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NCLEX PN ADUKT HEALTH|QUESTIONS AND 100% CORRECT ANSWERS|LATEST UPDATE!!!!!!, Exams of Nursing

Capital Area School of Practical NursingNursing

NCLEX PN ADUKT HEALTH|QUESTIONS AND 100% CORRECT ANSWERS|LATEST UPDATE!!!!!!

Typology: Exams

2025/2026

Available from 02/17/2026

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CORRECT ANSWERS|LATEST !!!!2026|GRADED
A nurse is reinforcing instructions regarding home management to a client newly diagnosed
with severe psoriasis. Which client statement indicates that further teaching is needed?
1. Exposure to sunlight will worsen my psoriasis
2. I should avoid drinking alcohol
3. I should avoid scratching lesions
4. Stress can worsen psoriasis - ANSWER 1. Exposure to sunlight can worsen
psoriasis
Rationale:
Psoriasis is a chronic, autoimmune condition characterized by exacerbations of silver plaques
on reddened skin. Although there is no cure, management includes topical and systemic
medications, phototherapy, and avoidance of triggers.
A nurse is caring for an elderly client who had a colectomy for removal of cancer 2 days ago.
The client is becoming increasingly restless and has been given IV morphine every 2 hours
for severe pain. Respirations are 28/min and shallow. Which arterial blood gas results best
indicate that the client is in acute respiratory failure and needs immediate intervention?
1. PaO2 49 mm Hg (6.5 kPa), PaCO2 6-mm Hg (8.0 kPa)
2. PaO2 64 mm Hg (8.5 kPa), PaCO2 45 mm Hg (6.0 kPa)
3. PaO2 70 mm Hg (9.3 kPa), PaCO2 30 mm Hg (4.0 kPa)
4. PaOz 86 mm Hg (11.5 kPa) PaCO2 25mm Hg (3.33 KPa) - ANSWER 1. PaO2 49 mm
Hg (6.5 kPa) PaCO2 60 mm Hg (8.0 kPa)
Rationale
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Download NCLEX PN ADUKT HEALTH|QUESTIONS AND 100% CORRECT ANSWERS|LATEST UPDATE!!!!!! and more Exams Nursing in PDF only on Docsity!

CORRECT ANSWERS|LATEST !!!!2026|GRADED

A nurse is reinforcing instructions regarding home management to a client newly diagnosed with severe psoriasis. Which client statement indicates that further teaching is needed?

  1. Exposure to sunlight will worsen my psoriasis
  2. I should avoid drinking alcohol
  3. I should avoid scratching lesions
  4. Stress can worsen psoriasis - ANSWER 1. Exposure to sunlight can worsen psoriasis Rationale: Psoriasis is a chronic, autoimmune condition characterized by exacerbations of silver plaques on reddened skin. Although there is no cure, management includes topical and systemic medications, phototherapy, and avoidance of triggers. A nurse is caring for an elderly client who had a colectomy for removal of cancer 2 days ago. The client is becoming increasingly restless and has been given IV morphine every 2 hours for severe pain. Respirations are 28/min and shallow. Which arterial blood gas results best indicate that the client is in acute respiratory failure and needs immediate intervention?
  5. PaO2 49 mm Hg (6.5 kPa), PaCO2 6-mm Hg (8.0 kPa)
  6. PaO2 64 mm Hg (8.5 kPa), PaCO2 45 mm Hg (6.0 kPa)
  7. PaO2 70 mm Hg (9.3 kPa), PaCO2 30 mm Hg (4.0 kPa)
  8. PaOz 86 mm Hg (11.5 kPa) PaCO2 25mm Hg (3.33 KPa) - ANSWER 1. PaO2 49 mm Hg (6.5 kPa) PaCO2 60 mm Hg (8.0 kPa) Rationale

Acute respiratory failure (ARF) is defined as inadequate gas exchange that results from too much carbon dioxide or inadequate oxygen. ARF may be intrapulmonary (eg, pneumonia, pulmonary embolism) or extrapulmonary (eg, head injury, opioid overdose) in origin. ARF is a potential complication of oversedation or following major surgical procedures, especially those involving the thorax and abdomen that may result in injury to the lung ABG values that indicate the presence of ARF are decreased PaO2 ≤60 mm Hg (8.0 kPa) The nurse is assessing a client in the outpatient clinic who has a cast on for a distal humerus fracture. Which statements made by the client would be the priority to assess further?

