NCLEX NCLEX-RN valid exam dumps : National Council Licensure Examination(NCLEX-RN)

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

• A. "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."
• B. "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."
• C. "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16-20 times a minute with shallow chest breaths."
• D. "Keep breathing with your abdominal muscles as long as you can."

A male client is started on IV anticoagulant therapy with heparin. Which of the following laboratory studies will be ordered to monitor the therapeutic effects of heparin?

• A. Hemoglobin
• B. Prothrombin time
• C. Red blood cell (RBC) count
• D. Partial thromboplastin time

A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is chest pain. She is receiving O2 via nasal cannula at 2 L/min for dyspnea. Which of the following findings in the client's nursing assessment demand immediate nursing action?

• A. Associated symptoms of indigestion and nausea
• B. Inability to tolerate assessment session with the admitting nurse
• C. Restlessness and apprehensiveness
• D. History of hypertension treated with pharmacological therapy

Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

• A. The parents will soon get used to seeing their children without hair, and it will no longer bother them
• B. Children seldom show concern about losing their hair
• C. The hair will come out gradually, and the loss will not be noticeable for some time
• D. It is best for girls to choose a wig similar to their hair style and color before the hair falls out

At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:

• A. The client's previous abortion
• B. The client's young age
• C. The client's late prenatal care
• D. The client's history of drug, ethyl alcohol, and tobacco use