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NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+), Exams of Nursing

NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+)

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2022/2023

Available from 01/16/2023

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Download NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) and more Exams Nursing in PDF only on Docsity! NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) 1. A nurse is putting together an educational seminar on advance directives. What information would be included in the materials? a. A patient may change a treatment decision in an advance directive if the patient's health care agent approves the change. b. When admitted to the hospital, a patient must appoint a Durable Power of Attorney for health care decisions. c. A health care facility must provide a patient informational material advising them of their rights to declare their desires concerning treatment decisions. d. A health care facility is required to provide a patient an attorney when the patient is signing a living will. 2. A nurse is advising a patient with Chronic Fatigue Syndrome on infection control procedures. Which of the following statements by the patient indicates that the patient understands the advice? a. I'm going to a basketball game tonight. b. I should avoid anyone with cold symptoms. c. I should have a blood test. d. I'm not going to attend functions with large crowds. 3. Which of the following would be an expected finding in an age assessment of a 2 year old? a. Has a 300 word vocabulary b. Uses one hand to turn the pages of a book c. Runs with a wide stance d. All of the above 4. A patient's spouse died three months ago. The patient says "I would like my friend Tom to have my collection of artwork because I don't need to look at them anymore". Which of the following responses by the nurse would be proper? a. Did Tom ask for the artwork? b. Are you planning to commit suicide? NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) c. Does Tom know you want to give him the artwork? d. Why do you want to give the artwork away? 5. A nurse is instructing a patient on the use of a walker. Which of the following would be included in the instructions? a. While putting your body weight on your hands, step into the walker. b. Hold the upper handgrips. c. When seated, push off the chair to come to a standing position. d. All of the above. 6. A patient, who weighs 200 pounds, has a prescription for a Dopamine Drip at 5 mcg/kg/min. There is 400 mg per 500 ml D5W on hand. The nurse should administer milliliters to the patient each hour. a. 17 b. 24 c. 34 d. 44 7. A patient is to get an MRI of the abdomen. Which of the following instructions should the nurse give the patient? a. Do not wear metal objects during the MRI, including jewelry. b. Do not take oral medications up to 12 hours after the MRI. c. Do not urinate prior to the MRI. d. Do not eat solid foods 12 hours prior to the MRI. 8. Which of the following symptoms would support a diagnosis of Crohn's disease? a. Fatigue and headache b. Rectal cramping and bleeding c. Stomach swelling and gas d. All of the above 9. A nurse is teaching a staff seminar on patient confidentiality. Which of the NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) a. 45 b. 55 c. 65 d. 75 18. A patient is not to eat or drink anything 24 hours before a colonoscopy. True False 19. Which of the following symptoms would a patient exhibit with hyperthyroidism? a. Intolerance to cold b. Decreased bowl movements c. Slow heart rate d. None of the above 20. A patient is having a tonic-clonic seizure. A nurse should take which of the following steps? a. Put a pillow under the patient's head b. Put restraints on the patient c. Use a tongue blade on the patient d. Lay the patient on his back 21. A patient with a history of schizophrenia says "The medical staff is secretly employed by the CIA to take me out." The nurse should respond as follows: a. The CIA protects us and is not out to hurt you. b. No other patient thinks that. c. I want to help you, not harm you. It must be frightening thinking people want to hurt you. d. When did you first start having these thoughts? 22. Which of the following patients should a nurse recognize as having an increased risk of breast cancer while doing breast cancer screening? NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) a. A 44 year old who has had five children b. A 28 year old who is breast feeding her first child c. A 35 year old who started her menstrual cycle at age 12 d. A 61 year old who has not had children 23. A patient is scheduled for surgery to have his appendix out due to acute appendicitis. The patient says "I don't think I need surgery now because I feel better." A nurse should respond as follows: a. I will have your spouse explain the procedure to you again. b. I will call your doctor to explain the procedure to you. c. I will explain the procedure to you and answer any questions you have. d. Your appendix may rupture and that could cause serious problems. 