  1. I am having problems extending my fingers since this morning
  2. I cant take any of the pain medicine because it makes me feel sick
  3. I have to scratch under the cast with a nail file because of the itching
  4. I noticed a warm spot on my cast and a bad smell is coming from it - ANSWER 1. I am having problems extending my fingers since this morning Rationale: Volkmann contracture occurs as a result of compartment syndrome associated with distal humerus fractures. Swelling of antecubital tissue causes pressure within the muscle compartment, restricting arterial blood flow (brachial artery). The resulting ischemia leads to tissue damage, wrist contractures, and an inability to extend the fingers. Volkmann contracture occurs as a result of ischemia from compartment syndrome after a distal humerus fracture. It is a medical emergency that requires immediate intervention. The nurse is caring for a client admitted for a seizure disorder. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. Which actions should the nurse take? Select all that apply.
  5. Call for help
  6. Hold down clients arms
  7. Insert a tounge depresser to move the tounge
  8. Prepare for suctioning

The practical nurse is assisting the registered nurse in preparing the room for a client with new-onset tonic-clonic seizures. It is important to ensure that what equipment is in the room? Select all that apply.

  1. Oral bite prevention device
  2. Oxygen delivery system
  3. Padding on the bed side rails
  4. Soft arm and leg restraints
  5. Suction equipment - ANSWER 2. Oxygen delivery system
  6. Padding on the bed side rails
  7. Suction equipment Rationale: Turning the client on the side, providing oxygen and suctioning as needed, and padding the side rails or removing objects that are near the client can decrease the risk for injury during a seizure. Restraints should not be used. Nothing should be placed in mouth during seizure. The nurse is assisting with the care of an adolescent diagnosed with type 1 diabetes. The client has hot, dry skin and a glucose level of 350 mg/dL (19.4 mmol/L). Arterial blood gases show a pH of 7.27. STAT serum chemistry labs have been ordered. Cardiac monitoring reveals a sinus rhythm with peaked T waves, and the client has minimal urine output. What does the nurse anticipate as the next priority action?
  8. Administer IV regular insulin
  9. Administer normal saline infusion
  10. Obtain client's urine for urinalysis
  11. Request a potassium infusion prescription - ANSWER 2. Administer normal saline infusion Rationale: This client has diabetic ketoacidosis, and all clients with this condition experience dehydration due to osmotic diuresis. Prompt and adequate fluid therapy restores tissue

perfusion and suppresses the elevated levels of stress hormones. The initial hydrating solution is a normal saline (0.9%) infusion

