NCLEX RN EXAM-with 100% verified solutions 2024-2025, Exams of Nursing

Download NCLEX RN EXAM-with 100% verified solutions 2024-2025 and more Exams Nursing in PDF only on Docsity! NCLEX RN EXAM-with 100% verified solutions 2024-2025  A client has been taking his antianxiety medications for four years, even though he no longer struggles with acute anxiety. Instead, he has a routine of taking the medication each evening and feels better knowing that he has taken it. Which of the following best describes this action? a. Physiologic need b. Physiologic dependence c. Drug abuse d. Drug habituation  Which of the following is a disadvantage of taking medication through an oral route? a. The drug may be absorbed too rapidly b. The drug may have a bad taste c. The drug is more expensive to use d. Both a and b  One tablespoon of medication is equal to how many milliliters of fluid? a. 5 ml b. 15 ml c. 30 ml d. 60 ml  A nurse asks her coworker to administer Mr. J's 12pm medication because she is running behind. Which of the following information must the nurse verify with Mr. J before giving him his medication? a. His name and address b. His name and hospital identification number c. His name and room number d. His name and diagnosis  Which of the following is more likely to occur with aging as a 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update nurse notes that the client's temperature has decreased in the last hour since his death. Which of the following processes explains this phenomenon? a. Rigor mortis b. Postmortem decomposition c. Algor mortis d. Livor mortis  A nurse is calculating a client's intake and output. During the last shift, the client has had ½ cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client has urinated 250 cc and has had 2 bowel movements. What is this client's intake and output for this shift? a. 420 cc intake, 250 cc output b. 300 cc intake, 250 cc output c. 550 cc intake, 550 cc output d. 300 cc intake, 550 cc output 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  A nurse is caring for a client with ariboflavinosis. Which of the following foods should the nurse serve this client? a. Citrus fruits b. Milk c. Fish d. Potatoes 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  A client is taking a walk down the hallway when she suddenly realizes that she needs to use the restroom. Although she tries to make it to the bathroom on time, she is incontinent of urine before reaching the toilet. What type of incontinence does this situation represent? a. Reflex incontinence b. Urge incontinence c. Total incontinence d. Functional incontinence  Which of the following clients is at a higher risk of developing oral health problems? a. A pregnant client b. A client with diabetes c. A client receiving chemotherapy d. Both b and c 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. Provide perineal care after the client uses the bathroom d. Bathe the client every 3 days  Which of the following is an example of a positive effect of exercise on a client? a. Decreased basal metabolic rate b. Decreased venous return c. Decreased work of breathing d. Decreased gastric motility  You have taken the vital signs for your patient. They are normal for the patient. What should you do next? a. Report the vital signs to the doctor b. Write the vital signs on a scrap paper 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. Call the family members d. Document them on the graphic VS form  Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices? a. A physical therapist b. A speech therapist 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. A social worker d. An occupational therapist  Which of the following is an example of emotional abuse? a. A slap to the person's hand b. Threatening the person c. Ignoring and isolating a person d. Leaving a patient soiled for hours  Which of the following is an example of emotional neglect? a. A slap to the person's hand b. Threatening the person c. Ignoring and isolating a person d. Leaving a patient soiled for hours 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  Upon entering an elderly patient's room, you find a research assistant with a clipboard, obtaining consent to participate in a new study. After signing the form, the patient begins to ask questions about the study. The assistant smiles and says, "Don't worry about all that, we'll take good care of you. Now enjoy the chocolate I brought." What should your first response be? a. Ignore the patient's questions b. Stop the assistant and question the consent c. Notify the nurse manager d. Notify the research department 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  Monica is a 28-year-old nurse who had been admitted to the hospital after a near-drowning in which she suffered cardiac arrest and hypoxic encephalopathy. She has been stabilized and has a tracheostomy to room air. She has been on the general floor for several weeks, is in a persistent vegetative state, and has a very poor prognosis for any improvement in her neurological status. Monica had previously signed a living will, which indicated that she did not wish to receive enteral feedings to be kept alive if she had a terminal condition or was in a persistent vegetative state from other causes. Her parents have decided to move her to the hospice unit and have given permission for removal of her feeding tube. The patient care technician who has been caring for Monica is very distressed over this decision and feels that the parents are "killing" her. What would be an appropriate initial response? a. This will relieve the burden for her parents." b. Her parents have a right to make decisions for their child." c. Monica has stated her wishes and they should be honored." d. The ethics committee should be consulted."  