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NCLEX PN Questions with verified answers rated A, Exams of Nursing

NCLEX PN Questions with verified answers rated A

Typology: Exams

2022/2023

Available from 11/25/2023

Wayne-
Wayne- 🇺🇸

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Download NCLEX PN Questions with verified answers rated A and more Exams Nursing in PDF only on Docsity!

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Reduce symptoms of Raynauds disease? - correct answer ✅Wearing gloves when handling frozen food What is Raynauds disease? - correct answer ✅reduced blood flow due to spasm of arteries of the feet and hands When removing a chest tube, what should you instruct the patient to do? - correct answer ✅hold breathe and bear down When you notice blanching, coldness and edema at the IV site, what should you do? - correct answer ✅Remove the IV What is considered a normal Blood Glucose level? - correct answer ✅70- What PPE to use for MRSA patient? - correct answer ✅Gloves Gown Goggles Mask

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What is an EARLY sign of digoxin toxicity, from the drug digoxin? - correct answer ✅Anorexia What are normal Magnesium levels? - correct answer ✅1.6 - 2.6 mg What are signs of elevated magnesium levels? - correct answer ✅Drowsiness Sedation Lethargy Muscle weakness Areflexia What is Areflexia? - correct answer ✅Absence of the reflexes What position should you place a patient with acute epiglottitis? - correct answer ✅Sit upright What position to use for Soapsuds enema? - correct answer ✅Left side SIMS position

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What is the 1st step when looking into the NCLEX exam? - correct answer ✅Step 1: Access the NCSBN website at www.ncsbn.org (Obtain info for international nurses) For state licensing? - correct answer ✅Contact the state in which you are taking the NCLEX in and determine specific requirements for that state What is the process for sending the state official documents? - correct answer ✅They must come from the "Licensing Authority" Is the NCLEX exam administered in other languages? - correct answer ✅No (ONLY in English) What is your Initial response after a patients trach tube becomes dislodged? - correct answer ✅Use a manual BVM/resuscitation device? What is the "immediate" action to take after a heart failure patient presents with shortness of breath/dyspnea? - correct answer ✅Raise the head of the bed

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How soon after the administration of nitroglycerin should the patient see relief? - correct answer ✅5 mins (Burning sensation/vertigo are common side effects) What is a concern when a patient is taking Warfarin? - correct answer ✅Bleeding easily (Educate patient on straight razor use) What is Dystocia? - correct answer ✅Abnormal labor or childbirth What is the 1st step in the Nursing process? - correct answer ✅Data collection What is the 2nd step in the Nursing process? - correct answer ✅Planning What is the 3rd step in the Nursing process? - correct answer ✅Implementation What is the 4th step in the Nursing Process? - correct answer ✅Evaluation

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What is the medication "Tigan" used for? - correct answer ✅Nausea and Emesis Iron supplements should be taken with what? - correct answer ✅Vitamin C rich juices (Tomato juice, Orange juice) When noticing that the fundus of a postpartum patient is soft and spongy, what should you do? - correct answer ✅Massage the fundus gently until it is firm Drugs that end in "lol" are normally used for what? - correct answer ✅Beta Blocker (for hypertension) ("Lo" Lowers the BP) What OTC tabs should patients not take with medication? - correct answer ✅Antacids tabs (effects the absorption of the med) Which tabs should not be crushed? - correct answer ✅Enteric Coated/sustained release tabs Can nurses adjust or change a patients medication? - correct answer ✅NO (only the Doctor can do this)

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T/F Patients should consult a doctor before taking OTC or any herbal preparations?

