NCLEX Passpoint Exam Review (Latest 2024/ 2025 Update) With Questions and Verified Answers, Exams of Nursing

Download NCLEX Passpoint Exam Review (Latest 2024/ 2025 Update) With Questions and Verified Answers and more Exams Nursing in PDF only on Docsity! NCLEX Passpoint Exam Review (Latest 2024/ 2025 Update) With Questions and Verified Answers| | 100% Correct | Grade A+ may not cause symptoms until serious complications occur - ✔✔When educating a female client with gonorrhea, what should the nurse emphasize? In women, gonorrhea: melanoma - ✔✔While assessing the skin of a 45-year-old, fair-skinned female client, the nurse notes a lesion on the medial aspect of her lower leg. It has irregular borders, with various shades of black and brown. The client states that the lesion itches occasionally and bled slightly a few weeks ago. She also reveals a history of sunburns. Based on these signs and symptoms, the nurse suspects Block radiant, convective, conductive, and evaporative losses. - ✔✔What is the nurse's priority to regulate the temperature of a neonate? current medications - ✔✔A multigravida prenatal client with a history of postpartum depression tells the nurse that she is taking measures to make sure that she does not suffer that complication, including taking St. John's wort. What is the most important assessment for the nurse to make? less difficulty breathing - ✔✔The nurse administers theophylline to a client. When evaluating the effectiveness of this medication, what is an expected outcome? monitor the patency of an indwelling urinary catheter to prevent its occlusion - ✔✔A full bladder can precipitate autonomic dysreflexia. The nurse should _______, which could result in a full bladder. benzodiazepines (lorazepam) - ✔✔During detoxification from alcohol, changes in the client's physiological status, especially an increase in blood pressure, may indicate a possible seizure. Clients are treated with ________ to prevent this. signs of exhaustion and dehydration - ✔✔The normal length of the latent stage of labor in a primigravid client is 6 hours. If the client is having prolonged labor, the nurse should monitor the client for: "Drink 6 to 8 glasses of fluid daily while taking this medication." - ✔✔Which instruction should a nurse give a client with prostatitis who is receiving co-trimoxazole double strength? danger signs during pregnancy - ✔✔A pregnant client comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic? "I will eat five or six small meals each day and have some protein with each meal." - ✔✔During a prenatal visit, a pregnant client with cardiac disease and slight functional limitations reports increased fatigue. The nurse knows that the client understands the management of the disorder when the client says: Draw 0.5 ml medication into a syringe, draw the remaining 0.5 ml into another syringe, and ask another nurse to witness the waste of 0.5 ml into the sink. - ✔✔The nurse is preparing the prescribed fentanyl 25 mcg I.V. After obtaining a fentanyl 50 mcg/ml vial, what is the priority action by the nurse? goggles, gown, and respirator mask - ✔✔protective personnel equipment appropriate for suctioning the client at about 28 weeks' gestation and again within 72 hours after birth - ✔✔A client is Rh(D)-negative and D- negative and hasn't formed Rh antibodies. When should the client receive RHO(D) immune globulin (RhoGAM) to prevent isoimmunization? Wernicke's encephalopathy - ✔✔Thiamine specifically prevents the development of ___________, a reversible amnestic disorder caused by a diet deficient in thiamine secondary to poor nutritional intake that commonly accompanies chronic alcoholism. It is characterized by nystagmus, ataxia, and mental status changes. 2 to 3 cups (500 to 750 mL) - ✔✔Which amount of daily milk intake should the nurse include in the plan of care for a 15-month-old? protect the stomach's lining when a client has a peptic ulcer - ✔✔Misoprostol is used to: dyspareunia - ✔✔painful intercourse stridor - ✔✔indicates partial airway obstruction, and requires immediate intervention wearing gloves when handling the client's urine disposing of chemotherapy waste as hazardous material wearing a long-sleeved gown when administering chemotherapy - ✔✔The RN is administering intravenous chemotherapy to a client with cancer. Which precautions are necessary when administering chemotherapy? having the client tilt the head back and look up to protect the cornea; holding the dropper over the eye and pulling the lower eyelid down to release the drops in the conjunctival sac - ✔✔Correct technique for instilling eyedrops includes: correcting nutritional deficits - ✔✔Clients with gastric cancer commonly have nutritional deficits and may have cachexia. Therefore, _____ is a top priority. a high-backed chair with armrests - ✔✔The nurse advises the client who has had a femoral head prosthesis placement on the type of chair