Jack is a 2-month-old with a diagnosis of spinal muscular atrophy (SMA) 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update type I. He has been admitted to the hospital for progressive respiratory difficulty. His parents have been informed that if he is not placed on ventilatory support, he will continue to decompensate and die of respiratory failure. Jack's physician discusses the poor prognosis of Jack's condition, and tells the parents that he will not be able to be removed from ventilatory support once it is initiated, due to his progressive neurological disease. After much discussion, the parents have decided to decline ventilatory support, agree to a do not resuscitate (DNR) order, and request hospice care for Jack. Another parent heard them discussing Jack's situation in the waiting room and says she could never do that to her baby. What is the most appropriate response to this parent? a. You never know what you'll do until you're in that situation." b. I can't discuss another patient's situation." c. They have been through too much already." d. You can contact administration with your concerns."  You have noticed that the last several patients you have cared for have had questionable blood pressure readings from their arterial lines. When checked against cuff pressures, a discrepancy has been noted, and further 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  Which of the following is the most appropriate example of anticipatory guidance for a 16- year old who has been hospitalized for an ankle fracture? a. Changes associated with puberty b. Driving and staying safe c. The health hazards of smoking d. Social media influences  Which action represents the evaluation stage of the plan of care? a. The nurse assigns a nursing diagnosis of Impaired Skin Integrity related to diminished skin circulation b. The nurse assesses the client's vital signs and asks about symptoms c. The nurse determines that the client is not meeting his set outcomes and 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update makes revisions d. The nurse discusses the client's health history  Which of the following screening tools have been found to have a high diagnostic accuracy for screening for intimate partner violence? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Hurt, Insult, Threaten and Scream (HITS) b. Humiliation, Afraid, Rape, and Kick (HARK) c. Slapped, Threatened and Thrown (STaT) d. All the above  What is the relationship between HIPPA and technological advances? a. Technology helps to foster HIPPA confidentiality. b. Computers help us to share information with others. c. Computer screens are not visible to others in the area. d. Technology places us at risk for HIPPA violations.  Which technological advance is MOST likely to place you at risk for HIPPA violations? a. Social media 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Is something wrong with the bath water?" b. Just calm down, we'll finish your bath soon." c. Are you trying to tell me something?" d. Shall I turn on the television?"  Mr. F has been prescribed isocarboxazid, a monoamine oxidase inhibitor, as part of treatment for depression. Which of the following foods should the nurse instruct the client to avoid while taking this drug? a. Wine b. Sweet potatoes c. Spinach d. Apple juice  A nurse is preparing to administer digoxin to a client who suffers from heart failure. What must the nurse consider before administering this medication? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. The presence of pitting edema in the lower extremities b. The sound of rales on lung auscultation c. The rate of the apical pulse d. The presence of jaundiced skin a. 5% Dextrose in water (D5W) b. Albumin c. Lactated Ringer's d. Normal Saline  Which of the following best describes the cognitive development of an 18- month old child? a. The child can follow one-part directions b. The child understands the concept of "forever" 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. The child can name six body parts d. The child has an attention span of approximately 5 minutes 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update d. protection ANSWER A: This person has moved along Maslow's hierarchy and is now  At the end of life, many people have a fear of . a. insects b. rejection c. acceptance d. being alone  A nurse is assisting a client with shampooing his hair while he is still in bed. While helping the client, the nurse raises the bed to approximately the level of her waist. What is the rationale for this action? a. To prevent shampoo from getting into the client's eyes b. To allow excess water to run off the edge of the bed c. To decrease strain on the nurse's back 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update d. To prevent the client's hair from developing tangles  Which of the following signs or symptoms indicates a possible nutritional deficiency? a. Subcutaneous fat at the waist and abdomen b. Presence of papillae on the surface of the tongue c. Straight arms and legs d. Pale conjunctiva  A nurse is preparing to insert a small-bore nasogastric feeding tube for a client's enteral feedings. In which method does the nurse measure the correct length of the tube? a. From the tip of the nose to the xiphoid process b. From the tip of the nose to the earlobe to the xiphoid process c. From the earlobe to the xiphoid process 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update d. From the tip of the nose to the earlobe to the umbilicus 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Palpating the temperature of both feet b. Evaluating pulses bilaterally c. Turning the client to a side-lying position d. Relieving heel pressure by placing a pillow under the foot  A client is preparing to undergo a cystoscopy for stones. Which of the following statements indicates that the client understands the procedure? a. I better drink a lot of fluid now because I won't be able to after the test." b. I will probably see a little blood when I urinate." c. I will be able to go home after 3 days in the hospital." d. I won't need any pain medicine; this probably will not hurt."  