NCLEX-PN Practice Exam QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

NCLEX-PN Practice Exam QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) NCLEX-PN c Practice c Exam c QUESTIONS c AND c CORRECT c DETAILED c ANSWERS c WITH c RATIONALES c (VERIFIED c ANSWERS) The c nurse c is c caring c for c assigned c clients. c The c nurse c should c recognize c that c the c client c at c highest c risk c for c developing c peritonitis c is c a c client c who c had c - c correct c answers- The c nurse c is c caring c for c a c client c with c moderate c Alzheimer's c disease c (AD). c The c nurse c should c immediately c intervene c if c a c staff c member c is c observed c - c correct c answers- The c charge c nurse c in c a c long-term c care c facility c has c completed c client c care c assignments c for c unlicensed c assistive c personnel c (UAP). c Which c of c the c following c statements c by c the c charge c nurse c would c provide c the c best c directions c to c a c UAP c regarding c the c assignment? c - c correct c answers- The c nurse c and c unlicensed c assistive c personnel c (UAP) c are c caring c for c assigned c clients. c Which c of c the c following c activities c would c be c appropriate c for c the c nurse c to c assign c to c UAP? c - c correct c answers- The c nurse c is c contributing c to c a c staff c development c conference c about c informed c consent c for c surgery. c Which c of c the c following c information c should c the c nurse c suggest c including? c - c correct c answers- A c nurse c who c is c pregnant c is c assigned c to c care c for c a c 3-month-old c client c with c respiratory c syncytial c virus c (RSV) c pneumonia. c The c client c is c receiving c ribavirin c therapy. c Which c of c the c following c actions c would c be c most c appropriate c for c the c nurse c to c take? c - c correct c answers- The c nurse c is c contributing c to c the c plan c of c care c for c a c client c with c multiple c sclerosis c (MS). c Which c of c the c following c should c the c nurse c recommend c be c included? c - c correct c answers- The c nurse c has c participated c in c a c staff c development c conference c about c caring c for c clients c with c various c religious c beliefs c who c are c terminally c ill. c Which c of c the c following c statements c by c the c nurse c would c indicate c a c correct c understanding c of c the c teaching? 1."A c family c member c will c turn c a c client c who c practices c Buddhism c east c to c face c Mecca c prior c to c death." 2."After c death, c a c member c of c a c burial c society c will c wash c the c body c of c a c client c who c practices c Orthodox c Judaism." 3."After c death, c a c family c member c will c cover c the c mirrors c in c the c room c of c a c client c who c practices c the c Greek c Orthodox c religion." 4."A c priest c will c tie c a c thread c around c the c wrist c of c a c client c who c practices c Roman c Catholicism c to c signify c a c blessing c prior c to c death." c - c correct c answers-2."After c death, c a c member c of c a c burial c society c will c wash c the c body c of c a c client c who c practices c Orthodox c Judaism." The c nurse c is c contributing c to c a c staff c education c conference c about c advance c directives. c Which c of c the c following c information c should c the c nurse c recommend c including? c Select c all c that c apply. c - c correct c answers- The c nurse c is c caring c for c a c client c who c has c mycoplasma c pneumonia. c Which c of c the c following c infection c control c precautions c should c the c nurse c implement? c - c correct c answers- The c nurse c is c observing c a c coworker c suctioning c a c client c with c a c tracheostomy. c The c nurse c should c intervene c if c the c coworker: es c suction c as c the c catheter c is c being c withdrawn c a c face c shield c throughout c the c procedure es c suction c for c 10 c seconds c at c each c pass c of c the c catheter c clean, c nonsterile c gloves c throughout c the c procedure c - c correct c es c suction c for c 10 c seconds c at c each c pass c of c the c catheter The c nurse c is c reinforcing c teaching c with c the c parents c of c a c child c who c is c scheduled c for c surgical c repair c of c hypospadias. c The c nurse c should c reinforce c that c intended c outcomes c of c the c procedure c include: f c from c pain f c from c bladder c obstruction c ability c to c void c while c standing c ability c to c achieve c an c erection c - c correct c answers- The c nurse c is c collecting c data c from c a c client c who c had c a c kidney c transplant c 5 c days c ago. c Which c of c the c following c findings c would c require c immediate c intervention? c - c correct c answers- The c nurse c is c contributing c to c a c staff c development c conference c about c client c confidentiality. c Which c of c the c following c information c should c the c nurse c suggest c including? c Select c all c that c apply. c - c correct c answers- The c nurse c is c contributing c to c the c plan c of c care c for c a c client c who c had c a c stroke c 3 c days c ago c and c has c right-sided c hemiplegia c and c dysphagia. c Which c of c the c following c nutritional c outcomes c would c be c most c appropriate c for c the c nurse c to c recommend c including c in c the c client's c plan c of c care? c - c correct c answers- The c nurse c is c collecting c data c on c a c client c with c chronic c obstructive c pulmonary c disease c (COPD). c Which c of c the c following c findings c would c be c a c priority c to c report c to c the c charge c nurse? c - c correct c answers- The c