervolemia. (C) Increased cardiac output results as fluids shift back to the vascular compartment. (D) Hypertension is the result of hypervolemia.

NEW QUESTION # 173
A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

A. Taping a pouch that is leaking
B. Cutting the skin barrier 112 inches larger than the stoma
C. Using a skin sealant under pouch adhesives
D. Changing the pouch only when leakage occurs

Answer: C

Explanation:
Explanation
(A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to change pouches whenever possible before leakage occurs.
(D) When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant is used, this layer is removed when the tape is removed.

NEW QUESTION # 174
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