  • correct answer ✅True Can Abandonment charges be filed against nurses who walk out if staffing is inadequate? - correct answer ✅Yes Can nurses refuse to float? - correct answer ✅No, unless their Union contract states they only work in a specific area Do Nurses need to get their own Insurance against malpractice? - correct answer ✅YES Who issued the Patients Bill of Rights? - correct answer ✅American Hospital Association What is habeas Corpus, and can a mentally ill patient request it? - correct answer ✅Requesting a release from care/Yes they can T/F Catholics, Christians and Jehovah witness are the only religions that allow organ donations? - correct answer ✅True

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T/F Orthodox Judaism may allow organ donation with the Rabbis approval? - correct answer ✅True What are Incident reports used for? - correct answer ✅Identifying risk situations and Improving care Do Incident reports get filed in the Patients record? - correct answer ✅No What are the components of a medication prescription? - correct answer ✅Date/Time Med name Dosage Route Frequency Signature How is a Telephone medication order abbreviated? - correct answer ✅t.o

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Can a nurse sign or be a witness to a signature for a "Living Will" for her patient? - correct answer ✅No, must be signed by someone who isn't staff or be notarized What is managed care? - correct answer ✅Strategies used to reduce the cost of health care. T/F Case management involves collaboration with an Interprofessional health care team? - correct answer ✅TRUE What are the 5 types of leaders? - correct answer ✅1) Autocratic-Dominates the group, maintains strong control and address problems with clearly defined tasks.

  1. Democratic-Participative style, all members of the team should have input.
  2. Laissez-faire-Passive, inactive and delegates responsibility to the group (Lazy)
  3. Situational-Leads based on current circumstance/situation.
  4. Bureaucratic-Leader believes that the team is motivated by EXTERNAL forces, relies on policies/procedures for decision making. What is Inter-personal and Intra-personal conflict? - correct answer ✅Intra-within a person Inter-within the group

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When does discharge planning begin? - correct answer ✅When patient is admitted What is Priority 1, 2, and 3 of the Emergency room triage? - correct answer ✅Priority 1-Emergent (Chest pain, respiratory distress, major arterial bleed, chemical splashes to the eye) Priority 2-Urgent (Not life-threatening, unless not treated within 1-2 hours, eval every 30-60 mins) Priority 3-Minor issues, eval every 1-2 hours) What is Phlebitis? - correct answer ✅Inflammation of a vein What id Third Spacing? - correct answer ✅The accumulation of extracellular fluid in a body space due to disease or injury What does Extracellular mean? - correct answer ✅Fluid outside the cells What does Interstitial mean? - correct answer ✅Fluid between the cells and the blood vessels

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Which population is at "higher" risk for fluid related problems? - correct answer ✅infants and Elderly Water lost through the skin and lungs (expired air) is called? - correct answer ✅Insensible loss What is Hypokalemia? - correct answer ✅A potassium level lower than 3.5 mEq/L Can potassium supplement be taken on an empty stomach? - correct answer ✅No, causes nausea and emesis What else should be performed when a patient is receiving potassium supplements through IV? - correct answer ✅Cardiac monitoring Can potassium be administer via IV push? - correct answer ✅No, only IV or orally What level is the sodium when a patient has hyponatremia? - correct answer ✅Sodium level will be less than 135

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What is the antidote for magnesium overdose? - correct answer ✅Calcium gluconate Why is a patient with a nasogastric suction at risk of potassium deficit? - correct answer ✅Potassium rich fluids are lost through GI suctions Patients with Addisons disease are at risk for what? - correct answer ✅Hyperkalemia (High potassium) When a patient has hyperkalemia, what can you expect to see on an EKG? - correct answer ✅Narrow peaked T waves What is an insensible fluid loss? - correct answer ✅Cant be measured (Through skin and lungs) Can a patient with a fast respiratory rate be susceptible to "Insensitive" fluid loss?

