NCLEX Pn 2023 March Questions & Answers | 95/100% V2

  NCLEX PN 2023 Questions & Answers | 1. The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. The nurse should be particularly alert for: A. Nasal congestion 2. A client with cancer is admitted to t he oncology unit. Stat lab values reveal 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? B. Hypokalemia 3. 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 4. The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? B. Applying oxygen 5. The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client? B. Avoid rapid movements after taking the medication 6. The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside? B. A torque wrench 7. An infant weighs 7 pounds at birth. The expected weight by 1 year should be: D. 21 pounds 8. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location? D. Bone pain 9. The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug? C. WBC 2,000 per cubic millimeter 10. 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? C. “Describe his usual diet.” 11. The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided? C. Cucumber salad 12. A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period? D. Facilitating perineal wound drainage 13. The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet? C. Cooked broccoli 14. 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: D. The baby can lose up to 10% of weight due to meconium stool, loss of extracellular fluid, and initiation of breast-feeding. 15. The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis? C. Diarrhea 16. 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 in the plan? A. Closed chest drainage 17. Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as: A. A cephalohematoma 18. An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which information is best for the PN to provide? A history of untreated gonorrhea can lead to PID 19A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most effectively deal with breast engorgement and discomfort? Wear a supportive bra at all times 20. A young adult male tells the PN he has declared to change his hours at work so that he can...his community. Which stage of Maslow's development is this young adult attempting to achieve? Self-actualization 21 .A client receives ondansetron prior to chemotherapy treatment. How should the PN evaluate this medication? Monitor the client for nausea or vomiting following the treatment 22. The PN is caring for an older adult client who is confused and spends...factor contributes to an increased risk for impaired skin integrity for this client? Has increasing episodes of urinary incontinence 23. The pn determines that a client with cirrhosis is experiencing peripheral take? Protect the clients feet from injury 24. A client is admitted to the postoperative surgical unit after a left lobectomy with two chest tubes observes the water-sealed chambers, set and prescribed suction of 20cm action should the PN implement? Maintain system integrity and to promote lung reexpansion 25. Photo of chest and locating apical HR Just below the left nipple Implement complementary pain relief methods 26. A male client has been diagnosed with schizophrenia is withdrawn, solates himself in. with one or two word responses. The morning the PN observes that he. Which intervention is most important for the PN to implement? Measure appropriate vital signs 27. The PN is assisting a female client to obtain a voided specimen for uri meatus. Which intervention is performed next? Initiate the urine stream? 28. A mother brings her 5-year old child to the clinic for school physical examinations. Which assessment. PN that intergenerational violence may be occurring in the home?- The 6-year old son hits his younger sister during the interview -the 10-year old daughter has circular burns on her trunk and legs -the 3-year old has multiple bruises on the chest and both legs 29. A client has a prescription to discontinue intravenous therapy when the liter that is infusing at 150 mL per hour is. 1200 the PN notes that there are 750 ml of solution remaining. At what time should the nurse expect to discontinue the intravenous therapy? 1700 30. The PN is caring for a client who had a total laryngectomy, left radical neck dissection client is receiving nasogastric tube feedings via an internal pump. today the rate of the feeding was increased. ml/hr. What parameter should the PN use to evaluate the clients tolerate to the rate of the feeding? Gastric residual volumes 31. A new mother is breastfeeding her newborn for the first time after delivery and complains of nipple pain...Based on the client complaint, what action should the PN take? Ensure that all the areolar tissue of the nipple is in the infants’ mouth. 32. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further action by the PN? Weights are touching the foot of the bed 33. The PN is reviewing diet instructions with a female client who has hyper...she has increased her intakes of protein and calories. What action should the PN take? Encourage the client to continue the dietary changes she has made 34. Which site should the PN use when administering an injection of Rho (D) Immune negative postpartum client? Deltoid 35. female client arrives to the clinic for an annal physical examination. when reviewing...the PN that she takes herbs for high blood pressure instead of the prescribed..important for the PN to reinforce with the client? Explain risks associated with using herbs instead of the prescribed antihypertensives. 