NCLEX PN- PASSPOINT Exam (Latest 2024/ 2025 Update) With Questions and Verified Answers, Exams of Nursing

Download NCLEX PN- PASSPOINT Exam (Latest 2024/ 2025 Update) With Questions and Verified Answers and more Exams Nursing in PDF only on Docsity! NCLEX PN- PASSPOINT Exam (Latest 2024/ 2025 Update) With Questions and Verified Answers| | 100% Correct | Grade A+ A client comes to the physician's office for treatment of severe sunburn. The nurse takes this opportunity to discuss the importance of protecting the skin from the sun's damaging rays. Which instruction would best prevent skin damage? a. use sunscreen with a sun protection factor 6 or higher b. apply sunscreen even on overcast days c. when at the beach sit in the shade to prevent sunburn d. Minimize sun exposure from 1 to 4 pm when the sun is strongest - ✔✔b. apply sunscreen even on overcast days R: Sunscreen should be applied even on overcast days, because the sun's rays are as damaging as on sunny days. The sun is strongest from 10 a.m. to 2 p.m.(11 a.m. to 3 p.m. daylight saving time) - not from 1 (1300)to 4 p.m.(1600) Sun exposure should be minimized during these hours. Which action should a nurse take first when admitting a client with herpes zoster infection? a. institute isolation precautions according to facility policy b. advice the client not to scratch the lesions c. instruct the client to wear light clothing d. provide a tepid bath - ✔✔c. Institute isolation precautions according to facility policy. R: The nurse should first institute isolation precautions to prevent the spread of the herpes zoster infection. The nurse working at a long-term care facility notes an increasing number of clients with pressure ulcer formation and reports this to the facility manager. Which action by the nurse will best address this issue? a. Advocate for increased staffing to allow for better client care b. request an in-service on pressure ulcer prevention for staff c. request a quality improvement initiative be implemented d. Complete a daily Braden risk assessment tool on the clients. - ✔✔c. Request a quality improvement initiative be implemented. R: The nurse has noticed a problem in the quality of care being delivered as evidenced by the increase in pressure ulcer formation in the clients. However, the nurse cannot be sure of all the causative factors that are contributing to this finding. To best determine the causes and possible solutions, the nurse recommends a quality improvement initiative be implemented. A preschool-age child refuses to take prescribed medication. Which nursing strategy would be most appropriate? a. making the child feel ashamed for not cooperating b. explaining the medication's effects in detail to ensure cooperation c. mixing the medication in milk so the child isn't aware that it's there d. showing trust in the child's ability to cooperate even with an unpleasant procedure - ✔✔d. showing trust in the child's ability to cooperate even with an unpleasant procedure R: To gain a preschooler's cooperation, the nurse should show trust and express faith in the child's ability to cooperate even with an unpleasant procedure. Hiding the medication in milk may foster mistrust. The nurse should provide simple, not detailed, explanations and should use terms the child can understand. Shaming the child is inappropriate and may lead to feelings of guilt. R: High humidity with cool mist, such as from a cool mist humidifier, provides the most (and safest form of) relief. Cool liquids would be best for the child. If unable to take liquid, the child needs emergency care. Raising the heat on the thermostat will result in dry, warm air, which may cause secretions to adhere to the airway wall. A warm, running shower provides a mist that may be helpful to moisten and decrease the viscosity of airway secretions and may also decrease laryngeal spasm. A client comes to the emergency department with status asthmatics. based on the documentation note shown Pt. wheezing. RR 44, BP 140//90. P 104. T 98.4. ABG results show pH 7.52, paCO2 30 mmHg, HCO3 26 mEq/L, and PO2 77 mm Hg the nurse suspects that the client has what abnormality? a. metabolic alkalosis b. metabolic acidosis c. respiratory acidosis d. respiratory alkalosis - ✔✔d. respiratory alkalosis R: Respiratory alkalosis is marked by an increase in pH to more than 7.45 and a concurrent decrease in partial pressure of arterial carbon dioxide (PaCO2) to less than 35 mm Hg. Metabolic alkalosis shows the same increase in pH but also an increased bicarbonate level and normal PaCO2 (may be elevated also if compensatory mechanisms are working). Acidosis of any type means a low pH (below 7.35). Respiratory acidosis shows an elevated PaCO2 and a normal to high bicarbonate level. Metabolic acidosis is characterized by a decreased bicarbonate level and a normal to low PaCO2. The nurse cares for a client who has experienced a stroke. During morning round, the nurse observes that the client has deeper breaths followed by shallower breaths with apneic periods. Which breathing pattern should the nurse document? a. tachypneic rate b. kussmaul breathing c. cheyne-stokes d. Biot's respirations - ✔✔c. cheyne-stokes R: Cheyne-Stokes respirations are breaths that become progressively deeper, followed by shallower respirations with apneic periods. Biot's respiration is rapid, deep breathing with abrupt pauses between each breath and equal depth between each breath. Kussmaul respiration is rapid, deep breathing without pauses. Tachypnea is shallow breathing with increased respiratory rate. The nurse is caring for a client who practices reflexology. When collecting client data, the nurse notes that the client's ankles are edematous. Which intervention by the nurse supports the client's beliefs in reflexology and helps reduce edema? a. lowering the legs b. abducting the legs c. elevating the legs d. adducting the legs - ✔✔c. elevating the client's legs A client with cancer-related pain has been prescribed a narcotic analgesic to be given around the clock. The client is competent and has been actively involved in decisions regarding care. What should the nurse do if the client refuses the next dose of analgesia? a. document the client's choice and re-assess pain in 1-hour b. try to persuade the client to take the medication as ordered by the doctor c. emphasize the rationale for taking the medication now as ordered d. ask the clients spouse to hold the clients hands while the nurse puts the pill under the tongue - ✔✔a. document the client's choice and re-assess pain in 1-hour The nurse is on the telephone with the health care provider to share the stat potassium result on a client. The health care provider gives the nurse a telephone order for potassium chloride 60 mEq oral every 6 hours for 2 days. What should the nurse do first? a. repeat the potassium chloride order back to the health care provider b. call the pharmacy to send the potassium chloride dosage to the unit c. let the charge nurse know the health care provider has ordered potassium chloride d. enter the potassium chloride order in the computer system e. let the client know that potassium chloride 60 mEq orally for 2 days has been ordered. - ✔✔a. repeat the potassium chloride order back to the health care provider A nurse is caring for a 10-year-old child with rheumatic fever. When obtaining the child's health history from the parent, the nurse should ask if the child recently had which illness? a. influenza b. mono c. chicken pox d. strep throat - ✔✔d. strep throat The nurse is caring for a 2-year-old child suspected of having bacterial meningitis. What is the nurse's priority action?