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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 62 )

Updated On: 25-Jan-2026
Page 62 of 345
PDF with 862 Questions

A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The nurse's response is:

  1. Up to 1 oz daily
  2. Up to 2 oz daily
  3. Up to 4 oz weekly
  4. No alcohol

Answer(s): D

Explanation:

(A, B, C) No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. (D) The recommended safe dosage of alcohol consumption during pregnancy is none.



The priority nursing goal when working with an autistic child is:

  1. To establish trust with the child
  2. To maintain communication with the family
  3. To promote involvement in school activities
  4. To maintain nutritional requirements

Answer(s): A

Explanation:

(A) The priority nursing goal when working with an autistic child is establishing a trusting relationship. (B) Maintaining a relationship with the family is important but having the trust of the child is a priority. (C) To promote involvement in school activities is inappropriate for a child who is autistic. (D) Maintaining nutritional requirements is not the primary problem of the autistic child.



Signs and symptoms of an allergy attack include which of the following?

  1. Wheezing on inspiration
  2. Increased respiratory rate
  3. Circumoral cyanosis
  4. Prolonged expiration

Answer(s): D

Explanation:

(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.



A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is "rule out hepatitis." Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this disease?

  1. Heterosexual males
  2. Oncology nurses
  3. American Indians
  4. Jehovah's Witnesses

Answer(s): B

Explanation:

(A) Homosexual males, not heterosexual males, are at high risk for contracting hepatitis. (B) Oncology nurses are employed in high-risk areas and perform invasive procedures that expose them to potential sources of infection. (C) The literature does not support the idea that any ethnic groups are at higher risk. (D) There is no evidence that any religious groups are at higher risk.



The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?

  1. Norepinephrine (Levophed)
  2. Dobutamine (Dobutrex)
  3. Propranolol (Inderal)
  4. Epinephrine (Adrenalin)

Answer(s): D

Explanation:

(A) Norepinephrine's side effects are primarily related to safe, effective care environment and include decreased peripheral perfusion and bradycardia. (B) Dobutamine's side effects include increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. (C) Propranolol's side effects include elevated blood urea nitrogen, serum transaminase, alkaline phosphatase, and lactic dehydrogenase. (D) Epinephrine increases serum glucose levels by increasing glycogenolysis and inhibiting insulin release. Prolonged use can elevate serum lactate levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood urea nitrogen, and decreased coagulation time.



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