NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers, Exams of Nursing

Download NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers and more Exams Nursing in PDF only on Docsity! NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly alert to: A. Nasal congestion B. Abdominal Tenderness C. Muscle Tetany D. Oliguria - Correct Answer ✅A. Nasal congestion why? removal of the pituitary gland is usually done by transsphenoidal approach through the nose. Nasal congestion further interferes with the airway. A client with cancer is a, admitted to the oncology unit. Stat lab values revel Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, Na+136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following? A. Hypernatremia B. Hypokalemia NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers C. Myelosuppression D. Leukocytosis - Correct Answer ✅B. Hypokalemia why? Hypokalemia is evident from the lab values listed. The other laboratory findings are within normal limits. making answers A,C and D incorrect A 24 year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. taking the vital signs B. obtaining the permit C. explaining the procedure D. Checking the lab work - Correct Answer ✅A. taking the vital signs why? the primary responisblity of the nurse is to take the vital signs before any surgery. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers why? A tourque wrench is kept at the bedside to tighten and loosen the screws of crutchfield tongs. This wrench controls the amount of pressure that is placed on the screws. An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be: A. 10 pounds B.12 pounds C. 18 pounds D. 21 pounds - Correct Answer ✅D. 21 pounds why? A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth weight. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A client is admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's location? A. Hemiplegia B. Aphasia C. Nausea D. Bone Pain - Correct Answer ✅D. Bone Pain why? Sacroma is a type of bone cancer, therefor, bone pain would be expected The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which labatory value might be a indicate a serious side effect of this drug? A. Uric acid of 5mg/dL B. Hematoccrit of 33% C. WBC 2,000 per cubic millimeter NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers D. Platelets 150,000 per cubic millimeter - Correct Answer ✅C. WBC 2,000 per cubic millimeter why? Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug. A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis? A. "tell me about the pain" B."what does his vomit look like?" C." Describe his usual diet." D. " have you noticed changes in his adominal size?" - Correct Answer ✅C." Describe his usual diet." NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The nurse is performing discharge teaching on a client with diverticulitis who has been placed on 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 - Correct Answer ✅C. Cooked Broccoli why? the client with diverticulitis should avoid eating foods that are gas forming and that increase abdominal discomfort, such as cooked broccoli. The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is: A. The baby is dehydrated due to polyuria. B. The baby is hypoglycemic due to glucose. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers C. The baby is allergic to the formula the mother is giving him. D. The baby can lose up to 10% of weight due to meconium still, loss of extracelluar fluid, and initiation of breast-feeding. - Correct Answer ✅D. The baby can lose up to 10% of weight due to meconium still, loss of extraceullar fluid, and initiation of breast-feeding. why? After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy to the infant formula The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis? A. Foul breath B. Dysphagia C. Diarrhea D. Chronic hiccups - Correct Answer ✅C. Diarrhea NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers why? Diarrhea is not common in clients with mouth and throat cancer A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included? A. Closed chest drainage B. A tracheostomy C. A mediastinal tube D. Percussion vibration and drainage - Correct Answer ✅A. A closed chest drainage why? The client with a lung resection will have chest tubes and a drainage- collection device. He probably will not have a tracheoostomy or mediastinal tube, and he will not have an order for percussion, vibration, or drainage. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers B. Tachycardia C. Premature ventricular beats D. Heart block - Correct Answer ✅A. Bradycardia why? Suctioning can cause a vagal response and bradycardia. The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period? A. Assessment of the client's level of anxiety. B. Evaluation of the client's exercise tolerance C. Identification of peripheral pulses. D. Assessment of bowel sounds and activity. - Correct Answer ✅C. Identification of peripheral pulses why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The assessment that is most crucial to the client is identification of peripheral pulses because aorta is clammed during surgery. This decreases blood circulation to the kidneys and lower extremities. The nurse must also assess for the return of circulation to the lower extremities. A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session? A. "You will be sitting for the examination procedure." B. "Portions of the procedure will cause pain or discomfort." C. "You will be given some medication to anesthetize the area." D. "you will not be able to drink fluids for 24 hours before the study." - Correct Answer ✅B. "Portions of the procedure will cause pain or discomfort." why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers Portions of the exam are painful especially when the sample is being withdrawn so this should be included in the session with the client. The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis? A. A weight loss of 10 pounds in 2 weeks. B. Complaints of numbness and tingling in the extremities. C. A red, beefy tongue. D. A hemoglobin level of 12.0 gm/dL - Correct Answer ✅C. A red, beefy tongue why? A red, beefy tongue is characteristic of a client with pernicious anemia. A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for: NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers Cancer in situ means that the cancer is still localized in the primary site. Cancer is graded in terms of tumor, grade, node, involvement, and mestatasis. 