Which of the following conditions may warrant a serum creatinine level? a. Rhabdomyolysis b. Digitalis toxicity 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. Glomerulonephritis d. All answers are correct  Which nursing intervention is most appropriate to maintain the patency of a client's nasogastric tube? a. Maintain constant connection to low-intermittent suction b. Irrigate the tube as per physician order c. Suction the mouth and nose every shift d. Perform a daily fecal occult blood sample 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  A nurse is caring for a client who is having blood tests and who has an elevated lymphocyte level. Based on knowledge of cellular components, the nurse knows that these cells: a. Contain histamine and provide protection during allergic reactions b. Are involved in phagocytosis c. Provide protection and immunity against foreign substances d. Carry hemoglobin and oxygen to body tissues  Mrs. F has been diagnosed with hyperparathyroidism. Which of the following complications is Mrs. F at highest risk of developing? a. Hyponatremia b. Hypocalcemia c. Hypermagnesemia d. Hypercalcemia 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  One of the complications of complete bed rest and immobility is which of the following? a. Plantar flexion. b. Dorsal flexion c. Extension contractures d. Adduction contractures  A nurse finds one of her clients unresponsive in his room. He is not breathing and does not have a pulse. After calling for help, what is the next action of the nurse? a. Administer 2 ventilations 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update b. Perform a head-tilt, chin lift to open the airway c. Begin chest compressions d. Perform a jaw thrust to open the airway  A nurse is caring for a client with severe mitral regurgitation and decreased cardiac output. The nurse assesses the client for mental status changes. What is the rationale for this intervention? a. Decreased cardiac output can cause hypoxia to the brain b. Mental status changes may be a side effect of the client's medication c. Mitral regurgitation is a complication associated with some neurological disorders d. The client may be confused about his diagnosis  A client is undergoing radiation therapy for treatment of thyroid cancer. Following the radiation, the client develops xerostomia. Which of the following best describes this condition? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Cracks in the corners of the mouth b. Peeling skin from the tongue and gums c. Increased dental caries d. Dry mouth  A nurse is providing information for a woman who is 36 weeks' pregnant and who has hepatitis B. Which of the following statements from the client indicates understanding of this condition? a. Now I know I will need a cesarean section." b. My baby will need two shots soon after his birth." c. I will not be able to breastfeed." d. My baby's father does not need testing; I know I am the one with hepatitis." 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. He should be started on antiretroviral therapy as ordered b. He is no longer just HIV-positive, he most likely has AIDS c. He should be tested for other illnesses, such as anemia d. Both b and c  All of the following are complications associated with hypothermia during the perioperative period EXCEPT: a. Decreased blood urea nitrogen levels b. Cardiac arrhythmias c. Decreased immunity d. Increased oxygen needs  A nurse is caring for a client who had a bone marrow transplant two weeks ago. Which of the following is most likely to cause an infection during this time period? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Cytomegalovirus b. Varicella zoster virus c. Herpes simplex virus d. Hepatitis B virus  When reading a lab report, you notice that a patient's sample is described as having anisocytosis. Which of the following most accurately describes the patient's condition? a. The patient has an abnormal condition of skin cells. b. The patient's red blood cells vary in size. c. The patient has a high level of fat cells and is obese. d. The patient's cells are indicative of necrosis. 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  A patient with Bell's Palsy would have which of the following complaints? a. Paralysis of the right or left arm b. Malfunction of a certain cranial nerve c. A sub-condition of Cerebral Palsy d. A side effect of a stroke  A pathologic condition described as, "Increased intraocular pressure of the eye," is: a. Detached Retina b. Fovea Centralis c. Presbyopia d. Glaucoma  A physician believes that a patient may be experiencing pancreatitis. Which of the following tests would be best to diagnose this condition? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update the risk of infection during the post-operative period? a. Flush the central line with heparin at least every four hours b. Administer narcotic analgesics prn c. Remove the urinary catheter as soon as the client is ambulatory d. Order a high-protein diet for the client  A nurse is assessing a client who is post-op day #1 after a hemilaminectomy. The nurse removes the dressing as ordered and notes that the incision appears slightly red, with a small amount of serous drainage coming from the site. The edges of the incision are approximated. What is the next action of the nurse? a. Assist the client to shower as ordered and monitor the site for further changes b. Instruct the client to lie prone to allow the site to dry 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. Place antibiotic ointment and a sterile dressing over the site d. Notify the physician for an antibiotic order  A nurse is preparing to administer a dose of platelets to a client. Which of the following actions must the nurse perform before giving the platelets? a. Start an IV of ½ Normal Saline to administer with the platelets b. Ensure the container with the platelets is intact and not damaged c. Verify the client's name and address d. Check the client's chart to ensure he is not taking any antibiotics  Which of the following is an example of an environmental hazard that may put the nurse at risk of injury? a. Loud noise from the hospital maintenance system b. Airborne powder that contains latex 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. Chemicals containing ethylene oxide d. All of the above e. Both b and c only  MSDS sheets: a. Contain the ordering information for each piece of equipment in the office. b. Are required by OSHA to be accessible to all employees of the office. c. Can be used to treat patients who have been injured in equipment accidents. d. None of the above.  The most virulent blood borne pathogen is: (Choose the BEST answer.) 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update best first response to this situation?  A family member is complaining that the lights are too dim in the middle of the night when she comes in to visit her husband. What is the most objective response? a. Patients sleep better with the lights dimmed." b. The nightshift nurses prefer to work with less light." c. It's time for him to sleep, and you should, too." d. There's a reason we do that. Let me share a research study with you."  You are attempting to teach the wife of a Greek patient how to administer his gastrostomy tube feedings once he returns home. She smiles and nods through your explanations, but when you ask her for a return demonstration, she looks confused and shakes her head. Her daughter enters the room and states that she does not speak English. What would be most helpful in this situation? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Teach the daughter instead b. Teach both and ask the daughter to translate for you 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. Contact a home health agency to provide care d. Provide a pamphlet with detailed instructions  What is a key principle of patient teaching that must take place to ensure patient safety? a. Family members should be present b. Teaching must be documented c. Understanding must be confirmed d. Teaching should be provided by multiple staff members  A client with adrenal insufficiency has a potassium level of 7.2 mEq/L. Which of the following signs or symptoms might the client exhibit with this result? a. Peaked T waves on the ECG b. Muscle spasms 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. WBC b. QRS c. XYZ d. ABC  A term that refers to a comprehensive set of thoughts or images of oneself is called: a. Global self b. Core self-concept c. Personal identity d. Ideal self  Which of the following interventions is most appropriate when supporting the psychosocial needs of a client who is experiencing negative side effects associated with chemotherapy? 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update a. Read the client's discharge instructions well in advance of dismissal b. Provide medications to reduce nausea and vomiting c. Give simple instructions about self-care while in the hospital d. Determine the levels of support from significant others  Which of the following interventions is most appropriate when working with the family of a client who is being treated for substance abuse? a. Advocate for the client before the family b. Provide referrals for community resources and support groups c. Take the side of the family before the client d. Both b and c 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  A term used to describe members of the same group based on physiological characteristics, such as skin color or body structure is known as: a. Ethnicity b. Culture c. Race d. Minority  The duodenum: a. is the third section of the small intestine, which leads immediately to the colon. b. is the section of the stomach where the gall bladder delivers bile. c. is the section of the small intestine where the pancreas delivers insulin. d. None of the above.  