Nace Pn To Rn Latest
Update Exam 2025
A 20-year-old patient is admitted to the hospital with respiratory failure. He's
intubated, given oxygen, and is coughing with copious secretions in his lungs.
What should be done first? - ✔✔✔ANSWER-Correct Answer: Suction the lungs
The first priority is to make sure the client's airways are clear and that he can
breathe. The other choices can be addressed after ensuring the client can breathe.
A 21-year-old female is diagnosed with dysthymic disorder. When obtaining a
history from the female, what information should the nurse expect? -
✔✔✔ANSWER-The correct answer is: irritability. In young adults and children,
the symptoms noted with dysthymic disorder include irritability, depression, low
self esteem, pessimism, and impaired social skills and social interactions. Talking
excessively is more evident with children who have attention deficit hyperactivity
disorder. Intense fear is associated with anxiety disorders. Further, compulsive
behavior is not associated with individuals diagnosed with dysthymic disorder.
,A client asks the nurse what treatments are used for xerosis. Which intervention
should the nurse include in a teaching plan for the client? - ✔✔✔ANSWER-
Correct answer: Use a humidifier. Xerosis, which is dry skin, is caused by heat and
low humidity. Therefore, it is important to use a humidifier to add moisture to the
air in order to relieve dry, itchy skin.
A client changes topics quickly while relating past psychiatric history. This client's
pattern of thinking is called what? - ✔✔✔ANSWER-Correct answer: Flight of
ideas. Flight of ideas describes a thought pattern in which a client moves rapidly
from one topic to the next with some connection. Looseness of association
describes a pattern in which ideas lack an apparent logical connection to one
another. Tangential thoughts seem to be related but miss the point. A client who
talks around the subject and includes a lot of unnecessary information is exhibiting
circumstantial thinking.
A client has had pain in the right leg for 3 weeks. The nurse understands that the
MOST LIKELY effect of this pain is? - ✔✔✔ANSWER-Correct Answer: The
disruption of sleep. Pain can have many effects on the human body. Clients with
acute pain may have a decrease in appetite, decrease in fluid intake, nausea,
vomiting and disruption in sleep.
A client is admitted to the health care facility with a diagnosis of a bleeding gastric
ulcer. The nurse expects this client's stool to look like which of the following? -
✔✔✔ANSWER-Correct answer: Black and tarry. Black, tarry stools are a sign of
bleeding high in the GI tract, as from a gastric ulcer, and result from the action of
digestive enzymes in the blood. Vomitus associated with upper GI tract bleeding is
commonly described as coffee ground-like. Clay-colored stools are associated with
biliary obstruction. Bright red stools indicate lower GI tract bleeding.
A client is admitted with tuberculosis. The client should be placed in which type of
precaution based isolation? - ✔✔✔ANSWER-Correct answer: Airborne. The nurse
should use airborne precautions when caring for a client with known or suspected
, tuberculosis to reduce the spread of the tuberculosis. Precautions that are employed
are private room that has its own hand washing station and bathroom, special
ventilation system that is separate from the hospital wide ventilation system and
providing masks for anyone entering the room to see the client.
A client is brought to the emergency department and the physician determines he
has gastrointestinal (GI) bleeding. In planning for his care, which of the following
would be first priority? - ✔✔✔ANSWER-The Correct answer is: assessment of
vital signs Vital sign assessment would be the priority nursing intervention. This
would provide an indication of the amount of blood loss that has occurred and also
provide a baseline by which to monitor the progress of treatment. The other
answers (b, c, and d) are important but not priority actions.
A client is discharged from a hospital's psychiatric unit. The physician writes an
order for Zyprexa. As the nurse prepares the teaching plan for the Zyprexa
medication, the nurse should teach the client to do what? - ✔✔✔ANSWER-
Correct Answer: avoid smoking The serum levels of antipsychotic medications,
such as Zyprexa, can be decreased when an individual smokes tobacco products.
When taking Zyprexa, the client should avoid exposure to direct sunlight. Avoiding
foods containing tyramine would be dangerous if the client was prescribed a
monoamine oxidase inhibitor (MAOI). Further, instructing the client to eat a high
protein, high carbohydrate diet is not a requirement for a client who is prescribed
Zyprexa. This dietary instruction is recommended for clients with bipolar disorder.
A client is scheduled to have a blood transfusion. The client asks the nurse, "What
types of diseases are transmitted through blood transfusions?" The nurse should
respond that there is a low risk of contracting diseases through blood transfusions.
However, a possible illness is which of the following? - ✔✔✔ANSWER-Correct
answer: CytomegalovirusBlood borne diseases and diseases that are transmitted
through a transfusion are Hepatitis B, Hepatitis C, HIV, Cytomegalovirus and
Malaria, to name a few. Also, the nurse should assure the client that the
transmission of these diseases is low since blood banks have rigorous screening
procedures to test blood.