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 4x4s B. Cover the wound with a sterile 4x4 and ABD dressing C. Cover the wound with a sterile saline-soaked dressing D. Apply an abdominal binder and manual pressure to the wound - Correct Answer ✅C. Cover the wound with a sterile saline-soaked dressing. why? If the client eviscerates, the abdominal content should be covered with a sterile saline-soaked dressing. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers 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 - Correct Answer ✅B. Contact lenses why? It is most important to remove the contact lenses because leaving them in can lead to corneal drying, particularly with contact lenses that are not extended wear lenses. 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? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers 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 b - Correct Answer ✅A. Call the surgeon and ask him or her to see the client to clarify the information why? It is the responsibility of the physician to explain and clarify the procedure to the client. When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain? A. A history of radiation treatment in the neck region B. A history of recent orthopedic surgery C. A history of minimal physical activity NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A. "My sister still has episodes of crying and it's been 3 months since daddy died." B. "Sally seems to have forgotten the bad things that daddy did in his lifetime." C. "She really had a hard time after daddy's funeral. She said that she had a sense of longing." D. "Sally has not been sad at all by daddy's death. She acts like nothing has happened." - Correct Answer ✅D. "Sally has not been sad at all by daddy's death. She acts like nothing has happened at all." why? Abnormal grieving is exhibited by a lack of feeling sad; if the client's sister appears not to grieve, it might be abnormal grieving. This family member might be suppressing feelings of grief. The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A. Mask B. Gown C. Gloves D. Shoe covers - Correct Answer ✅A. Mask why? If the nurse is exposed to the client with a cough, the best item to wear is a mask. If the answer had included a mask, gloves, and a gown, all would be appropriate. The nurse is caring for a client with a diagnosis of Hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention? A. Suggest that the client take warm showers b.i.d. B. Add baby oil to the client's bath water C. Apply powder to the client's skin NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers D. Suggest a hot water rinse after bathing. - Correct Answer ✅B. Add baby oil to the client's bath water why? Oil can be applied to help with the dry skin and to decrease itching, so adding baby oil to bath water is soothing to the skin. A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate? A. Blood pressure every 15 minutes B. Insertion of a levine tube C. Cardiac monitoring D. Dressing changes 2x per day - Correct Answer ✅B. Insertion of a levine tube why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers Which client can be best assigned to the newely licensed to the Practical Nurse? A. The client receiving chemotherapy B. The client post-coronary bypass C. The client with a TURP D. The client with diverticulitis - Correct Answer ✅D. The client with diverticulitis why? The best client to assign to the newly licensed nurse is the most stable client; in this case, it's the client with diverticulitis. The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the RN? A. Notify the police department as a robbery B. Report this behavior to the charge nurse NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers C. Monitor the situation and note whether any items are missing D. Ignore the situation until items are reported missing - Correct Answer ✅B. Report the behavior to the charge nurse why? The best action at this time is to report the incident to the charge nurse. Further action might be needed, but it should be determined by the charge nurse. The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: A. Change the nursing assistant's assignment B. Explore the interaction with the nursing assistant C. Discuss the matter with the client's family D. Initiate a group session with the nursing assistant. - Correct Answer ✅B. Explore the interaction with the nursing assistant NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers why? The best action for the nurse to take is to explore the interaction with the nursing assistant. This will allow for clarification of the situation. A home health nurse is planning for her daily visits. Which client should the home health nurse visit first? A. A client with AIDS being treated with Foscarnet B. A client with a fractured femur in a long leg cast C. A client with a laryngeal cancer with a laryngetomy D. A client with diabetic ulcers to the left foot - Correct Answer ✅C. A client with a laryngeal cancer with a laryngetomy why? The client with laryngeal cancer has a potential airway alteration and should be seen first. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers D. The nurse places the extremity to a dependent position to acquire a peripheral blood sample - Correct Answer ✅A. A nurse fails to wear gloves to remove a dressing why? The nurse who fails to wear gloves to remove a contaminated dressing needs further instruction The nurse is preparing the client for a mammogram. To prepare the client for a mammogram, the nurse should tell the client: A. Restrict her fat intake for one week before the test B. To omit creams, powders, or deodorants before the exam C. The mammography replaces the need for self breast exams D. That mammography requires higher does of radiation than an x-ray. - Correct Answer ✅B. To omit creams, powders, or deodorants before the exam. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers why? The client having the mammogram should be instructed to omit deodorants or powders beforehand because powders and deodorants can be interpreted as abnormal. Which of the following roommates would be best for the client with gastric resection? A. A client with Chron's disease B. A client with pneuomia C. A client with gastritis D. A client with phlebitis - Correct Answer ✅D. A client with phlebitis why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The most suitable roommate for the client with gastric resection is the client with phlebitis because phlebitis is an inflammation of the blood vessel and is not infectious. The licensed practical nurse is working with a RN and a patient care assistant. Which of the following clients should be cared for by the RN? A. A client two days post-appendectomy B. A client one week post-thyroidectomy C. A client 3 days post- splenectomy D. A client 2 days post- thoracotomy - Correct Answer ✅D. A client 2 days post-thoracotomy why? The most critical client should be assigned to the RN; in this case, that is the client 2 days post-thoracotomy. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers D. A 50 year old with dislocation of the elbow - Correct Answer ✅B. A 15 year old with sternal bruising why? The teenager with sternal bruising might be experiencing airway and oxygenation problems and, thus, should be seen first. The client is receiving peritoneal dialysis. If the dialysis returns cloudy the nurse should" A. Document the finding B. Send a specimen to the lab C. Strain the urine D. Obtain a complete blood count - Correct Answer ✅B. Send a specimen to the lab why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers If the dialysate returns cloudy, infection might be present and must be evaluated The client with cirrhosis of the liver is receiving lactulose. The nurse is aware that the ratio for the order of lactulose is : A. To lower the blood glucose level B. To lower the uric acid level C. To lower ammonia level D. To lower the creatinine level - Correct Answer ✅C. To lower ammonia level why? Lactulose is administered to the client with cirrhosis to lower ammonia levels. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement by the client indicates 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." - Correct Answer ✅B. "I have trouble seeing" why? A client with diabetes who has trouble seeing would require follow-up after discharge. The lack of visual acuity for the client preparing and injecting insulin might require help. The client is receiving total parenteral nutrition (TPN). Which lab should be evaluated while the client is receiving TPN? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The licensed practical nurse assigned to the post-partal unit is preparing to administer Rhogam to a post-patrum client. Which of the women is not a candidate for the RhoGam? A. A gravida IV para 3 that is Rh negative with a Rh postivie baby B. A gravida I para I that is Rh negative with a Rh positive baby C. A gravida II para 0 that is Rh negative attempted after a still birth delivery D. A gravida IV para II that is Rh negative with a Rh negative baby - Correct Answer ✅D. A gravida IV para II that is Rh negative with a Rh negative baby why? The mother in answer D is the only one who does not require a RhoGam injection. The first exercise that should be performed by a client with a mastectomy is: A. Walking the hand up the wall B. Sweeping the floor NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers C. Combing her hair D. Squeezing a ball - Correct Answer ✅D. Squeezing a ball why? The first exercise that should be done by the client with a mastectomy is squeezing the ball This client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept during the test? A. Atropine sulfate B. Furosemide C. Prostigmin D.Promethazine - Correct Answer ✅A. Atropine sulfate why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers Atropine sulfate is the antidote for Tensilon and is given to treat cholenergic crises 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 alseep during the procedure." D. "The doctor will injuect a medication to treat your illness during the procedure." - Correct Answer ✅B. "You need to empty your bladder before the procedure." why? The client scheduled for a pericentesis should be told to empty the bladder, to prevent the risk of puncturing the bladder when the needle is inserted. A pericentesis is done to remove fluid from the peritoneal cavity. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers Sodium warfarin is administered in the late afternoon, at approximately 1700 hours. this allows for accurate bleeding times to be drawn in the morning. The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion? A. Secrurity guard B. RN C. LPN D. The nursing assistant - Correct Answer ✅B. RN why? The RN is the only one of these who can legally put the client in seclusion. The only other healthcare worker who is allowed to initiate seclusion is the doctor. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal a pH of 7.36, CO2 at 45, O2 at 84, HCO3 at 28. The nurse would assess the client to be in: A. Uncompensated acidosis B. Compensated alkalosis C. Compensated respiratory acidosis D. Uncompensated metabolic acidosis - Correct Answer ✅C. Compensated respiratory acidosis why? The client is experiencing compensated respiratory acidosis. The pH is within the normal range but is lower than 7.40, so it is on the acidic side. The CO2 level is elevated, the oxygen level is below normal, and the bicarb level is slightly elevated. In respiratory disorders, the pH will be in inverse of the CO2 and bicarb level. This means that if the pH is low, the CO2 and bicarb levels will be elevated. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to: A. Take blood pressure, pulse, and temp B. Ask the client to rate his pain from 1-5 C. Watch the client's facial expression D. Ask the client if he is in pain - Correct Answer ✅B. Ask the client to rate his pain from 1-5 why? The best way to evaluate pain levels is to ask the client to rate his pain on a scale. The nursing is participating in a discharge teaching for the post-partal client. The nurse is aware that an effective means of managing discomfort associated with a episiotomy after discharge is: A. Promethazine NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A: Grimacing and withering movements decrease with relaxation and rest. B. Hypoactive deep tendon reflexes become more active with rest C. Stretch reflexes become more increases with rest D. Fine motor movements are improved - Correct Answer ✅A. Grimacing and withering movements decrease with relaxation and rest. why? Frequent rest periods help to relx tense muscles and preserve energy The nurse is making assignments for the day. Which client should be assigned to the nursing assistant? A. A client with Alzheimer's B. A client with pnuemonia C. A client with appendicitis D. A client with thrombophebitis - Correct Answer ✅A. A client with Alzheimer's NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers why? The client with Alzheimer's disease is the most stable of these clients and can be assigned to the nursing assistant, who can perform duties such as feeding and assisting the client with activities of daily living. A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by: A. Offering a hard candy B. Administering an analgesic medication C. Splinting swollen joints D. Providing saliva substitue - Correct Answer ✅D. Providing saliva substitute why? Xerostomia is dry mouth, and offering the client a saliva substitute will help the most. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A home health nurse is making preparations for morning visits. Which of the following clients should the nurse visit first? A. A client with brain- attack (stroke) with tube feeding B. A client with congestive heart failure complaining of nighttime dyspnea C. A client with a thoracotomy 6 months ago D. A client with Parkinson disease - Correct Answer ✅B. The client with congestive heart failure complaining of nighttime dyspnea why? The client with congestive heart failure who is complaining of nighttime dyspnea should be seen first because airway si number one in nursing care A client with glomerulonephritis is placed on a low sodium diet. Which of the following snacks is suitable for the client with low sodium restritctions? A. Peanut butter cookies NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The nurse is assigning staff for the day. Which assignment should be given to the nursing assistant? A. Taking the vital signs of the 5 month old with brochiolitis B. Taking the vital signs of a 10 year old with a 2 day post- appendectomy C. Administering medication to the 2 year old with periorbital cellulitis D. Adjusting the traction of a 1 year with a fractured tibia - Correct Answer ✅B. Taking the vital signs of a 10 year old with a 2 day post-appendectomy why? The client with the appendectomy is the most stable of these clients and can be assigned to a nursing assistant. The client with bronchiolitis has an alteration in the airway, the client with periorbital cellulitis has an infection, and the client with a fracture might be an abused child. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A new nursing graduate indicates in charting enteries that he is a licensed practical nurse, although he has not received the results of the licensing exam. The graduate's actions can result in what type of charge? A. Fraud B. Tort C. Malpractice D. Negligence - Correct Answer ✅A. Fraud why? Identifying oneself as a nurse without a license defrauds the public and can be prosecuted. A tort is a wrongful; malpractice is failing to act appropriately as a nurse or acting in a way that harm comes to the client; and negligence is failing to perform care. A client with acute leukemia develops a low white blood cell count. In addition to the institute of isolation the nurse should: NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A. Request that food be served with disposable utensils B. Ask the client to wear a mask when visitors are present C. Prep IV with mild soap, water, and alcohol D. Provide foods in seal single serving packages - Correct Answer ✅D. Provide foods in seal single serving packages why? Because the client is immune-suppressed, foods should be served in sealed containers, to avoid food contaminants. A 70 year old man who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggested of unilateral neglect? A. The client is observed by shaving only one