nurse c is c contributing c to c a c staff c education c conference c about c the c stages c of c grief c in c clients c with c terminal c illness. c Which c of c the c following c information c should c the c nurse c suggest c including? c - c correct c answers- The c nurse c in c a c long-term c care c facility c is c making c client c care c assignments c for c unlicensed c assistive c personnel c (UAP). c Which c of c the c following c statements c by c the c nurse c would c provide c UAP c with c the c best c directions c about c an c assignment? c - c correct c answers- The c nurse c has c reinforced c teaching c with c a c female c client c who c sustained c a c spinal c cord c injury c at c T5 c three c weeks c ago. c Which c of c the c following c statements c by c the c client c would c indicate c a c correct c understanding c of c the c teaching? c Select c all c that c apply. c - c correct c answers- The c charge c nurse c in c a c long-term c care c facility c has c made c client c care c assignments c for c unlicensed c assistive c personnel c (UAP). c Which c of c the c following c statements c by c the c charge c nurse c would c provide c the c best c directions c to c a c UAP c about c the c assignment? c - c correct c answers- The c nurse c is c collecting c data c from c a c client c with c Guillain-Barré. c The c client c is c experiencing c paralysis c and c paresthesias c of c the c lower c extremities c and c has c a c respiratory c rate c of c 18. c Which c of c the c following c actions c should c the c nurse c take? c - c correct c answers- The c nurse c has c reinforced c discharge c teaching c with c the c parent c of c a c newborn. c Which c of c the c following c statements c by c the c parent c would c require c follow-up? 1. "I c will c leave c my c baby's c diaper c off c when c possible c if c the c diaper c area c starts c to c become c red." 2. "I c will c secure c my c baby c in c a c rear-facing c infant c seat c in c the c front c seat c of c the c car c since c there c is c an c airbag c there." 3. "I c should c give c my c baby c a c pacifier c at c bedtime c to c reduce c the c risk c for c sudden c infant c death c syndrome c (SIDS)." 4. "I c should c squeeze c the c bulb c syringe c before c inserting c it c into c my c baby's c mouth c when c I c suction c excess c secretions." c - c correct c answers-2."I c will c secure c my c baby c in c a c rear-facing c infant c seat c in c the c front c seat c of c the c car c since c there c is c an c airbag c there." The c nurse c is c collecting c data c from c a c client c with c sickle c cell c anemia. c Which c of c the c following c statements c by c the c client c would c be c essential c to c follow c up? 1. "I c usually c drink c 4 c L c of c water c or c juice c daily." 2. "I c am c scheduled c to c receive c the c influenza c vaccine." 3. "I c may c need c to c receive c a c prescribed c anti-infective c if c I c develop c a c fever." 4. "I c have c been c applying c cold c packs c daily c to c help c relieve c the c pain c in c my c knees." c - c correct c answers-3."I c may c need c to c receive c a c prescribed c anti-infective c if c I c develop c a c fever." The c nurse c has c received c the c following c information c about c assigned c clients. c The c nurse c should c first c check c the c client 1. who c has c right-sided c heart c failure c and c is c reporting c frequent c urination 2. with c active c pulmonary c tuberculosis c (TB) c who c is c reporting c expectorating c blood-tinged c mucus 3. who c has c a c fractured c femur c and c received c a c dose c of c pain c medication c intramuscularly c 1 c hour c ago c and c is c reporting c that c the c pain c has c not c been c relieved 4. with c benign c prostatic c hyperplasia c (BPH) c who c is c reporting c having c no c bowel c movement c for c the c past c 3 c days c and c is c requesting c a c dose c of c a c prescribed c laxative c - c correct c c has c a c fractured c femur c and c received c a c dose c of c pain c medication c intramuscularly c 1 c hour c ago c and c is c reporting c that c the c pain c has c not c been c relieved The c nurse c is c talking c with c the c spouse c of c a c client c who c has c malignant c melanoma c and c is c terminally c ill. c Which c of c the c following c statements c by c the c spouse c would c be c essential c to c follow c up? 1. "I c give c my c spouse c the c prescribed c pain c medication c regularly c even c though c the c medication c causes c my c spouse c to c become c drowsy." 2. "I c feel c as c though c there c is c so c much c happening c now c and c I c have c been c relying c on c my c adult c children c to c help c care c for c my c spouse." 3. "I c sometimes c feel c bad c because c I c often c have c 1 c or c 2 c glasses c of c wine c to c help c me c relax c and c sleep c at c night." 4. "I c try c to c keep c my c spouse's c window c open c when c the c weather c is c nice c because c my c spouse c enjoys c listening c to c the c birds." c - c correct c answers- The c nurse c is c caring c for c a c client c who c has c a c prescription c to c remove c a c nasogastric c (NG) c tube. c Which c of c the c following c actions c should c the c nurse c take? 1. Withdraw c the c tube c steadily c while c the c client c takes c shallow c breaths. 2. Have c the c client c hyperextend c the c neck c before c withdrawing c the c tube. 3. Withdraw c the c tube c quickly c while c the c client c holds c a c deep c breath. 4. Have c the c client c flex c the c neck c before c withdrawing c the c tube. c - c correct c answers- The c nurse c is c caring c for c a c client c who c has c act