CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM (205Q & As) WITH 100% CORRECTLY/, Exams of Nursing

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 The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet? A. Roasted chicken B. Noodles C. Cooked broccoli D. Custard  A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for: A. Trendelenburg position B. Ice to the entire extremity C. Buck’s traction D. An abduction pillow

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 A client with cancer is to undergo an intravenous pyelogram. The nurse should: A. Force fluids 24 hours before the procedure B. Ask the client to void immediately before the study C. Hold medication that affects the central nervous system for 12 hours pre- and post-test D. Cover the client’s reproductive organs with an x-ray shield  The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor: A. That cannot be assessed

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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B. That is in situ

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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C. With increasing lymph node involvement D. With distant metastasis  A client is 2 days post-operative colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate? A. Reinsert the protruding organ and cover with 4×4s B. Cover the wound with a sterile 4×4 and ABD dressing C. Cover the wound with a sterile saline-soaked dressing D. Apply an abdominal binder and manual pressure to the wound

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

(205Q & As) WITH 100% CORRECTLY/VERIFIED ANSWERS

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 The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery? A. Hearing aid B. Contact lenses C. Wedding ring D. Artificial eye  The nurse on the 3–11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action? A. Call the surgeon and ask him or her to see the client to clarify the information B. Explain the procedure and complications to the client C. Check in the physician’s progress notes to see if understanding has been documented

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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D. Check with the client’s family to see if they understand the procedure fully

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge? A. “I live by myself.” B. “I have trouble seeing.” C. “I have a cat in the house with me.” D. “I usually drive myself to the doctor.”  The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN? A. Hemoglobin B. Creatinine C. Blood glucose

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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D. White blood cell count  The client with a myocardial infarction comes to the nurse’s station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using? A. Rationalization B. Denial C. Projection D. Conversion reaction

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction? A. AST B. Troponin C. CK-MB D. Myoglobin  The licensed practical nurse assigned to the post-partal unit is preparing to administer Rhogam to a postpartum client. Which woman is not a candidate for RhoGam? A. A gravida IV para 3 that is Rh negative with an Rh-positive baby B. A gravida I para 1 that is Rh negative with an Rh-positive baby C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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D. A gravida IV para 2 that is Rh negative with an Rh-negative baby  The first exercise that should be performed by the client who had a mastectomy is: A. Walking the hand up the wall B. Sweeping the floor C. Combing her hair D. Squeezing a ball  The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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A. Atropine sulfate B. Furosemide C. Prostigmin D. Promethazine  The client is scheduled for a pericentesis. Which instruction should be given to the client before the exam? A. “You will need to lay flat during the exam.” B. “You need to empty your bladder before the procedure.” C. “You will be asleep during the procedure.” D. “The doctor will inject a medication to treat your illness during the procedure.”  To ensure safety while administering a nitroglycerine patch, the nurse

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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should: A. Wear gloves B. Shave the area where the patch will be applied C. Wash the area thoroughly with soap and rinse with hot water D. Apply the patch to the buttocks  The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause: A. Hypertension B. Hyperthermia C. Melanoma D. Urinary retention

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient’s mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy? A. “She is very irritable lately.” B. “She sleeps quite a bit of the time.” C. “Her gums look too big for her teeth.” D. “She has gained about 10 pounds in the last 6 months.”  A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery? A. Decreased appetite B. A low-grade fever

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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C. Chest congestion D. Constant swallowing  A 6-year-old with cerebral palsy functions at the level of an 18- month- old. Which finding would support that assessment? A. She dresses herself. B. She pulls a toy behind her. C. She can build a tower of eight blocks. D. She can copy a horizontal or vertical line.