to sit in during the first 6 to 8 weeks after surgery. Which chair would be the correct type to recommend? Initiate fluid replacement therapy - ✔✔A client with type 1 diabetes is admitted to an acute care facility with diabetic ketoacidosis. To correct this acute diabetic emergency, which measure should the healthcare team take first? Place the client in knee-chest or Trendelenburg position. - ✔✔A nurse is examining a client in active labor, who has had spontaneous rupture of the amniotic membrane, and notes a protruding umbilical cord. What is the priority nursing action? meeting the child's nutritional needs for optimal growth - ✔✔When developing the plan of care for a child diagnosed with phenylketonuria (PKU), the nurse should establish which goal? Wear a mask at all times when entering the room - ✔✔The nurse is developing a care plan for a client with tuberculosis. Which measures would be implemented for staff prior to entering the room? increasing fluid intake - ✔✔Urinary stasis is a major cause of UTIs, and can be partially prevented by: follow a low-fiber diet to help minimize bulk in the stools - ✔✔A client with diverticulitis needs to modify fiber intake to effectively manage the disease. During episodes of diverticulitis, the client should: Discuss the procedure with the parents. Act out the procedure using a doll and biopsy kit. Explain the discomforts the child will feel. Assure the child that the pain will go away. Check the biopsy site for hemorrhage and infection. - ✔✔A 5-year-old preschooler suspected of having leukemia is admitted to the hospital for diagnosis and treatment. The physician orders a bone marrow aspiration. Place the interventions below in ascending chronological order according to their importance. "Morphine decreases the heart's need for oxygen and also makes your heart not work as hard." - ✔✔What is the best nursing response to a client who is experiencing an acute myocardial infarction (MI) and asks why the nurse is administering intravenous morphine? dietary fiber - ✔✔The nurse teaches the client with type 1 diabetes mellitus about the importance of maintaining stable blood glucose levels. The nurse should suggest the client include which type of food to minimize the rise in blood glucose level after meals? 50 years old - ✔✔People over ____ should receive the shingles vaccine. annual intraocular pressure measurements for people older than 40 years. - ✔✔The most effective health-promotion measure related to glaucoma that the nurse could teach clients is: Thioridazine - ✔✔affects the neurotransmitter norepinephrine, which causes hypotension and other cardiovascular effects. passive-aggressive - ✔✔Clients who are ______ won't confront or discuss issues with others but will go to great lengths to "get even." narcissistic - ✔✔A person with a _____ personality has an exaggerated sense of self-worth dependent - ✔✔A person with a _______ personality is submissive and frequently apologizes and backs down when confronted. arranging for respite care to watch her child and give herself a regular break - ✔✔The nurse meets with the mother of a child diagnosed with attention deficit hyperactivity disorder. The mother states, "I feel so guilty that he has this disease, like I did something wrong. I feel like I need to be with him constantly in order for him to get better. But still sometimes I feel like I'm going to lose control and hurt him." The nurse should suggest which intervention to the mother? lower - ✔✔Older adult clients are typically on _____ dosages of antipsychotic medications because of the metabolic changes of aging Advanced directives or a "living will" - ✔✔allow clients to convey their wishes for treatment, alternative decision makers, and end of life treatment, but do not specifically address issues of placement in a long- term care facility stomachaches, nausea, headaches, and dizziness - ✔✔Children with school phobia commonly complain of vague symptoms, such as ________, to avoid going to school. vesicle - ✔✔circumscribed skin elevation filled with serous fluid naloxone - ✔✔The nurse should monitor the client who has received _____ for side effects such as restlessness, agitation, and potential cardiac arrhythmias hypopituitarism - ✔✔A client has had an hypophysectomy. What signs of a potential complication should the nurse teach the client to report? has a plan for self-harm - ✔✔The nurse should establish if the client _______ that would warrant suicide precautions prior to initiating these precautions Buspirone - ✔✔-is not habit forming, is administered on a schedule, and does not work immediately -may have side effects such as chest pain, dizziness, headache, drowsiness, or nausea clear liquids - ✔✔When a child is ready to take fluids by mouth postoperatively, ____ are given initially review the unit's procedure manual - ✔✔A new nurse is asked to start an I.V. on an antepartum client. The