2024 NCLEX PN ACTUAL EXAM STUDYGUIDE REAL Q&A LATEST 2024 TEST BANK, Exams of Nursing

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2024 NCLEX PN ACTUAL EXAM STUDYGUIDE REAL Q&A LATEST

2024 TEST BANK 150 QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES AGRADE

The nurse is assisting with the admission of a client with active pulmonary tuberculosis (T B). Which of the following actions should the nurse take? Select all that apply. Provide a supply of sterile gloves outside of the client's room.

2. Inform visitors that plants are restricted from the client's room. Keep the client in the room and the door to the client's room closed. Place the client in a private room with monitored negative air pressure. Place a surgical mask on the client when preparing the client for transport to the radiology department. The nurse is reinforcing teaching with a client who is receiving insulin glargine_ Which of the following information should the nurse reinforce?

O

O

O

O

After administering the insulin glargine the same syringe can be used to administer regular insulin.

2. Insulin glargineshould be administered 3 times each day 15 minutes before meals.

3. Extra vials of insulin glargine that have not been opened can be stored in the freezer.

4. Insulin glarginedoes not have a peak action time.

The nurse is caring for a client who has the skin condition shown below.

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Which of the following medications is used to treat the condition?

The nurse is reinforcing teaching with a client who had a renal transplant 3 days ago and is receiving cyclosporine. Which of the following information should the nurse reinforce? "You should increase your intake of grapefruit juice while you are taking cyclosporine."

O

O

O

2. "'You should notify your primary health care provider if you experience a sore

throat."

3. "'You may experience decreased urine output while you are taking cyclosporine."

4. "'You will need to take this medication until your new kidney is functioning.

The nurse is contributing to the plan of care for a client who had a stroke 3 days ago and has right-sided hemiplegia dysphagia.

Which of the following nutritional outcomes would for the nurse to recommend including in the G_119JJtSplan of care?

O

O

O

O

The client will eat 90% of each meal.

2. The client will drink liquids without drooling.

3. The client will eat without episodes of coughing.

4. The client will drink 4 (120 ml_) of juice or water with each

meal.

The charge nurse in a long-term care facility has been advised that the following clients will be admitted during the shift The charge nurse should assign the only available private room to the client with

O 3. Deagtjliã B (HBV) O 4-

(CMV)

The nurse in the surgical unit is caring fora 50-year-old male client Nurses' Notes Vital Signs Preoperative Unit 0 800: Awaiting thyroidectomy for thyroid cancer. No acute distress noted. Alert oriented to person, place, time, and situation. Vital signs stable Skin j' warm and dry. Palpable thyroid gland noted. Lung sounds clear to auscultatisw bilaterally _ Abdomen soft with diminished bowel sounds in all Peripheral venous access device (VAD) established with a 20-gaugg cannula to clients right hand per the registered nurse Client bas been NPO since midnight Denies having any allergies. History of and myopia Care Unit 1130: Indwelling urethral catheter was inserted in the operating room; no during surgery _ Client arouses readily. Appropriate when follows commands. Surgical site pain rated 3/10 to 4/10 on the Numerical Rating Scale, and reports that the throat is sore Lactated Ringer's solution infusing at 125 ml_/hr_ to transfer the client to surgical unit, report given. Surgical Unit 1200: Arouses easily and appropriately while alert Taking ice chips for mouth without coughing. Neck dressing dry and intact Head is by pillows. Indwelling urethral catheter draining yellow urine tea from sediment Client is requesting analgesia for incisional pain 6/10 on the Numerical Rating Scale Informed the client that may be administered intravenously _ Intravenous fluids infusing 125 ml_/hr_ The nurse is contributing to the client's plan of care Select the 3 potential nursing interventions the nurse should anticipate the care of the client Pad the client's side rails. Place the client on telemetry _ Monitor serum calcium levels. Remind the client to avoid flexion of the neck. Keep a tracheostomy tray at the client's bedside Place several boxes of sterile dressings in the client's room.

The nurse has reinforced teaching with clients about preventing skin cancer. Which of the following statements by a client would indicate a correct understanding of the teaching?

O

O

O

O

"l will gradually increase the amount of time I am exposed to the sun to prevent sunburn."

2. "l do not need to wear sunscreen on cloudy days because clouds provide natural protection."

3. "l can wear a wide-brimmed hat rather than sunscreen if I am outdoors for a short period of time.

4. "l will wear sunscreen with a sun protection factor (SPF) of at least 15 when spending time in the

sun."

