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NCLEX PREP 3 EXAM QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025 BEST COMPLETE SOLUTION R, Exams of Nursing

A.T. Still University of Health Sciences (ATSU)Nursing

NCLEX PREP 3 EXAM QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025 BEST COMPLETE SOLUTION RATED A+ FOR SUCCESS

Typology: Exams

2023/2024

Available from 08/30/2024

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NCLEX PREP 3 EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOAD 2024/2025 BEST COMPLETE
SOLUTION RATED A+ FOR SUCCESS
1 .A client with a fractured hip has been placed in traction. Which statement is
true regarding balanced skeletal traction? Balanced skeletal traction: -
CORRECT ANSWERS utilize a pin through bones/
2. The physician has ordered an intravenous infusion of Pitocin for the
induction of labor. When caring for the obstetric client receiving intravenous
Pitocin, the nurse should monitor for: - CORRECT ANSWERS fetal bradycardia
3. The nurse is monitoring the progress of a client in labor. Which finding
should be reported to the physician immediately? - CORRECT ANSWERS The
presence of green-tinged amniotic fluid
4. Which client should be assigned to a private room if only one is available? -
CORRECT ANSWERS the client with Cushing's syndrome/
5.A client with acute pancreatitis is experiencing severe abdominal pain. Which
of the following orders should the nurse question? - CORRECT ANSWERS
morphine
6. A pregnant client, age 32, asks the nurse why her doctor has recommended
a serum alpha fetoprotein. The nurse should explain that the doctor has
recommended the test: - CORRECT ANSWERS to detect neurological defects
7. Which assignment should not be performed by the licensed practical nurse?
- CORRECT ANSWERS initiating a blood transfusion
8. Which instruction should be given to the client who is fitted for a behind-
the-ear hearing aid? - CORRECT ANSWERS Store the hearing aid in a cool place
9. The client with hyperemesis gravidarum is at risk for developing: - CORRECT
ANSWERS Metabolic acidosis with dehydration
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Download NCLEX PREP 3 EXAM QUESTIONS AND ANSWERS LATEST DOWNLOAD 2024/2025 BEST COMPLETE SOLUTION R and more Exams Nursing in PDF only on Docsity!

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1 .A client with a fractured hip has been placed in traction. Which statement is true regarding balanced skeletal traction? Balanced skeletal traction: - CORRECT ANSWERS utilize a pin through bones/

  1. The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for: - CORRECT ANSWERS fetal bradycardia
  2. The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately? - CORRECT ANSWERS The presence of green-tinged amniotic fluid
  3. Which client should be assigned to a private room if only one is available? - CORRECT ANSWERS the client with Cushing's syndrome/ 5.A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should the nurse question? - CORRECT ANSWERS morphine
  4. A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test: - CORRECT ANSWERS to detect neurological defects
  5. Which assignment should not be performed by the licensed practical nurse?
  • CORRECT ANSWERS initiating a blood transfusion
  1. Which instruction should be given to the client who is fitted for a behind- the-ear hearing aid? - CORRECT ANSWERS Store the hearing aid in a cool place
  2. The client with hyperemesis gravidarum is at risk for developing: - CORRECT ANSWERS Metabolic acidosis with dehydration

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  1. The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy? - CORRECT ANSWERS sudden, stabbing pain in the lower quadrant
  2. Which instruction should be given regarding the medication used to treat enterobiasis (pinworms)? - CORRECT ANSWERS The entire family should be treated.
  3. Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives? - CORRECT ANSWERS P An alternate method of birth control is needed when taking antibiotics.
  4. Which information should be reported to the state Board of Nursing? - CORRECT ANSWERS The narcotic count has haen incorract.on the unit for the nast 3 dave
  5. When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to: - CORRECT ANSWERS Check the client for bladder distention
  6. A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test: - CORRECT ANSWERS Measures the activity of the fetus
  7. The nurse is caring for a client following removal of the thyroid, Immediately post-op, the nurse should: - CORRECT ANSWERS Maintain the client in a semi-Fowler's position with the head and neck supported by pillows

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  1. The nurse is performing tracheostomy care. If the client coughs out the inner cannula, the nurse should: - CORRECT ANSWERS P replace the inner cannula with a new one
  2. The client is having fetal heart rates of 100-110bpm during the contractions. The first action the nurse should take is: - CORRECT ANSWERS * Turn the client to her left side
  3. A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question? - CORRECT ANSWERS rubella vaccine
  4. A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: - CORRECT ANSWERS banana
  5. The nurse is measuring the duration of the client's contractions. Which statement is true regarding the measurement of the duration of contractions? - CORRECT ANSWERS Duration is me asured by timing from the beginning of one contraction to the end of the same contraction.
  6. Alter the physician performs an amniotomy, the nurse's first action should be to assess the: - CORRECT ANSWERS fetal heart tones
  7. A cient is admitted for an MRI (magnetic resonance imaging). The nurse should question the client regarding: - CORRECT ANSWERS hearing loss
  8. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: - CORRECT ANSWERS Expressing anger toward others