  • next insulin and be administered and potassium can be given once levels are normal and low The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?
  1. Genital Herpes and HIV
  2. Gonorrhea and chlamydia
  3. Human papillomavirus and syphilis
  4. yeast and trichomoniasis - ANSWER 2. Gonorrhea and chlamydia Rationale: Gonorrhea and chlamydia are the most common causes of pelvic inflammatory disease, which can lead to infertility. Therefore, annual gonorrhea and chlamydia screening is recommended for all sexually active females age <25 and older females with risk factors. The nurse is reviewing a client's health history during a primary care visit. Which of the following findings should the nurse identify as risk factors for developing hypertension? Select all that apply.
  5. African Americans
  6. Diabetes mellitus type 2
  7. Frequent stress at work
  8. LDL OF 94 mg/dl
  9. Smoking of 1 pack of cigarettes daily - ANSWER 1. African American ethnicity
  10. Diabetes mellitus type 2
  11. Frequent stress at work
  12. Smoking of 1 pack of cigarettes daily
  1. 60 year old client who reports bloating and pelvic pressure for the past two months - ANSWER 4. 60 year old client who reports bloating and pelvic pressure for the past two months Rationale: Symptoms of ovarian cancer are often subtle, and the condition is often not discovered until an advanced stage due to a lack of routine screening guidelines. Clients may present with bloating, early satiety, urinary symptoms (pressure on the bladder), and pelvic pressure. The nurse is caring for a client diagnosed with ulcerative colitis and prescribed sulfasalazine. Which instructions should be reinforced at discharge? Select all that apply.
  2. Avoid small, frequent meals
  3. consume a cup of coffee with each meal if desired
  4. continue medication even after resolution of symptoms
  5. Eat a low-residue, high-protein, high-calorie diet
  6. Increase fluid intake to at least 2000 mL/day - ANSWER 3. consume medication even after resolution of symptoms
  7. Eat a low-residue, high protein, high-calorie diet
  8. Increase fluid intake to at least 2000 ml/day Rationale: Ulcerative colitis is characterized by chronic inflammation and ulcerations in the large intestines, resulting in bloody diarrhea and decreased nutrient absorption. Sulfasalazine is a 5-aminosalicylate used to decrease inflammation in the intestines. To prevent relapse, the medication should be continued even when symptoms subside An elderly client with a history of stable chronic obstructive pulmonary disease, alcohol abuse, and cirrhosis has a serum theophylline level of 25.8 mcg/mL (143 μmol/L). Which clinical manifestation associated with theophylline toxicity should worry the nurse most?
  9. Alterations in color vision
  1. Gum hypertrophy
  2. Hyperthermia
  3. Seizure activity - ANSWER 4. Seizure activity Rationale: Theophylline has narrow therapeutic index and plasma concentrations >20 mcg/mL ( μmol/L) are associated with theophylline drug toxicity Seizures (central nervous system stimulation) and cardiac arrhythmias are the most serious and lethal consequences. Assessment of a client with a history of stroke reveals that the client understands and follows commands but answers questions with incorrect word choices. The nurse documents the presence of which communication deficit?
  4. Aphasia
  5. Apraxia
  6. Dysarthria
  7. Dysphagia - ANSWER 1. Aphasia Rationale: Aphasia refers to a neurological impairment of communication. Clients may have impaired speech and writing, impaired comprehension of words, or a combination of both. The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?
  8. Client who had mechanical aortic valve replacement
  9. Client who had mitral valvuloplasty repair
  10. Client who had myocardial infarction with subsequent heart failure
  11. Client who had mitral valve prolapse with regurgitation - ANSWER 1. Client who had mechanical aortic valve replacement
  1. I should perform Kegel excercises several times daily
  2. I will void every 2 hours until i am having fewer accidents - ANSWER 1. I am going to join a walking program to lose excess weight
  3. I may have dry mouth as a side effect from the oxybutynin
  4. I shoud perform kegel excercises several times daily
  5. I will void every 2 hours until im having fewer accidents Rationale: Management of urge incontinence includes loss of excess weight, anticholinergic medications (eg, oxybutynin), avoidance of bladder irritants, pelvic floor exercises, and bladder training. Dry mouth is a common adverse effect of anticholinergic medications A nurse is reinforcing instructions regarding home management to a client newly diagnosed with severe psoriasis. Which client statement indicates that further teaching is needed?
  6. Exposure to sunlight will worsen my psoriasis
  7. I should avoid drinking alcohol
  8. I should avoid scratching lesions
  9. Stress can worsen psoriasis - ANSWER 1. Exposure to sunlight can worsen psoriasis Rationale: Psoriasis is a chronic, autoimmune condition characterized by exacerbations of silver plaques on reddened skin. Although there is no cure, management includes topical and systemic medications, phototherapy, and avoidance of triggers. The nurse is caring for 4 clients. Which client should the nurse see first?
  10. 2 days post abdominal aortic aneuysm repair with weak pedal pulses and mottled skin on the legs
  11. 2days post coronary bypass graft surgery with a white blood cell count of 18,000/mm^
  12. Chronic heart failure with peripheral edema and shortness of breath on exertion
  1. Pneumothorax with a chest tube negative suction and subcutaneous emphysema - ANSWER 1. 2 days post abdominal aortic aneurysm repair with weak pedal pulses and mottled skin on legs Rationale: A weak or absent pedal pulse and a cool or mottled extremity in a client who is post abdominal aortic aneurysm repair can indicate an arterial or graft occlusion, leading to possible life- or limb-threatening ischemia.