24. While preparing for discharge, a patient makes the statement to the nurse, "I'm not sure I will be able to take care of myself at home." Who is the most appropriate team member to report this statement? a. Doctor b. Physical Therapist c. Case Manager d. Director of Nursing 25. A nurse just started a blood transfusion for a patient with a Hemoglobin of 6. The patient says, "I feel hot, my stomach hurts, and I am having difficulty breathing." What should be the nurses first action? a. Notify the physician immediately b. Stop the infusion c. Take vital signs d. Call a code 26. The patient has only one IV site with a continuous infusion of Lactated Ringers solution. The provider has prescribed Ceftriaxone 100 mg in Normal Saline 50 ml to be given IV now. What should be the nurse's first action? NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) a. Mix the Ceftriaxone into the Normal Saline and piggy-back into the primary infusion b. Insert a secondary IV so the infusions can run simultaneously c. Stop the Lactated Ringer's Solution and start the Ceftriaxone now. d. Check the IV Compatibility of the two medications 27. Which of the following lab tests would be considered Point of Care testing? a. Urinalysis b. Sputum Culture c. Complete Metabolic Panel d. Blood Glucose 28. The nurse enters the room of a patient complaining of lower back pain after a left hip replacement surgery. What non-pharmacological intervention would not be appropriate? a. Reposition the patient onto the left side b. Massage the patient's back c. Lower the head of the bed and elevate the patient's legs onto a pillow d. Apply a warm pack to the patient's back 29. The nurse notices a CNA using an alcohol-based hand sanitizer after walking out of a room marked as Enteric Contact Precautions. What should the nurse's response be? a. Nothing as the CNA has appropriately washed their hands after leaving the room b. Tell the CNA they need to wear a mask in the room c. Tell the CNA they should dispose of their gloves outside of the room NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) 38. The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to: A. Apply the new tie before removing the old one. B. Have a helper present. C. Hold the tracheotomy with the nondominant hand while removing the old tie. D. Ask the doctor to suture the tracheostomy in place. 39. The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: A. Turning the client to the left side B. Milking the tube to ensure patency C. Slowing the intravenous infusion D. Notifying the physician 40. The infant is admitted to the unit with tetrology of falot. The nurse would anticipate an order for which medication? A. Digoxin B. Epinephrine C. Aminophylline D. Atropine 41. The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram below. select where the Tail of Spence is. A. A Axillary B. B NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) C. C D. D 42. The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: A. Tire easily B. Grow normally C. Need more calories D. Be more susceptible to viral infections 43. The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to: A. Determine lung maturity B. Measure the fetal activity C. Show the effect of contractions on fetal heart rate D. Measure the wellbeing of the fetus 44. The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse? A. Instruct the client to push B. Perform a vaginal exam C. Turn off the Pitocin infusion D. Place the client in a semi-Fowler’s position 45. The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: A. Atrial flutter B. A sinus rhythm NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) C. Ventricular tachycardia D. Atrial fibrillation 45. A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should: A. Be injected into the deltoid muscle B. Be injected into the abdomen C. Aspirate after the injection D. Clear the air from the syringe before injections 46. A nurse is caring for an adult that has recently been diagnosed with metabolic acidosis. Which of the following clinical signs would most likely not be present? A: Weakness B: Dysrhythmias C: Dry skin D: Malaise 47. A nurse is caring for an adult that has recently been diagnosed with metabolic alkalosis. Which of the following clinical signs would most likely not be present? A: Vomiting B: Diarrhea C: Agitation D: Hyperventilation 48. A nurse is caring for an adult that has recently been diagnosed with respiratory acidosis. Which of the following clinical signs would most likely not be present? A: CO2 Retention B: Dyspnea C: Headaches D: Tachypnea 49. A nurse is caring for an adult that has recently been diagnosed with respiratory alkalosis. Which of the following clinical signs would most likely not be present? A: Anxiety attacks B: Dizziness C: Hyperventilation cyanosis D: Blurred vision (C) Hyperventilation cyanosis is associated with respiratory acidosis. NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) B: Treatment of the son with Aciclovir C: Treatment of the son with Rifampicin D: Reassure the father 62. A patient has recently been diagnosed with hyponatremia. Which of the following is not associated with hyponatremia? A: Muscle twitching B: Anxiety C: Cyanosis D: Sticky mucous membranes 63. A patient has recently been diagnosed with hypernatremia. Which of the following is not associated with hypernatremia? A: Hypotension B: Tachycardia C: Pitting edema D: Weight gain 64. Which of the following normal blood therapeutic concentrations is abnormal? A: Phenobarbital 10-40 mcg/ml B: Lithium .6 - 1.2 mEq/L C: Digoxin .5 - 1.6 ng/ml D: Valproic acid 40 - 100 mcg/ml 65. Which of the following normal blood therapeutic concentrations is abnormal? A: Digitoxin 09 - 25 mcg/ml B: Vancomycin 05 - 15 mcg/ml C: Primidone 02 - 14 mcg/ml D: Theophylline 10 - 20 mcg/ml 66. Which of the following normal blood therapeutic concentrations is abnormal? A: Phenytoin 10 - 20 mcg/ml B: Quinidine 02 - 06 mcg/ml C: Haloperidol 05 - 20 ng/ml D: Carbamazepine 5 - 25 mcg/ml 67. Anolderadultisadmitedtothemedicalsurgi calu nitwithdehydration.Thenurse performswhichoftheseas es mentstodeterminewhethertheclientissafef orin dependent ambulation? A. Asesesfordryoralmuc ous membranes B NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) F NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) . Checksfororthostatic blo dpresurechanges C. Notespulserateis72be ats/ minandbounding D. Evaluatesthatheserum potasium levelis4.0mEq/L(4.0mmol/L) 68. Thenurseisas es ingfluidbalanceintheclientwithheartfa ilur e.Whichofthese strategieswilthenurseemploy? E. Asktheclienthowmuchflui dw asconsumedyesterday. Placeanindwelingcathe ter tomeasureurineoutput. G. Auscultatethelungsforadventitio usso unds. H. Weightheclientdaily,athesametime. 