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  1. A client visiting a family planning clinic is suspected of having an STI. The most diagnostic test for treponema pallidum is: - CORRECT ANSWERS Florescent treponemal antibody (FTA)
  2. A client in the prenatal dlinic is assessed to have a blood pressure of 180/96. The nurse should give priority to: - CORRECT ANSWERS Providing a calm environment
  3. Which task should be assigned to the nursing assistant? - CORRECT ANSWERS Feeding the client with dementia
  4. A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication: - CORRECT ANSWERS Three times per day with me als
  5. Which laboratory finding is associated with HELLP syndrome in the obstetric client? - CORRECT ANSWERS elevated hepatic enzymes
  6. The client with a pacemaker should be taught to: - CORRECT ANSWERS Monitor his pulse rate
  7. A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse's response is based on the knowedge that: - CORRECT ANSWERS Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy
  8. A 6-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client? - CORRECT ANSWERS cars in a plastic container/

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  1. A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication? - CORRECT ANSWERS Docusate sodium (Colace)/
  2. A client is admitted to the hospital following a gunshot wound to the abdomen. A temporary colostomy is performed, and the physician writes an order to irrigate the 50. proximal end of the colostomy. The nurse is aware that the proxímal end of a doublebarrel colostomy is the end that: - CORRECT ANSWERS V Is the opening on the client's right side
  3. The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? - CORRECT ANSWERS A tracheostomy set
  4. A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered a sliding scale insulin. The most likely explanation for this order is: - CORRECT ANSWERS Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels. Total
  5. The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client's most appropriate priority nursing diagnosis? - CORRECT ANSWERS fluid volume deficit
  6. Which nurse should be assigned to care for the postpartal dient with preeclampsia? The nurse with: - CORRECT ANSWERS 3 years of experience in labor and delivery
  7. Which medication should be used with caution in the obstetric client with diabetes? - CORRECT ANSWERS brethine

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  1. The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use: - CORRECT ANSWERS P Mydriatics to facilitate removal /
  2. The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client's statements indicates the need for additional teaching?. - CORRECT ANSWERS "I'm drinking four glasses of fluid during a 24-hour period."
  3. The physician has ordered a CAT (computerized axial tomography) scan for a client with a possible cerebral aneurysm. Which information is most important to the nurse who is preparing the dient for the CAT scan? The client:
  • CORRECT ANSWERS V Is allergic to oysters
  1. A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy? - CORRECT ANSWERS P Fetal development depends on adequate insulin regulation.
  2. A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir? - CORRECT ANSWERS Encouraging fluids
  3. The nurse is evaluating nutritional outcomes for an elderly dlient with anorexia. Which data best indicates that the plan of care is effective? - CORRECT ANSWERS The client gains weight.
  4. A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the: - CORRECT ANSWERS mother's desire to breastfeed

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  1. A client with dotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should: - CORRECT ANSWERS V Be injected in the abdomen
  2. A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the: - CORRECT ANSWERS P palms rest lightly on the handles
  3. The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because: - CORRECT ANSWERS Hallucinogenic drugs induce a state of altered perception. 73.. The nurse is caring for the client admitted after trauma to the neck in an automobile accident. The client suddenly becomes unresponsive and pale, with a BP of 60 systolic. The initial nurse's action should be to: - CORRECT ANSWERS increase the infusion of normal saline
  4. The primary reason for rapid continuous rewarming of the area affected by frostbite is to: - CORRECT ANSWERS lessen the amount of cellular damage/
  5. A gravida I para Il is admitted to the labor unit. Vaginal exam reveals that the client's cervix is 8cm dilated withcomplete effacement. The priority nursing diagnosis at this time is:. - CORRECT ANSWERS * Alteration in coping related to pain
  6. A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: - CORRECT ANSWERS void every 3 hours

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  1. A dient tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the: - CORRECT ANSWERS regularity of the menses 78, Which would be an expected finding during injection of dye with a cardiac catheterization? - CORRECT ANSWERS Warmth in the extremity
  2. The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot? - CORRECT ANSWERS V Stabilization with a plaster-of-Paris cast
  3. The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites? - CORRECT ANSWERS Daily measurement of abdominal girth
  4. The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will - CORRECT ANSWERS tire easilly 82,. Which of the following is a characteristic of a reassuring fetal heart rate pattern? - CORRECT ANSWERS Acceleration of FHR with fetal movements Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ? - CORRECT ANSWERS immunosupresants
  5. The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from driniking after: - CORRECT ANSWERS 1900

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  1. The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit? - CORRECT ANSWERS misalignment
  2. A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include: - CORRECT ANSWERS Wrapping the newborn snugly in a blanket
  3. The client is admitted following repair of a fractured femur with cast application. Which nursing assessment should be reported to the doctor? - CORRECT ANSWERS paresthesia of the toes
  4. Which observation in the newborn of a mother who is alcohol dependent would require immediate nursing intervention? - CORRECT ANSWERS jitteriness
  5. The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best? - CORRECT ANSWERS "It will be alright for your friends to autograph the cast."
  6. The infant is admitted to the unit with tetrology of falot. The nurse would anticipate an order for which medication? - CORRECT ANSWERS digoxin
  7. A 2-year-old toddler is seen in the pediatrician's office. During physical assessment, the nurse would anticipate the need for which intervention? - CORRECT ANSWERS Ask the parentiguardian to stay with the child during the examination
  8. The nurse is assessing the deep tendon reflexes of the client with hypomagnesemia. Which method is used to elicit the biceps reflex? - CORRECT