new nurse has performed the procedure only once and isn't familiar with the I.V. pumps used in this facility. The new nurse should: 200; 100; 40; 50; 45; 55 - ✔✔Total cholesterol greater than ______, LDL greater than _______, HDL less than _______ in men, HDL less than _______ in women, men ___ years and older, women ____ years and older, smoking and obesity increase the risk of CAD. to open the client's airway - ✔✔The nurse has already called for help and established unresponsiveness so the first action is _______; this may result in spontaneous breathing and will help the nurse determine whether or not further intervention is required. Nurse practice act - ✔✔set educational requirements for the nurse, distinguish between nursing practice and medical practice, and define the scope of nursing practice in that state. Standards of care - ✔✔-criteria that serve as a basis for evaluating the quality of nursing practice -are established by federal organizations, accreditation organizations, state organizations, and professional organizations. To keep gastric pH at 3.0 to 3.5 - ✔✔Why are antacids administered regularly, rather than as needed, in peptic ulcer disease? Explain to the client that the health care provider (HCP) will write a prescription for the eye drops to be used at the hospital. - ✔✔The nurse is admitting a client with glaucoma. The client brings prescribed eye drops from home and insists on using them in the hospital. What should the nurse do? blue - ✔✔A nurse uses Nitrazine paper to determine whether a pregnant client's membranes have ruptured. If the membranes have ruptured, the paper will turn which color? alcohol withdrawal - ✔✔Signs of _______ include diaphoresis, tremors, nervousness, nausea, vomiting, malaise, increased blood pressure and pulse rate, sleep disturbance, and irritability. The kidneys excrete hydrogen ions and conserve bicarbonate ions to help restore balance. - ✔✔A medical nurse educator is reviewing a client's recent episode of metabolic acidosis with members of the nursing staff. What should the educator describe about the role of the kidneys in metabolic acidosis? edrophonium test - ✔✔The most useful and reliable diagnostic test for myasthenia gravis is the: Dissolved emboli - ✔✔A client with a cerebral embolus is receiving IV recombinant tissue-type plasminogen activator (rt-PA). The nurse should evaluate the client for which expected therapeutic outcomes of this drug therapy? high-protein - ✔✔A ______ diet is not recommended for renal clients deep red - ✔✔Typically, the stoma should remain _____ in color as long as the infant has the colostomy frequent early feedings with formula - ✔✔can prevent hypoglycemia during the first 24 hrs of life in a neonate of mother with gestational diabetes glucocorticoid and mineralocorticoid dosages are increased - ✔✔Adrenal crisis can occur with physical stress, such as surgery, dental work, infection, flu, trauma, and pregnancy. In these situations,: fresh-frozen plasma or blood administration - ✔✔treatment of DIC includes: decreased platelet count and white blood cell count with changes in the CBC differential - ✔✔A client is taking methotrexate for severe rheumatoid arthritis. This client should be monitored for blood dyscrasias, evidenced by: void - ✔✔Saw palmetto is used to relieve symptoms of benign prostatic hypertrophy. It would be important to assess about the client's ability to: Assess for a pulse deficit. - ✔✔While auscultating the apical heart rate, the nurse notes an irregular heart rhythm at a rate of 120 beats/min. What is the nurse's next action? 10 to 20 mm Hg - ✔✔When assessing the pressure of the anterior chamber of the eye, a nurse normally expects to find a pressure of: eye discomfort - ✔✔Timolol can cause some: patching one eye at a time - ✔✔relieves diplopia spend brief intervals with the client each day - ✔✔To promote a therapeutic relationship with a suspicious client, it is best to ________ to develop trust, respect, and rapport. refuse medications - ✔✔In involuntary admissions, clients are still competent and have the right to: selective serotonin reuptake inhibitors (SSRIs) (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline) - ✔✔When comparing the safety profiles of the various classes of antidepressants used in the control of panic disorder, _______ are considered first line. the severity of withdrawal symptoms - ✔✔While admitting a client to the alcohol treatment program, the nurse asks the client how long she has been drinking, how much she has been drinking, and when she had her last drink. The client replies that she has been drinking about a liter of vodka a day for the past week and her last drink was about an hour ago. This information helps the nurse to determine which factor? Increased blood glucose, increased appetite, increased risk of infection, and increased hair growth - ✔✔adverse effects of prednisone