side of his face B. The client is unable to distinguish between two tactile stimuli presented simultaneously C. The client is unable to complete a range a vision without turning his head side to side NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers A. A client 2 hours post-lobectomy with 150 cc drainage B. A client 2 days post-gastrectomy with scant drainage C. A client with pnuemonia with a oral temp of 102 F D. A client with a fractured hip in Bucks traction - Correct Answer ✅A. A client 2 hours post-lobectomy with 150 cc drainage why? The first client to be seen is the one who recently returned from surgery. Several clients are admitted to the ER following a three- car vehicle accident. Which clients can be assigned to share a room in the emergency department during the disaster? A. The schizophrenic client having visual and auditory hallucinations and the client with ulcerative collitis B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers C. A child whose pupils are fixed and dilated and his parents, and the client with a frontal head i - Correct Answer ✅B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm why? Out of all these clients, it is best to hold the pregnant client and the client with a broken arm and facial lacerations in the same room. The home health nurse is planning for the day's visits. Which client should be seen first? A. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube B. The 5 month old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension C. The 50 year old with MRSA being treated with Vancomycin via a PICC line D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter - Correct Answer ✅D. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter why? The priority client is the one with multiple sclerosis who is being treated with cortisone via the central line. This client is at highest risk for complications. The nurse is found to be guilty of charting blood glucose results without actually performing the procedure. After talking to the nurse, the charge nurse should: A. Call the Board of Nursing B. File a formal reprimand C. Terminate the nurse D. Charge the nurse with a tort - Correct Answer ✅B. File a formal reprimand why? NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority? A. Continue to monitor the vital signs B. Contact the physician C. Ask the client how he feels D. Ask the LPN to continue the post-op care - Correct Answer ✅B. Contact the physician why? The vital signs are abnormal and should be reported to the doctor immediately. Which assignment should not be performed by the licensed practical nurse? A. Inserting a Foley catheter B. Discounting a nasogastric tube NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers C. Obtaining a sputum specimen D. Initiating a blood transfusion - Correct Answer ✅D. Initiating a blood transfusion why? A LPN should not assigned to initiate a blood transfusion. The LPN can assist with the transfusion and check ID numbers for the RN. The LPN can be assigned to insert Foley and French urinary catheters, discontinue Levine and Gavage gastric tubes, and obtain all types of specimens. The nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be changed with: A. Negligence B. Tort C. Assault D. Malpractice - Correct Answer ✅C. Assault NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers why? Assault is defined as striking or touching the client inappropriately, so a nurse assistant striking a client could be charged with assault. The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available? A. The client with Cushing's disease B. The client with diabetes C. The client with acromegaly D. The client with myxedema - Correct Answer ✅A. The client with Cushing's disease why? The client with Cushing's disease has adrenocortical hypersecretion. This increase in the level of cortisone causes the client to be immune suppressed NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers D. By administering it through a venous access device - Correct Answer ✅A. By giving it over 1-2 minutes why? Lasix should be given approximately 1mL per minute to prevent hypotesion The physician prescribes capropril (Capoten) 25 mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten? A. Tinnitus B. Persistent coughing C. Muscle weakness D. Diarrhea - Correct Answer ✅B. Persistent coughing why? A persistent cough might be related to an adverse reaction to Captoten. NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers The doctor orders 2% nitroglycerin ointment on a 1-inch dose over 12 hours. Proper application of nitroglycerin ointment includes: A. Rotating application sites B. Limiting applications to the chest C. Rubbing it into the skin D. Covering it with a gauze dressing - Correct Answer ✅A. Rotating application sites why? Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be applied to the back and upper arms, not to the lower extremities. Lidocaine is a medication frequently ordered for the client experiencing: A. Atrial tachycardia NCLEX-PN PRACTICE Exam Cram QUESTIONS and Answers (2023/2024) Verified Answers B. Ventricular tachycardia C. Heart block D. Ventricular brachycardia - Correct Answer ✅B. Ventricular tachycardia why? Lidocaine is used to treat ventricular tachycardia. This medication slowly exerts an antiarrhythmic effect by increasing the electric stimulation threshold of the ventricle without depressing the force of ventricular contractions. The client is admitted to the ER with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. Te doctor orders quinidne sulfate. While he is receiving quinidine, the nurse should monitor his ECG for: A. Peaked P waves B. Elevated ST segment C. Inverted T wave D. Prolonged QT interval - Correct Answer ✅D. Prolonged QT interval