Update Exam 2025
A 20-year-old patient is admitted to the hospital with respiratory failure. He's
intubated, given oxygen, and is coughing with copious secretions in his lungs.
What should be done first? - ✔✔✔ANSWER-Correct Answer: Suction the lungs
The first priority is to make sure the client's airways are clear and that he can
breathe. The other choices can be addressed after ensuring the client can breathe.
A 21-year-old female is diagnosed with dysthymic disorder. When obtaining a
history from the female, what information should the nurse expect? -
✔✔✔ANSWER-The correct answer is: irritability. In young adults and children,
the symptoms noted with dysthymic disorder include irritability, depression, low
self esteem, pessimism, and impaired social skills and social interactions. Talking
excessively is more evident with children who have attention deficit hyperactivity
disorder. Intense fear is associated with anxiety disorders. Further, compulsive
behavior is not associated with individuals diagnosed with dysthymic disorder.
,A client asks the nurse what treatments are used for xerosis. Which intervention
should the nurse include in a teaching plan for the client? - ✔✔✔ANSWER-
Correct answer: Use a humidifier. Xerosis, which is dry skin, is caused by heat and
low humidity. Therefore, it is important to use a humidifier to add moisture to the
air in order to relieve dry, itchy skin.
A client changes topics quickly while relating past psychiatric history. This client's
pattern of thinking is called what? - ✔✔✔ANSWER-Correct answer: Flight of
ideas. Flight of ideas describes a thought pattern in which a client moves rapidly
from one topic to the next with some connection. Looseness of association
describes a pattern in which ideas lack an apparent logical connection to one
another. Tangential thoughts seem to be related but miss the point. A client who
talks around the subject and includes a lot of unnecessary information is exhibiting
circumstantial thinking.
A client has had pain in the right leg for 3 weeks. The nurse understands that the
MOST LIKELY effect of this pain is? - ✔✔✔ANSWER-Correct Answer: The
disruption of sleep. Pain can have many effects on the human body. Clients with
acute pain may have a decrease in appetite, decrease in fluid intake, nausea,
vomiting and disruption in sleep.
A client is admitted to the health care facility with a diagnosis of a bleeding gastric
ulcer. The nurse expects this client's stool to look like which of the following? -
✔✔✔ANSWER-Correct answer: Black and tarry. Black, tarry stools are a sign of
bleeding high in the GI tract, as from a gastric ulcer, and result from the action of
digestive enzymes in the blood. Vomitus associated with upper GI tract bleeding is
commonly described as coffee ground-like. Clay-colored stools are associated with
biliary obstruction. Bright red stools indicate lower GI tract bleeding.
A client is admitted with tuberculosis. The client should be placed in which type of
precaution based isolation? - ✔✔✔ANSWER-Correct answer: Airborne. The nurse
should use airborne precautions when caring for a client with known or suspected
, tuberculosis to reduce the spread of the tuberculosis. Precautions that are employed
are private room that has its own hand washing station and bathroom, special
ventilation system that is separate from the hospital wide ventilation system and
providing masks for anyone entering the room to see the client.
A client is brought to the emergency department and the physician determines he
has gastrointestinal (GI) bleeding. In planning for his care, which of the following
would be first priority? - ✔✔✔ANSWER-The Correct answer is: assessment of
vital signs Vital sign assessment would be the priority nursing intervention. This
would provide an indication of the amount of blood loss that has occurred and also
provide a baseline by which to monitor the progress of treatment. The other
answers (b, c, and d) are important but not priority actions.
A client is discharged from a hospital's psychiatric unit. The physician writes an
order for Zyprexa. As the nurse prepares the teaching plan for the Zyprexa
medication, the nurse should teach the client to do what? - ✔✔✔ANSWER-
Correct Answer: avoid smoking The serum levels of antipsychotic medications,
such as Zyprexa, can be decreased when an individual smokes tobacco products.
When taking Zyprexa, the client should avoid exposure to direct sunlight. Avoiding
foods containing tyramine would be dangerous if the client was prescribed a
monoamine oxidase inhibitor (MAOI). Further, instructing the client to eat a high
protein, high carbohydrate diet is not a requirement for a client who is prescribed
Zyprexa. This dietary instruction is recommended for clients with bipolar disorder.
A client is scheduled to have a blood transfusion. The client asks the nurse, "What
types of diseases are transmitted through blood transfusions?" The nurse should
respond that there is a low risk of contracting diseases through blood transfusions.
However, a possible illness is which of the following? - ✔✔✔ANSWER-Correct
answer: CytomegalovirusBlood borne diseases and diseases that are transmitted
through a transfusion are Hepatitis B, Hepatitis C, HIV, Cytomegalovirus and
Malaria, to name a few. Also, the nurse should assure the client that the
transmission of these diseases is low since blood banks have rigorous screening
procedures to test blood.