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ANSWERS The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

  1. A client with a history of abusing barbiturates abruptly stops drug use. The nurse should give priority to assessing the client for: - CORRECT ANSWERS tachycardia and diarrhea
  2. The nurse is suspected of charting the administration of a medication that he did not give. After talking to the nurse, the charge nurse should: - CORRECT ANSWERS file a formal reprimand
  3. The client seen in the family planning clinic tells the nurse that she has a painful lesion on the perineum. The nurse is aware that the most likely source of the lesion is: - CORRECT ANSWERS herpes
  4. Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis? - CORRECT ANSWERS Take prescribed anti-inflammatory medications with meals.
  5. A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse: - CORRECT ANSWERS allows 48 hours before bearing weight
  6. The nurse is caring for the dlient with a 5-year-old diagnosed with plumbism. Which information in the health history is most likely related to the development of plumbism? - CORRECT ANSWERS 7 The client's parents are skilled stained-glass artists.
  7. A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson- Pratt drain is to: - CORRECT ANSWERS V Provide for wound drainage

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  1. A client with a diagnosis of human papillomavirus (HPV) is at risk for which of the following? - CORRECT ANSWERS vaginal cancer
  2. A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when: - CORRECT ANSWERS luteinizing hormone is high
  3. A vaginal exam reveals a breech presentation. The nurse should take which of the following actions at this time? - CORRECT ANSWERS Apply the fetal heart monitor
  4. A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to: - CORRECT ANSWERS assess the fetal heart tones
  5. The nurse caring for a client receiving magnesium sulfate must cosely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is: - CORRECT ANSWERS hypersomnolence
  6. A full-term male has hypospadias. Which statement describes hypospadias? - CORRECT ANSWERS The urethra opens on the dorsal side of the penis.
  7. The nurse knows that the 60-year-old female client's susceptibility to osteoporosis is most likely related to: - CORRECT ANSWERS hormonal disturbances
  8. Which action by the nurse indicates understanding of herpes zoster? - CORRECT ANSWERS The nurse wears gloves when providing care.

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  1. A client has cancer of the pancreas. The nurse should be most concerned with which nursing diagnosis? - CORRECT ANSWERS Alteration in nutrition
  2. A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when: - CORRECT ANSWERS Her contractions are 5 minutes apart.
  3. A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken? - CORRECT ANSWERS checking the bowel sounds/
  4. A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops? - CORRECT ANSWERS V Allow 5 minutes between the two medications
  5. The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered: - CORRECT ANSWERS within 72 hours of delivery
  6. A primigravida, age 42, is 6 weeks pregnant. Based on the client's age, her infant is at risk for: - CORRECT ANSWERS Down syndrome
  7. A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for: - CORRECT ANSWERS V a history of streptococcal infections
  8. A client with an above-the-knee amputation is being taught methods to prevent hip-flexion deformities. Which instruction should be given to the client? - CORRECT ANSWERS "Lie prone every 4 hours during the day for 30 minutes."

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  1. The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client's ECT has been effective? - CORRECT ANSWERS 7 the client has a grand mal seizure The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to: - CORRECT ANSWERS Apply the new tie before removing the old one
  2. The primary physiological alteration in the development of asthma is: - CORRECT ANSWERS Spasm of bronchiolar smooth muscle
  3. A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The dient will most likely be treated with: - CORRECT ANSWERS V dinoprostone (Prostin E)
  4. The elderly client with hypomagnesemia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates understanding of magnesium sulfate? - CORRECT ANSWERS V The nurse measures the urinary output hourly.
  5. The client with a joint replacement is scheduled to receive Lovenox (enoxaparin). Which lab value should be reported to the doctor? - CORRECT ANSWERS P PTT of 300 seconds
  6. The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab in order for them to collect the blood: - CORRECT ANSWERS P 30 minutes before the infusion
  7. The nurse caring for a client on the pediatric unit administers adult- strength Digitalis to the 3-pound infant. As a result of her actions, the baby

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suffers permanent heart and brain damage. The nurse can be charged with: - CORRECT ANSWERS malpractice

  1. A client with a total knee replacement has a CPM applied during the post- operative period. Which statement made by the nurse indicates understanding of the CPM machine? - CORRECT ANSWERS "The CPM machine controls should be positioned distal to the site." I
  2. Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease? - CORRECT ANSWERS cup of yogurt
  3. The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be: - CORRECT ANSWERS Hypoglycemic, large for gestational age
  4. The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes? - CORRECT ANSWERS Chest tubes serve as a method of draining blood and serous fluid, and assist in reinflating the lungs. /
  5. The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with: - CORRECT ANSWERS positive HIv 150.. A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with prevention of dislocation of the prosthesis? - CORRECT ANSWERS V an abduction pillow