  • correct answer ✅Yes

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(From the lungs) What 4 patients may be at risk for "Third Spacing"? - correct answer ✅-Renal failure -Sepsis -Liver (cirrhosis) -Burns (major) What patient is least likely to have Third Spacing? - correct answer ✅Diabetic What is the primary buffer system in the body? - correct answer ✅Carbonic acid- bicarbonate (HCO 3 -) What does the respiratory rate do with Acidosis and Alkalosis? - correct answer ✅Acidosis-RR increases Alkalosis-RR decrease

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What should you monitor for in a patient with severe diarrhea? - correct answer ✅Metabolic aCidosis What should you monitor for in a patient with severe vomiting? - correct answer ✅Metabolic alKalosis What is the Allens test? - correct answer ✅Applying pressure to the arteries in your wrist How soon should blood return to the hand after the Allen test? - correct answer ✅6-7 seconds (If it takes longer, use a different hand for blood draw) How long should you hold pressure on a draw site if patients are taking anticoagulants? - correct answer ✅5-10 mins (3-5 mins for a coagulation defect) In Acidosis the pH is up or down? - correct answer ✅Down

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In Alkalosis the pH is up or down? - correct answer ✅Up Can you use the arm that has an infusion going for blood draws? - correct answer ✅No, it can give inaccurate results (Try and draw blood 1 hour prior to intermittent heparin) Clenching/unclenching of the fist during a blood draw can cause what inaccurate result? - correct answer ✅Potassium level If the aPTT value is prolonged longer than ___ seconds in a patient receiving heparin, initiate bleeding precautions? - correct answer ✅90 seconds If the PT value is longer longer than ___ seconds in a patient receiving warfarin, initiate bleeding precautions? - correct answer ✅30 seconds What should you monitor in a patient receiving Chemo due to the risk of Thrombocytopenia? - correct answer ✅Platelet count What is the normal RBC for a male and female? - correct answer ✅Female 4.0 - 5.

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Male. 4.5 - 6. If a patient is experiencing dyspnea and has an elevated BNP, what is the diagnosis? - correct answer ✅Heart failure (If the BNP is normal, the the dyspnea is a result of respiratory distress) In "acute" pancreatitis the amylase levels may exceed how many times the normal limit? - correct answer ✅5 times (Levels start rising around 6 hours of the onset of pain, peaks at 24 hours) In "chronic" pancreatitis the serum amylase levels may increase how many times the normal limit? - correct answer ✅3 times (normally does not exceed 3) True/False Patients with liver disease have prolonged clotting times? - correct answer ✅True How long should the patient fast before a glucose study? - correct answer ✅8- hours

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What is the normal WBC count? - correct answer ✅4,500 - 11, What is the normal specific gravity of urine? - correct answer ✅1,016 - 1, What is the preferred source of energy? - correct answer ✅Carbs (Milk, grains, fruits and veggies) Not enough essential fats in the diet can lead to what? - correct answer ✅Amenorrhea Sensitivity to cold Skin lesions Risk of infections What are the fat soluble vitamins? - correct answer ✅ADEK (Excess causes toxicity) What is a mechanical diet? - correct answer ✅Meals that are prepared for easy swallowing (Avoid nuts, dried, salty foods)

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What type of candy can you offer a patient who has reduced salivary flow? - correct answer ✅Sour candy Foods low in potassium? - correct answer ✅Applesauce Grapes Blueberries Raspberries Most Green veggies Can you give a patient hard candy to relieve thirst? - correct answer ✅Yes How can you determine the patients BMI? - correct answer ✅Divide the weight (kilo) by the height (meters squared) What is Enteral nutrition? - correct answer ✅Feeding through the GI tract What is Parenteral nutrition (PN)? - correct answer ✅Feeding through a vein (Last resort)

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Where should the PN line be placed when short term nutrition is needed (4 weeks or less)? - correct answer ✅Subclavian or jugular vein Where should the PN line be placed when "long" term nutrition is needed (longer than 4 weeks)? - correct answer ✅PICC is used How often should you monitor the VS of a patient receiving lipid solutions? - correct answer ✅Every 10 mins (Monitor for reactions the 1st 30 mins) Can lipid solutions be given to patients with egg allergies? - correct answer ✅No What can happen if you abruptly stop PN solutions? - correct answer ✅Hypoglycemia (Decrease slowly) What type of foods should a diverticulitis patient avoid? - correct answer ✅High- fiber foods

