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NCLEX-RN EXAM UPDATE. COMPLETE QUESTIONS AND ANSWERS RATED A+.

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NCLEX-RN EXAM UPDATE. COMPLETE QUESTIONS AND ANSWERS RATED A+. Which of the following signs or symptoms indicates a possible nutritional deficiency? Correct Answer: -Correct Answer: -Pale conjunctiva A nurse is preparing to insert a small-bore nasogastric feeding tube for a client's enteral feedings. In which method does the nurse measure the correct length of the tube? Correct Answer: -From the tip of the nose to the earlobe to the xiphoid process In which of the following ways can a nurse promote sleep for a client who is experiencing insomnia? Correct Answer: -Give the client a pair of socks to wear if his feet become cold A client is complaining of pain that starts in the shoulder and travels down the length of his arm. This type of pain is referred to as: Correct Answer: -Radiating pain A client with an enlarged prostate is having trouble starting his flow of urine when using the bathroom. Another name for this condition is: Correct Answer: -Hesitancy A nurse is preparing to irrigate a client's colostomy. Which of the following situations is a contraindication for this type of irrigation? Correct Answer: -The client has diverticulitis The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? Correct Answer: -The client was found lying on the floor. A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? Correct Answer: -Transport the victim to the operating room for surgery. Which of the following statements best describes substance P? Correct Answer: -Substance P is found in the dorsal horn of the spinal column The primary purpose of a patient care meeting or conference is to determine which of the following? Correct Answer: -How the healthcare team can best meet the patient's needs. Who should be members of a patient care conference? Correct Answer: -ALL members of the healthcare team and the patient/resident. The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next? Correct Answer: -Reassess the client. The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? Correct Answer: -Clarify with the team leader to make a safe ICU client assignment. The nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co- worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? Correct Answer: -Call the nursing supervisor. A hospitalized client tells the nurse that an instructional directive is being prepared and that the lawyer will be bringing the document to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? Correct Answer: -"I will call the nursing supervisor to seek assistance regarding your request." The nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse should take which actions to correct the error? Select all that apply.Correct Answer: - Document the correct information and end with the nurse's signature and title. Draw 1 line through the error, initialing and dating it. Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their own? Correct Answer: -Only the health care proxy Which of the following is an example of physical abuse? Correct Answer: -A slap to the person's hand Which of the following is an example of emotional abuse? Correct Answer: -Threatening the person Which of the following is an example of emotional neglect? Correct Answer: -Ignoring and isolating a person The nurse is making initial rounds at the beginning of the shift and notes that the parenteral nutrition (PN) bag of an assigned client is empty. Which solution should the nurse hang until another PN solution is mixed and delivered to the nursing unit? Correct Answer: -10% dextrose in water

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NCLEX-RN EXAM 2025-2026 UPDATE. COMPLETE
QUESTIONS AND ANSWERS RATED A+.

Which of the following signs or symptoms indicates a possible nutritional deficiency? Correct
Answer: -Correct Answer: -Pale conjunctiva


A nurse is preparing to insert a small-bore nasogastric feeding tube for a client's enteral
feedings. In which method does the nurse measure the correct length of the tube? Correct
Answer: -From the tip of the nose to the earlobe to the xiphoid process


In which of the following ways can a nurse promote sleep for a client who is experiencing
insomnia? Correct Answer: -Give the client a pair of socks to wear if his feet become cold


A client is complaining of pain that starts in the shoulder and travels down the length of his
arm. This type of pain is referred to as: Correct Answer: -Radiating pain


A client with an enlarged prostate is having trouble starting his flow of urine when using the
bathroom. Another name for this condition is: Correct Answer: -Hesitancy


A nurse is preparing to irrigate a client's colostomy. Which of the following situations is a
contraindication for this type of irrigation? Correct Answer: -The client has diverticulitis


The nurse hears a client calling out for help, hurries down the hallway to the client's room,
and finds the client lying on the floor. The nurse performs an assessment, assists the client
back to bed, notifies the health care provider of the incident, and completes an incident
report. Which statement should the nurse document on the incident report? Correct Answer:
-The client was found lying on the floor.


A client is brought to the emergency department by emergency medical services (EMS) after
being hit by a car. The name of the client is unknown, and the client has sustained a severe
head injury and multiple fractures and is unconscious. An emergency craniotomy is required.
Regarding informed consent for the surgical procedure, which is the best action?
Correct Answer: -Transport the victim to the operating room for surgery.


Which of the following statements best describes substance P? Correct Answer: -Substance
P is found in the dorsal horn of the spinal column


The primary purpose of a patient care meeting or conference is to determine which of the
following? Correct Answer: -How the healthcare team can best meet the patient's needs.


Who should be members of a patient care conference? Correct Answer: -ALL members of

, the healthcare team and the patient/resident.

The nurse has just assisted a client back to bed after a fall. The nurse and health care
provider have assessed the client and have determined that the client is not injured. After
completing the incident report, the nurse should implement which action next? Correct
Answer: -Reassess the client.


The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the
day because the ICU is understaffed and needs additional nurses to care for the clients. The
nurse has never worked in the ICU. The nurse should take which best action? Correct
Answer: -Clarify with the team leader to make a safe ICU client assignment.


The nurse who works on the night shift enters the medication room and finds a co-worker
with a tourniquet wrapped around the upper arm. The co- worker is about to insert a needle,
attached to a syringe containing a clear liquid, into the antecubital area. Which is the most
appropriate action by the nurse? Correct Answer: -Call the nursing supervisor.


A hospitalized client tells the nurse that an instructional directive is being prepared and that
the lawyer will be bringing the document to the hospital today for witness signatures. The
client asks the nurse for assistance in obtaining a witness to the will. Which is the most
appropriate response to the client? Correct Answer: -"I will call the nursing supervisor to
seek assistance regarding your request."

The nurse has made an error in a narrative documentation of an assessment finding on a
client and obtains the client's record to correct the error. The nurse should take which
actions to correct the error? Select all that apply.Correct Answer: -
Document the correct information and end with the nurse's signature and title.
Draw 1 line through the error, initialing and dating it.


Who is legally able to make decisions for the patient or resident during a patient care
conference when the patient is not mentally able to make decisions on their own? Correct
Answer: -Only the health care proxy


Which of the following is an example of physical abuse? Correct Answer: -A slap to the
person's hand


Which of the following is an example of emotional abuse? Correct Answer: -Threatening the
person


Which of the following is an example of emotional neglect? Correct Answer: -Ignoring and
isolating a person


The nurse is making initial rounds at the beginning of the shift and notes that the parenteral
nutrition (PN) bag of an assigned client is empty. Which solution should the nurse hang until
another PN solution is mixed and delivered to the nursing unit? Correct Answer: -10%

Información del documento

Subido en
23 de noviembre de 2024
Número de páginas
14
Escrito en
2024/2025
Tipo
Examen
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