NCLEX-RN Exam 9 2024. RECENT UPDATE WITH REAL TEST QUESTIONS & ANSWERS|RATED A+

NCLEX-RN Exam 9 2024. RECENT UPDATE WITH REAL TEST QUESTIONS & ANSWERS|RATED A+ • 1. Question Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell’s traction? o A. 16-year-old female with scoliosis o B. 12-year-old male with a fractured femur o C. 10-year-old male with sarcoma o D. 6-year-old male with osteomyelitis • 2. Question A client with osteoarthritis has a prescription for celebrex (Celecoxib). Which instruction should be included in the discharge teaching? o A. Take the medication with milk. o B. Report chest pain. o C. Remain upright after taking for 30 minutes. o D. Allow 6 weeks for optimal effects. • 3. Question A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates an understanding of a plaster-of-Paris cast? The nurse: o A. Handles the cast with the fingertips o B. Petals the cast o C. Dries the cast with a hair dryer o D. Allows 24 hours before bearing weight • 4. Question 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? o A. "It will be alright for your friends to autograph the cast." o B. "Because the cast is made of plaster, autographing can weaken the cast." o C. "If they don’t use chalk to autograph, it is okay." o D. "Autographing or writing on the cast in any form will harm the cast." o underneath the cast. • 5. Question The nurse is assigned to care for the client with a Steinmann pin. During pin care, she notes that the LPN uses sterile gloves and Q- tips to clean the pin. Which action should the nurse take at this time? o A. Assisting the LPN with opening sterile packages and peroxide. o B. Telling the LPN that clean gloves are allowed. o C. Telling the LPN that the registered nurse should perform pin care. o D. Asking the LPN to clean the weights and pulleys with peroxide. • 6. Question A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken? o A. Check the bowel sounds o B. Assess the blood pressure o C. Offer pain medication o D. Check for swelling • 7. Question The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge? o A. Russell’s traction o B. Buck’s traction o C. Halo traction o D. Crutchfield tong traction • 8. Question A client with a total knee replacement has a CPM (continuous passive motion device) applied during the postoperative period. Which statement made by the nurse indicates an understanding of the CPM machine? o A. "Use of the CPM will permit the client to ambulate during the therapy." o B. "The CPM machine controls should be positioned distal to the site." o C. "If the client complains of pain during the therapy, I will turn off the machine and call the doctor." o D. "Use of the CPM machine will alleviate the need for physical therapy after the client is discharged." • 9. Question 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: o A. Palms rest lightly on the handles o B. Elbows are flexed 0° o C. Client walks to the front of the walker o D. Client carries the walker • 10. Question When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should: o A. Attempt to replace the cord o B. Place the client on her left side o C. Elevate the client’s hips o D. Cover the cord with a dry, sterile gauze • 11. Question The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client? o A. Report muscle weakness to the physician. o B. Allow six months for the drug to take effect. o C. Take the medication with fruit juice. o D. Ask the doctor to perform a complete blood count before starting the medication. • 12. Question The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should: o A. Utilize an infusion pump o B. Check the blood glucose level o C. Place the client in Trendelenburg position o D. Cover the solution with foil • 13. Question The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor? o A. Blood pressure of 126/80 o B. Blood glucose of 110 mg/dL o C. Heart rate of 60 bpm o D. Respiratory rate of 30 per minute • 14. Question The client admitted with angina is given a prescription for nitroglycerin. The client should be instructed to: o A. Replenish his supply every 3 months o B. Take one every 15 minutes if pain occurs o C. Leave the medication in the brown bottle o D. Crush the medication and take with water • 15. Question The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats? o A. Macaroni and cheese o B. Shrimp with rice o C. Turkey breast o D. Spaghetti • 16. Question The client is admitted with right-sided congestive heart failure. In assessing the client for edema, the nurse should check the: o A. Feet o B. Neck o C. Hands o D. Sacrum • 17. Question The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the: o A. Phlebostatic axis o B. PMI o C. Erb’s point o D. Tail of Spence • 18. Question The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should: o A. Question the order o B. Administer the medications o C. Administer separately o D. Contact the pharmacy • 19. Question The best method of evaluating the amount of peripheral edema is: o A. Weighing the client daily o B. Measuring the extremity o C. Measuring the intake and output o D. Checking for pitting20. Question A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that: o A. Overnight stays by family members is against hospital policy. o B. There is no need for him to stay because staffing is adequate. o C. His wife will rest much better knowing that he is at home. o D. Visitation is limited to 30 minutes when the implant is in place. • 21. Question The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client? o A. Roast beef sandwich, potato chips, pickle spear, iced tea o B. Split pea soup, mashed potatoes, pudding, milk o C. Tomato soup, cheese toast, Jello, coffee o D. Hamburger, baked beans, fruit cup, iced tea • 22. Question The physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? o A. "I will make sure I eat breakfast within 10 minutes of taking my insulin."