Pn Nclex Exam Latest 2024 With Updated Questions And Detailed Correct Answers With Rationales (Already Graded A+)

PN NCLEX EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+) A client in active labor is admitted to the labor suite. An hour later, the client experiences spontaneous rupture of membranes. The nurse observes a glistening white umbilical cord protruding from the vagina. Which of the following actions should the nurse take first? A. Return to the nurses' station and call the primary health care provider. B. Administer oxygen by mask at 10-12 L/minute and assess vital signs C. Place a clean towel over the umbilical cord and wet it with normal saline solution D. Apply manual pressure to the presenting part and have the client assume a knee-chest position. - ANSWER-D. Apply manual pressure to the presenting part and have the client assume a knee-chest position. Umbilical cord prolapse is an emergency situation. The nurse must relieve pressure on the umbilical cord to prevent fetal anoxia A client comes to the nurses' station and inquires about going to the cafeteria to get something to eat. The client becomes verbally abusive when told that personal privileges do not include going to the cafeteria. Which of the following approaches by the nurse would be the most effective? 2 | P a g e A. Tell the client to speak softly to avoid disturbing the other clients B. Ask what the client wants from the cafeteria and have it delivered to the client's room C. Calmly but firmly escort the client back to the client's room D. Assign the assistive personnel (AP) to accompany the client to the cafeteria - ANSWER-C. Calmly but firmly escort the client back to the client's room The nurse should not reinforce abusive behavior. Clients need consistent and clearly defined expectations and limits The primary health care provider applies a cast to an infant client for the treatment of talipes equinovarus (TEV) Which of the following instructions is most essential for the nurse to give to the client's parents regarding care? A. Offer age-appropriate toys B. Visit clinic frequently for cast adjustments C. Give an analgesic if needed D. Check circulation in the casted extremity - ANSWER-D. Check circulation in the casted extremity Impaired circulation can result from cast application. Which of the following assignments by the RN would be appropriate for an LPN / LVN? A. A client with low back pain scheduled for a myelogram B. A client in traction for treatment of a fractured femur C. A client newly diagnosed with type 1 diabetes D. A client with emphysema scheduled for discharge - ANSWERB. A client in traction for treatment of a fractured femur 3 | P a g e this client is in stable condition and can be cared for by an LPN/LVN with supervision of an RN After receiving a handoff of care report from the nurse on the prior shift, which of the following clients should the nurse see first? A. A client refusing to take sucralfate before mealtime B. A client with left-sided weakness asking for assistance to the commode. C. A client reporting chills who is scheduled for a cholecystectomy D. A client with a nasogastric tube who has had a bowel resection yesterday - ANSWER-C. A client reporting chills who is scheduled for a cholecystectomy The primary health care provider prescribes tobramycin sulfate 3 mg/kg IV q8h for a 3 year old client. the nurse enters the clients room to administer the medication and discovers that the client does not have an identification bracelet. Which of the following actions should the nurse take? A. Ask the parents to state their child's name B. Ask the child to state the first and last name. C. Have a coworker identify the child before giving the medication D. Hold the medication until an identification bracelet can be obtained - ANSWER-A. Ask the parents to state their child's name