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What food does the lacto-vegetarian NOT eat? - correct answer ✅Eggs (Lacto Ovo vegetarians eat eggs) Which patients should be on a low-purine diet? - correct answer ✅Gout Kidney stones What are a few high purine foods? - correct answer ✅Anchovies Herring Scallops Mackerel Wild game Sweetbreads What are a few foods high in riboflavin? - correct answer ✅Milk Lean meats Fish Grains

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Can you write on the outside of IV bags? - correct answer ✅No (Use a label instead) Why are the veins in the forearm mist commonly used for IV sites? - correct answer ✅They provide natural support and splint Why is a patient with heart failure not given saline solutions? - correct answer ✅Increases fluid overload and exacerbates heart failure Why is a patient with kidney disease/failure not supposed to receive lactated ringers? - correct answer ✅Contains a potassium solution How are Central venous catheters position determined? - correct answer ✅Xray What position should the patient be in for central line insertion, removal and tubing change? - correct answer ✅Trendelenburg

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Washed red blood cells may be ordered for what 2 types of issues? - correct answer ✅1) Recent allergic reaction to transfusion

  1. Recent stem cell transplant How are platelets administered? - correct answer ✅Rapidly over 15-30 mins What is the Universal RBC donor? - correct answer ✅O negative Who is the Universal recipient? - correct answer ✅AB positive If the patient has a reaction to blood, where should the blood bag be returned to?
  • correct answer ✅Blood bank Hold off on giving the patient blood if the temp exceeds? - correct answer ✅100 F How long should the nurse remain with the patient who has just received a blood transfusion? - correct answer ✅15 mins

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How often should you check on a patient who is receiving fluid replacement therapy? - correct answer ✅Every hour What is the limit of time a caregiver should be exposed to radiation per shift? - correct answer ✅30 mins MAX What should you do with a dislodged radiation implant? - correct answer ✅Don't touch it Can needles be recapped? - correct answer ✅No, but if you have to, use a mechanical device to recap Can safety devices/restraints be prescribed by a nurse? - correct answer ✅No, only a HCP can prescribe Can a prescription for a restraint be used PRN? - correct answer ✅No Who should you call first prior to attempting an intervention of a poison ingestion? - correct answer ✅Poison control

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Which population should have poison control # by each phone? - correct answer ✅homes with children Who is most at risk of contracting Clostridium difficile (C-Diff)? - correct answer ✅Patients in hospitals who have been on multiple long term antibiotics What are the parts of bleach/water solution to use for disinfection? - correct answer ✅1:10 How is Anthrax contracted? - correct answer ✅Direct (GI, skin, inhalation) How is Smallpox contracted? - correct answer ✅Air droplets, highly contagious How often should you check the circulation of a patient with restraints? - correct answer ✅Every 30 mins (loosen every 2 hours) Gram measures? - correct answer ✅Mass (Gram-mass) How are "Drops" abbreviated? - correct answer ✅gtt

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What is the first step in the calculation of dosages? - correct answer ✅Conversion What type of dropper should you use for children? - correct answer ✅Calibrated dropper How should you administer Regular and NPH insulin? - correct answer ✅Mix both in the same syringe (Regular than NPH) Can the nurse speed up an IV infusion rate if the schedule is running late? - correct answer ✅No How many of the 30 compressions should you let completely recoil during CPR? - correct answer ✅23 of the 30 For CPR purposes, a child is defined as what age range? - correct answer ✅ 1 through 8 What are the 3 post operative stages? - correct answer ✅Immediate 1-4 hours

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Intermediate 4-24 hours Extended 1-4 days How often should you turn a post-operative client that cant get from bed? - correct answer ✅every 1-2 hours What is the most common post operative complication? - correct answer ✅Atelectasis, the collapse of the alveoli (occurs 1-2 days after surgery) What is wound evisceration, and when does it normally happen? - correct answer ✅The protrusion of internal organs through an incision (occurs 6-8 days after surgery) How long prior to surgery should a client discontinue aspirin use? - correct answer ✅48 hours What is the normal urine output of a post operative patient? - correct answer ✅30ml every 2 hours