NCLEX-PN COMPREHENSIVE TEST EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS GRADED A+ COMPLETE LATEST
2024
1.A 4 year old child is admitted to the hospital with suspected acute lymphocytic
leukemia (ALL). The nurse understands that which diagnostic study should
confirm this diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count -ANS3. Bone marrow biopsy
2.A child with leukemia is experiencing nausea related to medication therapy. The
nurse, concerned about the child's nutritional status, should offer which during an
episode of nausea?
1. Low-calorie foods
2. Cool, clear liquid
3. Low-protein foods
4. The child's favorite foods -ANS2. Cool, clear liquid
3.A client asks the nurse about the cause of acne. The nurse should respond by
making which statement to the client?
1. "It is caused by oily skin"
2. "The exact cause of acne is not known"
3. "It is caused as a result of exposure to heat & humidity"
4. "Acne is caused by eating chocolate, nuts, & fatty foods" -ANS2. "The exact
cause of acne is not known"
4.A client enters the emergency department confused, twitching, & having
seizures. His family states he recently was placed on corticosteroids for arthritis &
was feeling better & exercising daily. Upon assessment, he has flushed skin, dry
mucous membranes, an elevated temperature, & poor skin turgor. His serum
sodium level is 172 mEq/L. Which interventions would the health care provider
likely prescribe? select all that apply.
,1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements -ANS1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
5.A client had an aortic valve replacement 2 days ago. This morning the client tells
the nurse " I don't feel any better than i did before surgery." Which response by the
nurse is most appropriate?
1. "You will feel better in a week or 2"
2. "Its only the second day post op. Cheer up"
3. "This is a normal frustration. It'll get better"
4. "You are concerned that you don't feel any better after surgery" -ANS4. "You
are concerned that you don't feel any better after surgery"
6.A client has been placed in Buck's extension traction. Which technique by the
nurse will provide countertraction?
1. Using a footboard
2. Providing an overheard trapeze
3. Slightly elevating the foot of the bed
4. Slightly elevating the head of the bed -ANS3. Slightly elevating the foot of the
bed
7.A client has had skeletal traction applied to the right leg & has an overheard
trapeze available for use. The nurse should monitor which as a high risk area for
pressure & breakdown?
1. Scapulae
2. Left heel
3. Right heel
4. Back of the head -ANS2. Left heel
, 8.A client has just had a cast removed & the underlying skin is yellow brown &
crusted. The nurse determines that further skin care instructions are required if the
client makes which statement?
1. "I will soak the skin & then wash it gently"
2. "I need to scrub the skin vigorously with soap & water"
3. "I need to apply an emollient lotion to enhance softening"
4. "I need to use a sunscreen on the skin if it will be directly exposed to the sun" -
ANS2. "I need to scrub the skin vigorously with soap & water"
9.A client is admitted to the hospital with a diagnosis of major depression. During
the admission interview, the nurse determines that a major concern is the client's
altered nutrition related to poor nutritional intake. Which nursing intervention
related to altered nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake
3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult
as soon as possible
4. Offer the client several small, frequent meals daily, and schedule brief nursing
interactions with the client during these times -ANS4. Offer the client several
small, frequent meals daily, and schedule brief nursing interactions with the client
during these times
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse
should check for a history of which type of infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. staphylococcal infection -ANS3. Streptococcal infection
A client is brought to the emergency department by the ambulance team after
collapse at home. Cardiopulmonary resuscitation is attempted but is unsuccessful.
The wife of the client tells the nurse that the client is an organ donor & that his
eyes are to be donated. Which action should the nurse take next?
1. Place dry, sterile dressings over the eyes of the deceased
2. Call the National Donor Association to confirm that the client is a donor
DETAILED VERIFIED ANSWERS GRADED A+ COMPLETE LATEST
2024
1.A 4 year old child is admitted to the hospital with suspected acute lymphocytic
leukemia (ALL). The nurse understands that which diagnostic study should
confirm this diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count -ANS3. Bone marrow biopsy
2.A child with leukemia is experiencing nausea related to medication therapy. The
nurse, concerned about the child's nutritional status, should offer which during an
episode of nausea?
1. Low-calorie foods
2. Cool, clear liquid
3. Low-protein foods
4. The child's favorite foods -ANS2. Cool, clear liquid
3.A client asks the nurse about the cause of acne. The nurse should respond by
making which statement to the client?
1. "It is caused by oily skin"
2. "The exact cause of acne is not known"
3. "It is caused as a result of exposure to heat & humidity"
4. "Acne is caused by eating chocolate, nuts, & fatty foods" -ANS2. "The exact
cause of acne is not known"
4.A client enters the emergency department confused, twitching, & having
seizures. His family states he recently was placed on corticosteroids for arthritis &
was feeling better & exercising daily. Upon assessment, he has flushed skin, dry
mucous membranes, an elevated temperature, & poor skin turgor. His serum
sodium level is 172 mEq/L. Which interventions would the health care provider
likely prescribe? select all that apply.
,1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements -ANS1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
5.A client had an aortic valve replacement 2 days ago. This morning the client tells
the nurse " I don't feel any better than i did before surgery." Which response by the
nurse is most appropriate?
1. "You will feel better in a week or 2"
2. "Its only the second day post op. Cheer up"
3. "This is a normal frustration. It'll get better"
4. "You are concerned that you don't feel any better after surgery" -ANS4. "You
are concerned that you don't feel any better after surgery"
6.A client has been placed in Buck's extension traction. Which technique by the
nurse will provide countertraction?
1. Using a footboard
2. Providing an overheard trapeze
3. Slightly elevating the foot of the bed
4. Slightly elevating the head of the bed -ANS3. Slightly elevating the foot of the
bed
7.A client has had skeletal traction applied to the right leg & has an overheard
trapeze available for use. The nurse should monitor which as a high risk area for
pressure & breakdown?
1. Scapulae
2. Left heel
3. Right heel
4. Back of the head -ANS2. Left heel
, 8.A client has just had a cast removed & the underlying skin is yellow brown &
crusted. The nurse determines that further skin care instructions are required if the
client makes which statement?
1. "I will soak the skin & then wash it gently"
2. "I need to scrub the skin vigorously with soap & water"
3. "I need to apply an emollient lotion to enhance softening"
4. "I need to use a sunscreen on the skin if it will be directly exposed to the sun" -
ANS2. "I need to scrub the skin vigorously with soap & water"
9.A client is admitted to the hospital with a diagnosis of major depression. During
the admission interview, the nurse determines that a major concern is the client's
altered nutrition related to poor nutritional intake. Which nursing intervention
related to altered nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake
3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult
as soon as possible
4. Offer the client several small, frequent meals daily, and schedule brief nursing
interactions with the client during these times -ANS4. Offer the client several
small, frequent meals daily, and schedule brief nursing interactions with the client
during these times
A client is admitted to the hospital with possible rheumatic endocarditis. The nurse
should check for a history of which type of infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. staphylococcal infection -ANS3. Streptococcal infection
A client is brought to the emergency department by the ambulance team after
collapse at home. Cardiopulmonary resuscitation is attempted but is unsuccessful.
The wife of the client tells the nurse that the client is an organ donor & that his
eyes are to be donated. Which action should the nurse take next?
1. Place dry, sterile dressings over the eyes of the deceased
2. Call the National Donor Association to confirm that the client is a donor