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis? A. She was born at 42 weeks gestation. B. She had meningitis when she was 6 months old. C. She had physiologic jaundice after delivery. D. She has frequent sore throats.  A 10-year-old is being treated for asthma. Before administering Theodur, the nurse should check the: A. Urinary output B. Blood pressure C. Pulse D. Temperature

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals and cloudiness in the IV medication? A. Discard the solution and order a new bag B. Warm the solution C. Continue the infusion and document the finding D. Discontinue the medication  The client is diagnosed with multiple myoloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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A. “Walk about a mile a day to prevent calcium loss.” B. “Increase the fiber in your diet.” C. “Report nausea to the doctor immediately.” D. “Drink at least eight large glasses of water a day.”  The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication? A. Telling the client that the medication will need to be taken with juice B. Telling the client that the medication will change the color of the urine C. Telling the client to take the medication before going to bed at night D. Telling the client to take the medication if night sweats occur  The client is taking prednisone 7.5mg po each morning to treat his systemic lupus errythymatosis. Which statement best explains the

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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reason for taking the prednisone in the morning? A. There is less chance of forgetting the medication if taken in the morning. B. There will be less fluid retention if taken in the morning. C. Prednisone is absorbed best with the breakfast meal. D. Morning administration mimics the body’s natural secretion of corticosteroid.  A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan? A. The oral contraceptives will decrease the effectiveness of the tetracycline.

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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B. Nausea often results from taking oral contraceptives and antibiotics. C. Toxicity can result when taking these two medications together. D. Antibiotics can decrease the effectiveness of oral contraceptives, so the client should use an alternate method of birth control.  A 60-year-old diabetic is taking glyburide (Diabeta) 1.25mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching? A. “I will keep candy with me just in case my blood sugar drops.” B. “I need to stay out of the sun as much as possible.” C. “I often skip dinner because I don’t feel hungry.” D. “I always wear my medical identification.”  The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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A. In 5–10 minutes B. In 10–20 minutes C. In 30–60 minutes D. In 60–120 minutes  Vitamin K (aquamephyton) is administered to a newborn shortly after birth for which of the following reasons? A. To prevent dehydration B. To treat infection C. To replace electrolytes D. To facilitate clotting

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 The client with an ileostomy is being discharged. Which teaching should be included in the plan of care? A. Use Karaya powder to seal the bag. B. Irrigate the ileostomy daily. C. Stomahesive is the best skin protector. D. Neosporin ointment can be used to protect the skin.  The client has an order for FeSo4 liquid. Which method of administration would be best? A. Administer the medication with milk B. Administer the medication with a meal C. Administer the medication with orange juice D. Administer the medication undiluted

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 The client arrives in the emergency room with a hyphema. Which action by the nurse would be best? A. Elevate the head of the bed and apply ice to the eye B. Place the client in a supine position and apply heat to the knee C. Insert a Foley catheter and measure the intake and output D. Perform a vaginal exam and check for a discharge  The nurse is making assignments for the day. Which client should be assigned to the nursing assistant?

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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A. The 18-year-old with a fracture to two cervical vertebrae B. The infant with meningitis C. The elderly client with a thyroidectomy 4 days ago D. The client with a thoracotomy 2 days ago  The client arrives in the emergency room with a “bull’s eye” rash. Which question would be most appropriate for the nurse to ask the client? A. “Have you found any ticks on your body?” B. “Have you had any nausea in the last 24 hours?” C. “Have you been outside the country in the last 6 months?” D. “Have you had any fever for the past few days?”  Which of the following is the best indicator of the diagnosis of HIV?

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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A. White blood cell count B. ELISA C. Western Blot D. Complete blood count  The nurse is evaluating nutritional outcomes for an elderly client with anorexia. Which data best indicates that the plan of care is effective? A. The client selects a balanced diet from the menu. B. The client’s hematocrit improves. C. The client’s tissue turgor improves. D. The client gains weight.

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

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 The client is admitted following repair of a fractured femur with cast application. Which nursing assessment should be reported to the doctor? A. Pain B. Warm toes C. Pedal pulses rapid D. Paresthesia of the toes  Which would be an expected finding during injection of dye with a cardiac catheterization? A. Cold extremity distant to the injection site B. Warmth in the extremity C. Extreme chest pain D. Itching in the extremities

CHAMBERLAIN COLLEGE OF NURSING 11111 NCLEX-PN 2023 EXAM

(205Q & As) WITH 100% CORRECTLY/VERIFIED ANSWERS

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