NCLEX FINAL EXAM PRACTICE QUESTIONS EXACT EXAM QUESTIONS EXPERT VERIFIED AND WITH DETAILED SOLUTIONS UPDATED JUNE 2023 GUARANTEED PAS

NCLEX FINAL EXAM PRACTICE QUESTIONS EXACT EXAM QUESTIONS EXPERT VERIFIED AND WITH DETAILED SOLUTIONS UPDATED JUNE 2023 GUARANTEED PASS A client with a renal failure is prescribed a low potassium diet. Which food choice would be best for this client? A) 1 cup beef broth B) 1 baked potato with the skin C) 1/2 cup raisins D) 1 cup rice (E/C, 5) - CORRECT ANSWERD: rice is considered low potassium food. Beef broth, baked potato with skin, and raisins (B, C, D) all contain higher amounts of potassium. The client is admitted for evaluation of aggressive behavior and diagnosed with anti-social persona lity disorder. A key part of the care of such clients is: A) Setting realistic limits B) Encouraging the client to express remorse for behavior C) Minimizing interactions with other clients D) Encouraging the client to act out feelings of rage (E/C, 5) - CORRECT ANSWERA: Clients with anti -social personality disorder must have limits set on their behavior because they are artful in manipulating others. B: doesn't apply as they often do express remorse and regret C: is unnecessary D: is already in play An important intervention in monitoring the dietary compliance of a client with bulimia is: A) Allowing the client privacy during mealtimes B) Praising her for eating all her meals C) Observing her for 1 -2 hrs after meals D) Encouraging her to choose food s she likes and to eat inmoderation (E/C, 5) - CORRECT ANSWERC: To prevent the client from inducing vomiting after eating, she should be observed for 1 -2 hrs after meals. A: Allowing privacy will only give the client time to vomit B: This does not correct the psychological aspects of the disease D: This might increase stress and give the client a chance to choose foods that are low in calories and fats The nurse is caring for a client who is receiving blood transfusion therapy. Whi ch clinical manifestations should alert the nurse to a hemolytic transfusion reaction? Select all that apply: 1: Headache 2: Tachycardia 3: Hypertension 4: Apprehension 5: Distended neck veins 6: A sense of impending doom (S, 36) - CORRECT ANSWER1, 2, 4, 6 are correct Hemolytic transfusion reactions are caused by blood type or Rh incompatibility, and antigen -antibody complexes are formed in the blood, which start inflammatory responses in the client's blood vessels and organs. 3: Hypotension would be m ore typical 5: Distended neck veins are characteristic of circulatory overload A client has an arteriovenous (AV) fistula in place in the right upper extremity for hemodialysis treatments. When planning care for this client, which measure should the nurse implement to promote client safety? 1: Take blood pressures only on the right arm to ensure accuracy 2: Use the fistula for all venipunctures and intravenous infusions 3: Ensure that small clamps are attached to the AAV fistula dressing 4: Assess the fis tula for the presence of a bruit and thrill every 4 hrs (S, 37) - CORRECT ANSWER4 is correct AV fistulas are created by anastamosis of an artery and a vein within the subcutaneous tissues to create access for hemodialysis. They should be evaluated for p resence of thrills (palpated) and bruits (auscultated) to assess patency. 1, 2: Not done on the extremity with the fistula because of the increased risk of clotting, infection or damage to the fistula. 3: The AV fistula is internal, so no clamps are used A client with a wound infection and osteomyelitis is to receive hyperbaric oxygen therapy. During the therapy, which priority intervention should the nurse implement? 1: Maintain an intravenous access 2: Ensure that oxygen is being delivered 3: Administe r sedation to prevent claustrophobia 4: Provide emotional support to the client's family (S, 37) - CORRECT ANSWER2 is correct Hyperbaric oxygen therapy administers oxygen at higher than atmospheric levels, which promotes phagocytic activity and promotes healing of the wound. Because the client is placed in an enclosed chamber, the administration of oxygen is of primary importance. 1, 3, 4: all correct, but not priority