The nurse is performing discharge teaching for Mrs. S after cardiac 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update bathroom door. As the nurse provides assistance, the client states, "I thought I could get up on my own." What information must the nurse document in this situation? a. A statement explaining the condition the client was found in, quoting the client's words about the situation b. An explanation of how the fall happened and when the physician was notified c. An account of the conditions of the room that contributed to the client's fall d. A description of the client's condition and the reasons why she should have had assistance to the bathroom  Which of the following may be a cultural barrier that impacts a nurse's ability to provide care or education to the client? a. A nurse offers educational materials to a client that are written at an 8th grade reading level b. A Vietnamese woman wants to use steaming in addition to her 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update prescription antibiotics 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. A nurse uses pantomime to explain a procedure to a deaf client d. A Native American client requests a healing ritual before he will consider surgery  Which of the following is an example of low health literacy skills? a. A nurse's aide cannot calculate the correct IV rate for Ringer's lactate b. A client cannot read an admission form to sign it c. A nurse is unable to explain the dose, indications, side effects, and structural formula of carbamazepine d. A client does not understand the treatment for his cholecystectomy  A 39-year old woman presents for treatment of excessive vaginal bleeding after giving birth to twins one week ago. Which nursing diagnosis is most appropriate in this situation? a. Knowledge Deficit related to post-partum blood loss 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update Commission standards d. Using the most effective, current, and applicable information available to guide nursing care for the best of the clients.  A public health nurse discovers that many of the children in the neighborhood where she works are developing lead toxicity. She implements a program to screen for lead exposures among clients in the community. This is an example of: a. Social justice b. Policy resources c. Autonomy d. Moral justification  Which of the following is an example of non-reversible dementia? a. Pick's disease 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update b. Syphilis c. Encephalopathy d. Hyperthyroidism  Which is a true statement regarding stress related disorders? a. Stress related disorders are only caused by stress b. Symptoms of stress related disorders would not exist if the client was not experiencing stress c. Stress related disorders are also called psychophysiologic disorders d. None of the above  Which of the following nursing outcomes is most appropriate during the crisis stage of caring for a victim of domestic violence? a. The client will verbalize community resources from which to seek shelter after discharge 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update b. The client will write a plan to keep herself and her children safe c. The client will contact an attorney for help with pressing charges 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update b. ALL of their health related information c. small amounts of information so they do not get nervous d. moderate amounts of information unless they are old  Your patient ate an 8 ounce cup of Italian ice. How much will you record on the patient's Intake and Output form in terms of this patient's fluid intake? a. 240 cc b. 120 cc c. 8 cc d. 0 cc because Italian ice is not a fluid.  You are getting the patient ready to eat. The patient is on complete bed rest. You will put the head of the bed up at degrees or more. a. 10 b. 15 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update c. 20 d. 30  Cheryl M. has a serious swallowing disorder. She has asked you for a glass of water. The doctor has ordered honey thickness fluids for her. Water is not a honey thickness fluid. It is much thinner. What should you do? a. Tell the resident that she cannot have water. b. Give her applesauce instead of the water. c. Tell Cheryl that she is NPO until midnight. d. Thicken the water and give it to her. 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  You have been asked to record the amount of food that the person has eaten during each meal. What kinds of words or numbers would you use to record this food intake? a. A little, a moderate amount or all of the meal b. 50 cc, 100 cc or 500 cc of the meal c. 25%, 50% or 100% of the meal d. Either a or c  The heat-regulating center of the brain is the: a. Hypothalamus b. Pituitary Gland c. Pons d. Medulla Oblongata  The anatomic structure located in the middle of the heart which 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update  Of the following, which often triggers an episode of violence or aggression by the patient with a psychiatric diagnosis that may involve violent behavior? a. Obtaining a history b. Asking for input into care c. Enforcing rules d. Taking a walk  Which of the following medications would NOT be an appropriate prn medication for use during an episode of aggression or violence for the patient with a psychiatric diagnosis? a. Olanzapine 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update b. Meperidine c. Ziprasidone d. Haloperidol  Which of the following is an appropriate tension-reduction intervention for the patient who may be escalating toward aggressive behavior? a. Asking to speak to someone b. Asking to be alone c. Listening to music d. All of the above  Causes which contribute to delirium are often remembered as an acronym of the same name. What cause does the E in DELIRIUM represent? a. EEG 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update b. EKG c. Electrolytes d. Echocardiogram  A nurse is preparing to administer a rectal suppository to a client. After applying gloves, checking the client's identification band, and closing the door, what is the next step of the nurse? a. Assist the client to lie in the Trendelenburg position b. Unwrap the suppository and lubricate the end c. Remove gloves and wash hands d. Record the date, time, and amount of suppository to give 11111 NCLEX RN EXAM Questions and Answers Attained Grade A+ Assured Satisfaction latest 2022/2023 update