  • Fresh post op in first 12 hours beat ,edical or other surgical problems. no matter how bad other choices may seem The practical nurse is assisting the registered nurse in conducting client intake histories at a family practice clinic. Which client findings or histories indicate a need for heightened concern that the client may have cancer? Select all that apply.
  1. 60 year old client was just diagnosed with benign prostatic hyperplasia
  2. Client reports a doughy-feeling, mobile, golf ball size lesion under the skin over the right thigh
  3. Client reports a nagging cough with hoarseness for the past 3 months
  4. Female client weighed 150lb and lost 15lb in 3months without dieting
  5. Male client reports a skin change on the breast that looks like an orange peel - ANSWER 3. Client reports a nagging cough with hoarseness for the past 3 months
  6. female client weighed 150lb and lost 15lbs in 3 months without dieting
  7. Male client reports a skin change on the breast that looks like an orange peel Rationale: Signs of potential cancer include unplanned weight loss, nagging cough/hoarseness, and dimpled skin (orange peel) on the breast. Hard, fixed masses; nonhealing ulcers; and changing moles may also indicate malignancy and require further workup. The nurse understands that which of these body substances are modes of transmission for hepatitis B? Select all that apply
  1. Beans, yogurt, and a fruit cup
  2. Beef, broccoli, and a glass of wine
  3. Eggs, a bagel, and black coffee
  4. Steak. tomato basil soup, and cornbread - ANSWER 4. Steak, tomato basil soup, and cornbread rationale: Irritable bowel syndrome is a chronic condition characterized by altered intestinal motility, causing abdominal discomfort with diarrhea and/or constipation. Clients can manage symptoms by avoiding gas-producing foods (eg, broccoli), caffeine, alcohol, and gastrointestinal irritants (eg, high-fructose corn syrup, spices, dairy products) and by increasing fiber. The nurse is reinforcing instructions to a client scheduled for cardiac pharmacologic nuclear stress testing. Which client statements indicate appropriate understanding?
  5. I can smoke 1 cigarette the day of the test so that I won't have withdrawal
  6. I should eat a hearty breakfast the morning of the test to avoid nausea
  7. I should stop drinking coffee 24 hours before the procedure
  8. I should take my usual dose of insulin the day of the test - ANSWER 3. I should stop drinking coffee 24 hours before the procedure Rationale: Clients scheduled for cardiac nuclear pharmacologic stress testing should not eat, drink, or smoke on the day of the test; they should avoid caffeinated products for 24 hours before the test and avoid taking certain cardiac medications (eg, nitrates, beta blockers) unless otherwise instructed by the health care provider A client with throat cancer receives radiation therapy to the head and neck. Which strategies are appropriate to increase oral intake? Select all that apply.
  9. Avoid irritants such as acidic, spicy foods
  10. Discourage the use of topical analgesics
  1. Encourage liquid nutritional supplements
  2. Perform oral hygiene once a day
  3. Use artificial saliva to control dryness - ANSWER Back Front
  4. Avoid irritants such as acidic, spicy foods
  5. Encourage liquid nutritional supplements
  6. Use artificial saliva to control dryness Rationale: The nurse teaches the client to:
  • Avoid irritants such as spicy, acidic, dry, or crumbly foods; coffee; and alcohol
  • Consume supplemental nutritional drinks (eg, Ensure), which are often easier to swallow
  • Use artificial saliva to manage xerostomia and the production of thick saliva due to altered salivary gland function. Sipping water throughout the day is equally effective and less expensive. The nurse is reinforcing education about home and lifestyle alterations to a client recently diagnosed with HIV. Which of the following statements by the client indicates a need for further education? Select all that apply
  1. I don't have to use protection if my sexual partner is also HIV positive
  2. I have to make sure my family knows not to borrow my razors
  3. I need to avoid eating raw or undercooked meats and eggs
  4. I started to use lambskin condoms during sex, as i have latex allergy
  5. I won't reuse or share any needles or syringes that i use to inject heroin - ANSWER 1. I don't have to use protection if my sexual partner is also HIV positive
  6. I started to use lambskin condoms during sex, as i have latex allergy Rationale:
  1. check for peaked T waves
  2. obtain prescription for epoetin alfa
  3. place a mask on the client - ANSWER 4. Place a mask on the client Rationale:
  • The client needs reverse or protective isolation from microorganisms, on people or objects, to which the client lacks resistance. A hospitalized client needs to be in a private room, and the room may need to be equipped with HEPA (high-efficiency particulate air) filtration
  • Until the room can be readied, this client should be protected with a mask and separated from infectious clients. Additional neutropenic precautions include avoiding raw fruits/vegetables, standing water, and undercooked meat. *The normal range for a white blood cell (WBC) count is 4,000-11,000/mm The nurse is participating in a staff presentation to review risk factors for skin cancer. Which of the following risk factors should the nurse include? Select all that apply.
  1. Family history of skin cancer
  2. high number of moles
  3. history of severe adolescent acne
  4. immunosuppressant medication used
  5. Outdoor occupation - ANSWER 1. Family history of skin cancer
  6. high number of moles
  7. immunosuppressant medication used
  8. Outdoor occupation Rationale: Risk factors for skin cancer include family or personal history of skin cancer atypical or high number of moles Immunosuppression (eg, immunosuppressant medications, HIV), which lowers the body's ability to defend against cancerous mutations and ultraviolet light exposure (eg, chronic sun exposure, outdoor occupation).

