Free NCLEX NCLEX-PN Exam Dumps Questions & Answers

An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?

• A.emotional support to help the family deal with feelings of guilt about the infant's condition
• B.lab analysis of maternal Direct Coombs' test
• C.administration of Rh-immune globulin to the newborn within 1 hour of delivery
• D.administration of MICRhoGam to the woman within 72 hours of delivery

A fifty-five year-old man suffered a left frontal lobe CVA. The patient's family is not present in the room. Which of the following should the nurse watch most closely for?

• A.Monitor loss of hearing
• B.Changes in emotion and behavior
• C.Changes in facial muscle control
• D.Observe appetite and vision deficits

The major electrolytes in the extracellular fluid are:

• A.potassium and chloride.
• B.potassium and phosphate.
• C.sodium and chloride.
• D.sodium and phosphate.

Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:

• A.existence of floaters.
• B.type of employment.
• C.position of the eyelids.
• D.burning or itchy sensation in the eyes.

The emergency triage nurse should perform which action upon receiving the history that a client has a severe cough, fever, night sweats, and body wasting?

• A.Seclude the client from other clients and visitors.
• B.Don gown, gloves, and mask immediately.
• C.Place the client in the waiting room until an available cubicle is open.
• D.Perform no intervention because it might not be necessary until tests confirm a disease.