36. A female Native American client who is receiving chemotherapy places a native artifact...the health care provider removes the medicine wheel and tells the client "this type..hospital" what intervention should the PN implement ? Act as the clients advocate when discussing the issue with the HCP 37. The PN is caring for a client receiving chemotherapy who has thrombocytopenia. Important to include in the nursing care plan? watch the client for abnormal bleeding 38. "it is better to obtain children acetaminophen to prevent possible side effects from the aspirin " 39. A client is transferred to the surgical unit from the intensive care unit after evacuation of bilateral..primary observation should the PN monitor? Neuro-vital signs related to bleeding and intracranial pressure 40. The PN is working the day shift in a long term facility and is preparing..delegate to the UAP to perform during the change of.. total the clients PO intake, fill the water pitchers, empty urinals and catheter bags. 41. While taking the vital signs of an older male client who takes psychotropic medication...uncontrollable hand movements ad is excessively blinking his eyes, which information. screening for tardive dyskinesia 42. A female client tells the PN that her hemorrhoids are inflamed and Hurt the PN to implement to complete a focused assessment? position client in left lateral position to inspect perianal area for fissures or sacs 43. The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough? A. Mask 44. The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention? B. Add baby oil to the client’s bath water 45. A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate? B. Insertion of a Levine tube 46. The client is admitted to the unit after a cholescystectomy. Montgomery straps are utilized with this client. The nurse is aware that Montgomery straps are utilized on this client because: B. The client will require frequent dressing changes. 47. The physician has ordered that the client’s medication be administered intrathecally. The nurse is aware that medications will be administered by which method? D. Into the cerebrospinal fluid 48. Which client can best be assigned to the newly licensed practical nurse? D. The client with diverticulitis 49. The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the registered nurse? B. Report this behavior to the charge nurse 50. The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: B. Explore the interaction with the nursing assistant 51. A home health nurse is planning for her daily visits. Which client should the home health nurse visit first? C. A client with laryngeal cancer with a laryngetomy 52. The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? B. Applying oxygen 53. 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 54. The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client? B. Avoid rapid movements after taking the medication 55. The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which equipment should be kept at the bedside? B. A torque wrench 56. An infant weighs 7 pounds at birth. The expected weight by 1 year should be: D. 21 pounds 57. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location? D. Bone pain 58. The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug? C. WBC 2,000 per cubic millimeter 59. 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? C. “Describe his usual diet.” 60. The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided? C. Cucumber salad 61. A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period? D. Facilitating perineal wound drainage 62. The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet? C. Cooked broccoli 63. 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: D. The baby can lose up to 10% of weight due to meconium stool, loss of extracellular fluid, and initiation of breast-feeding. 64. The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis? C. Diarrhea 65. 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 in the plan? A. Closed chest drainage 66. Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this finding as: A. A cephalohematoma 67. The nurse is assisting the RN with discharge instructions for a client with an implantable defibrillator. What discharge instruction is essential? C. “You should use your cellphone on your right side.” 68. A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure? A. Bradycardia 69. 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? C. Identification of peripheral pulses 70. A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session? B. “Portions of the procedure will cause pain or discomfort.” 71. The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis? C. A red, beefy tongue 72. A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for: C. Buck’s traction 73. A client with cancer is to undergo an intravenous pyelogram. The nurse should: B. Ask the client to void immediately before the study 74. The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor: B. That is in situ 75. A 28-year-old female is brought to the Emergency Department with complaints of her “heart beating out of her chest." She is diaphoretic and her BP is 135/90. The cardiac monitor shows an inferior wall myocardial infarction (MI). Which of the following ECG changes is associated with a MI? Select all that apply. C. Repolarization of Purkinje fibers E. ST segment elevation F. Pathologic Q wave