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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q596-Q601):

NEW QUESTION # 596
Chorioamnionitis is a maternal infection that is usually associated with:

A. Maternal pyelonephritis
B. Prolonged rupture of membranes
C. Maternal dehydration
D. Postterm deliveries

Answer: B

Explanation:
(A) Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes. (B) Postterm deliveries have not been shown to increase the risk of chorioamnionitis unless there has been prolonged rupture of membranes. (C) Pyelonephritis is a kidney infection that develops in 20%-40% of untreated maternal UTIs. (D) Maternal dehydration, though of great concern, is not related to chorioamnionitis.

NEW QUESTION # 597
A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:

A. Prone
B. Semi-Fowler
C. Supine
D. Side lying

Answer: A

Explanation:
(A) The prone position reduces pressure and tension on the sac. Primary nursing goals are to prevent trauma and infection of the sac. (B) The supine position exerts pressure on the sac. (C) Newborns usually cannot maintain side-lying position. (D) The semi- Fowler position exerts pressure on the sac.

NEW QUESTION # 598
A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:

A. Circumoral pallor and lightheadedness
B. Pallor and itching of the face and neck
C. Dizziness and tachypnea
D. Headache and facial flushing

Answer: D

Explanation:
Explanation
(A) Tachypnea is not a symptom. (B) Circumoral pallor is not a symptom. (C) Autonomic dysreflexia is an uninhibited and exaggerated reflex of the autonomic nervous system to stimulation, which results in vasoconstriction and elevated blood pressure. (D) Pallor and itching are not symptoms.

NEW QUESTION # 599
A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?

A. Hostility
B. Smiling
C. Apathy and flatness
D. Anger

Answer: C

Explanation:
Section: Questions Set C
Explanation:
(A) Anger is an emotion that is not necessarily present in schizophrenia. (B) Lack of response to or involvement with environment and distancing are characteristic of schizophrenia. (C) Euphoria is more characteristic of manic-depressive disorder (bipolar disorder). (D) Hostility is an emotion that is not necessarily present in schizophrenia.

NEW QUESTION # 600
The health team needs to realize that the compulsive concern with cleanliness that a client with severe anxiety exhibits is most likely an attempt to:

A. Increase his self-image by showing higher standards than the fellow clients
B. Manipulate the health team members
C. Reduce his anxiety
D. Avoid going to psychotherapy

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) These behaviors are attempts to relieve anxiety. (B) Avoidance is not a pattern in the obsessive client.
(C) Although these behaviors may seem to manipulate others, that is not the purpose behind the activity.
(D) Inflated self-esteem is not a characteristic of the severely anxious client.

NEW QUESTION # 601
......

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