69. Thenurseispreparingaclientadiagnosis ofcong estiveheartfailure(CHF)fordischarge. Whichstatementbytheclientindicatesacor rectu nderstandingofself- managementofCHF? I. “Icangain2pounds(1kg)ofwat erad J aywithoutrisk.” “IshouldcalmyproviderifIgainmo rethan1pound(0.5kg)awe k.” K. “Weighingmyselfdailycandetermi neif mycaloricintakeisadequate.” L. “Weighingmyselfdailycanreveali ncre asedfluidretention.” 70. What is the fastest-growing subgroup of older adults? a. Young old b. Middle old NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) c. Old old d. Elite old NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) a. “I am a ‘teetotaler’; I never drink anything alcoholic.” b. “I had three glasses of champagne at my granddaughter’s wedding last month.” c. “I like to have a glass of wine every once in a while.” d. “I usually drink two vodkas to help me get to sleep each night.” 78. The RN manager of a skilled nursing facility wants to assign a staff member to assess the nutritional needs of an emaciated client with pressure ulcers. Which of these team members is appropriate? a. The LPN/LVN treatment nurse responsible for the client’s wound care b. The LPN/LVN medication nurse for this client c. The nursing assistant caring for this client for the past 2 weeks d. The RN team leader responsible for care planning 79. The RN at a skilled nursing facility is supervising a staff of LPN/LVNs and nursing assistants. Which of these nursing actions does the RN delegate to a nursing assistant? a. Admitting a new client with multiple bruises over the upper thighs b. Assisting a client with chronic joint stiffness to ambulate c. Making hourly assessments on a client with delirium and dementia d. Monitoring a confused client who has been placed in a jacket restraint 80. The RN is arriving for night duty at an acute care hospital. Which client does the RN assess first? a. A 65-year-old scheduled for next-day surgery b. A 68-year-old with chronic protein-calorie malnutrition c. A 70-year-old with a history of gout and joint pain d. A 72-year-old admitted with postoperative delirium NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) 81. The nurse is teaching a class of unlicensed assistive personnel (UAP) about turning and repositioning clients in a long-term care setting. Which client requires extreme caution and is at greatest risk for a skin tear? a. A 38-year-old client with paraplegia resulting from a motor vehicle accident b. A 70-year-old client with a recent total hip replacement receiving rehabilitation care c. An 80-year-old client with a recent stroke and left-sided paralysis d. An 85-year-old client with breathing problems receiving daily doses of prednisone 82. The nurse is teaching a class of older adults about ways to promote their cognitive health. Which collaborative interventions will be most helpful for them? (Select all that apply.) a. Allowing for increased rest and relaxation time b. Having solitary times to reminisce about life experiences c. Joining a peer group with a common learning goal d. Learning a new skill e. Meditating for 30 minutes every day f. Starting a new physical activity 83. The RN has delegated nursing actions to experienced unlicensed assistive personnel (UAP) working in a long-term care facility. Which actions require direct supervision by the RN? (Select all that apply.) a. Assisting a 70-year-old client who has new-onset leg pain when ambulating b. Feeding an 82-year-old client who has severe joint disease in both hands c. Helping a 66-year-old client complete her personal hygiene d. Repositioning a 69-year-old client who has recently become unconscious e. Assisting a 72-year-old client who has chronic arthritis of the knee to the NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+) restroom 84.A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality? ANS: High-risk age groups for certain disorders or hazards are identified. 84. A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan? ANS: Type II diabetes 85. Which is the leading cause of death in infants younger than 1 year? ANS: Congenital anomalies 86. Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years? ANS: firearm homicide 87. Which is the major cause of death for children older than 1 year? ANS: unintentional injuries 88. Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14? ANS: motor vehicle related fatalities 89. Which factor most impacts the type of injury a child is susceptible to, according to the child’s age? ANS: developmental level of the child 90. Which is now referred to as the “new morbidity”? ANS: Behavioral, social, and educational problems that alter health 91. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering? ANS: recognizing that the family is the constant in a child’s life 92. The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include? ANS: Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal. 93. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family? ANS: Staff is concerned about the nurse’s actions with the patient and family. 94. Which is most descriptive of clinical reasoning? ANS: Purposeful and goal-directed NCLEX Exam nursing Questions With Answers 100% SOVLVED|VERIFIED (GRADED A+)