The nurse is caring for a client who has been diagnosed with a hookworm infection. The client's parent asks, How can I prevent my other children from getting hookworms?" Which of the following would be an appropriate response for the nurse to make?

O

"Cook all meats thoroughly."

O 2.^ "Wash all clothing in hot water."

O 3.^ Have your pets treated for worms."

O 4. Encourage your children to wear shoes when outside."

The charge nurse in a long-term care facility has just completed client care assignments for unlicensed assistive (UAP)_ Which of the following statements by the charge nurse would provide UAP about tb9 assignment?

O

O

O

O

"The client with paraplegia should have a monthly safety check completed on the wheelchair."

2. "You will need to assist the client with mild Alzheimer's disease (AD) with activities of daily living

(AL)L)_"

3. "The client with heart failure should be weighed and have vital signs checked before breakfast is

served."

4. "You need to follow proper infection control precautions when assisting the client with active pulmonary

täçuJQžix(TB)_ " The nurse is preparing to administer prescribed oral medications to a client who bad a total hip replacement 2 days ago History and Progress Notes Vital Signs Physical

Of which of the following scheduled medications should the nurse the dose? o 2 albutgnl

3. e 4.

The nurse is preparing to administer prescribed oral medications to a client who bad a total hip replacement 2 days ago. History and Progress Notes Vital Signs Physical Hip incision well-approximated with redness along incision, small amount qLserous drainage Reports hip pain rated 5 on a scale of 0 (no pain) to 10 pain), exacerbated with movement Bilateral wheezes on inspiration, and dizziness with exertion. Physical therapy scheduled in 1 hour, function test (PFT) scheduled for tomorrow morning. Had bowel muengotwith soft, formed stool 3 hours ago.

The nurse is preparing to administer prescribed oral medications to a client who a total hip replacement 2 days ago. Of which of the following scheduled medications should the nurse the dose? c.aptopÀk O 2 albutg-gk Historyand

The nurse in a rehabilitation facility is admitting a client who had a stroke. The client has an advance directive. Which of the following actions should the nurse take? Select all that apply. Obtain a do-not-resuscitate (DNR) order for the client.

2. Make the health care team aware of the advance directive. Notify the client's family that emergency care will not be given.
3. Witness the client's signature on the advance directive, and have it notarized.
4. Document in the medical record that the client has an advance directive. The nurse is collecting data from a client with right-sided heart failure.

Which of the following findings would be consistentwith right-sided heart failure? Select all that apply. vein distention (JVD) The nurse is collecting data from a client who has hypovolemic shock. Which of the following findings would be consistent with hypovolemic shock?Select all that apply.

cough

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urine output respiratory rate vein distention (JVD) The nurse has reinforced teaching with a client who had a colostomy created 5 days ago. Which of the following statements by the client would indicate a correct understanding of the teaching? bYELtagsjQIJ luguJac

O

O

O

O

"l should avoid emptying the pouch more than 2 times a day so that I do not loosen the seal around the appliance."

2. "l will notify my primary health care provider if I develop a fever or redness and drainage from the incision."

3. "l can expect to experience a burning sensation around the stoma until the incision is completely healed."

4. "l will begin an aerobic exercise program because I will not be able to go swimming."

The nurse in the maternity unit is talking with a staff member from another unit. The staff member asks the about a mutual friend who had a baby at the health care facility. Which of the following would be an appropriate response for the nurse to make? Select all that apply.

"l cannot give you any information about her condition." "l understand the delivery went well and her spouse is with her."

"You should give her a call on the telephone to see how she is doing."

"l saw her this morning, and she is going to be discharged home today. "Takea look in the computer system to find out which room she is in so you can visit." The nurse is observing a coworker who is suctioning a tracheostomy for a client. The nurse should intervene if the coworker O a face shield throughout the procedure

O 2. an—suction as the catheter is being withdrawn O 3. clean, nonsterile gloves throughout the procedure O 4. an—suction for 10 seconds at each pass of the catheter The nurse is collecting data from a client with a suspected diagnosis of abdominal aortic aneurysm. Which of the following findings would be consistent with an abdominal aortic aneurysm? pain

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retention vein distention The nurse and unlicensed assistive personnel

(UAP) are caring for assigned clients. Which of the following activities would be appropriate for the nurse to assign to UAP? condom catheter for the male client who has a fractured pelvis O 2. eulugUngthe pain level for the client who had an abdominal hysterectomy several hours ago