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Valid NCLEX-RN Test Materials 100% Pass | High Pass-Rate NCLEX National Council Licensure Examination(NCLEX-RN) Exams Dumps Pass for sure

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q444-Q449):

NEW QUESTION # 444
A new mother experiences strong uterine contractions while breast-feeding her baby. She excitedly rings for the nurse. When the nurse arrives the mother tells her, "Something is wrong. This is like my labor." Which reply by the nurse identifies the physiological response of the client?

A. "Your breasts are secreting a hormone that enters your bloodstream and causes your abdominal muscles to contract."
B. "The same hormone that is released in response to the baby's sucking, causing milk to flow, also causes the uterus to contract."
C. "There is probably a small blood clot or placental fragment in your uterus, and your uterus is contracting to expel it."
D. "Prolactin increases the blood supply to your uterus, and you are feeling the effects of this blood vessel engorgement."

Answer: B

Explanation:
Explanation
(A) Mammary growth as well as milk production and maintenance in the breast occur in response to hormones produced primarily by the hypothalamus and the pituitary gland. (B) Prolactin stimulates the alveolar cells of the breast to produce milk. It is important in the initiation of breast-feeding. (C) Oxytocin, which is released by the posterior pituitary, stimulates the let-down reflex by contraction of the myoepithelial cells surrounding the alveoli. In addition, it causes contractions of the uterus and uterine involution. (D) Afterpains may occur with retained placental fragments. A boggy uterus and continued bleeding are other symptoms that occur in response to retained placental fragments.

NEW QUESTION # 445
A client calls the prenatal clinic to schedule an appointment. She states she has missed three menstrual periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. The registered nurse (RN) learns that her last menstrual period began on June 10. According to Nägele's rule, the estimated date of confinement is:

A. January 10
B. August 30
C. March 17
D. June 3

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Using Nägele's rule, count back 3 calendar months from the first day of the last menstrual period. The answer is March 10. Then add 7 days and 1 year, which would be March 17 of the following year. (B, C, D) This date is incorrect.

NEW QUESTION # 446
A complication for which the nurse should be alert following a liver biopsy is:

A. Hepatic coma
B. Ascites
C. Jaundice
D. Shock

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.

NEW QUESTION # 447
A postoperative TURP client returns from the recovery room to the general surgery unit and is in stable condition. One hour later the nurse assesses him and finds him to be confused and disoriented. She recognizes that this is most likely caused by:

A. Hyponatremia
B. Hypokalemia
C. Hypovolemic shock
D. Hypernatremia

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Early signs of hypovolemic shock include hypotension, tachycardia, tachypnea, pallor, and diaphoresis.
(B) Early signs of potassium depletion include muscular weakness or paralysis, tetany, postural hypotension, weak pulse, shallow respirations, apathy, weak voice, and electrocardiographic changes. (C) Early signs of an elevated sodium level include dry oral mucous membranes, marked thirst, hypertension, tachycardia, oliguria or anuria, anxiety, and agitation. (D) This answer is correct. Important early clinical findings of a decreased sodium concentration include confusion and disorientation. Hyponatremia can occur after a TURP because absorption during surgery through the prostate veins can increase circulating blood volume and decrease sodium concentration.

NEW QUESTION # 448
A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:

A. A missed abortion
B. A threatened abortion
C. An incomplete abortion
D. An inevitable abortion

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding. (B) A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. (C) An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. (D) A missed abortion occurs when the embryo dies in utero and is retained in the uterus.

NEW QUESTION # 449
......

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