The long-term care nurse is caring for a client diagnosed with macular degeneration. Which client statement supports this diagnosis?

  1. I have been seeing small flashes of light
  2. I have trouble threading my sewing needle. I have to hold it far away to see it
  3. I notice that my peripheral vision is becoming worse
  4. I see a blurry spot in the middle of the page when i read - ANSWER 4. I see a blurry spot in the middle of the page when i read Rationale: Macular degeneration is a progressive, incurable disease of the eye in which the central portion of the retina, the macula, begins to deteriorate. This deterioration causes distortion (blurred or wavy visual disturbances) or loss of the central field of vision, whereas the peripheral vision remains intact (Option 1) Seeing small flashes of light is associated with retinal detachment. (Option 2) Inability to see things close up, known as presbyopia, occurs when the lens of the eye becomes less elastic with age and therefore unable to adjust to near and far vision. (Option 3) Poor peripheral vision, also called tunnel vision, can result from optic nerve damage seen in glaucoma.
  • "Dry" macular degeneration involves ischemia and atrophy of the macula that results from blockage of the retinal microvasculature. "Wet" macular degeneration involves the abnormal growth of new blood vessels in the macula that bleed and leak fluid, eventually destroying the macula The nurse reinforces discharge instructions to a client who was hospitalized for deep venous thrombosis that has now resolved. Which instructions should the nurse include to prevent reoccurrence? Select all that apply.
  1. Do not travel by car or airplane for at least 3-4 weeks
  1. Drink plenty of fluids daily and limit caffeine and alcohol intake
  2. Elevate legs on a footstool when sitting and dorsifllex the feet often
  3. Resume the walking or swimming exercise program as soon as possible after getting home

Additional symptoms depend on the location of the infection. Pulmonary TB typically includes:

  • Cough
  • Purulent or blood-tinged sputum (hemoptysis)
  • Shortness of breath
  • Dyspnea
  • Characteristic signs and symptoms associated with tuberculosis (TB) infection, regardless of location, include low-grade fever, night sweats, anorexia, weight loss, and fatigue. Pulmonary TB will also include respiratory symptoms (eg, cough, hemoptysis, dyspnea). The practical nurse is assisting the registered nurse in caring for 4 clients. Which client is at greatest risk for the development of deep venous thrombosis?
  1. 25 year old client with abdominal pain who smokes cigarettes and takes oral contraceptives
  2. 55 year old ambulatory client with exacerbation of chronic bronchitis and hematocrit of 56%
  3. 72 year old client with a fever who is 2 days post coronary stent placement
  4. 80 year old client who is 4 days postoperative from repair of a fractured hip - ANSWER 4. 80 year old client who is 4 days postoperative from repair of a fractured hip Rationale: Deep venous thrombosis (DVT) is a frequent, often preventable complication of hospitalization, surgery, and immobilization. Factors that increase the risk for developing DVT include trauma, surgery (especially orthopedic, knee, hip), prolonged immobility/inactivity, oral contraceptives, pregnancy, varicose veins, obesity, smoking, and advanced age.
  • The 80-year-old 4-day postoperative client is at greatest risk for developing DVT due to having the most risk factors: orthopedic hip surgery, prolonged period of immobility/inactivity, and advanced age The nurse is caring for a client with primary adrenal insufficiency (Addison disease). The nurse recognizes which finding associated with the disease?
  1. Bronze pigmentation of the skin
  2. Increased body or facial hair
  3. Purple or red striare on the abdomen
  4. Supraclavicular fat pad - ANSWER 1. Bronze pigmentation of the skin Rationale: Addison disease, or primary adrenal insufficiency, is due to the under secretion of glucocorticoids and mineralocorticoids. Manifestations include bronze skin, hypovolemia, hypotension, hyponatremia, hyperkalemia, and vitiligo. Which appearance of a stoma immediately after colostomy requires that the practical nurse contact the supervising registered nurse immediately?
  5. Brick red with slight moisture
  6. Dusky with moderate edema
  7. Pink with slight oozing of blood
  8. Rosy with no stool produced - ANSWER 2. Dusky with moderate edema Rationale: A healthy stoma has the characteristics of mucosal tissue and should appear vascular and moist. Indications of decreased blood supply (pale, dusky, or cyanotic color changes) should be reported to the registered nurse and health care provider immediately. An older client comes to the outpatient clinic for a routine physical examination and health screening. Which findings does the nurse recognize as possible indications of colorectal cancer? Select all that apply.
  9. Abdominal pain
  10. Blood in the stools
  11. Change in bowel habits
  12. Low hemoglobin level
  13. Unexplained weight loss - ANSWER abdominal pain, blood in sttols, change in bowel, low hemoglobin level, and unexplained weight loss