NGN NCLEX PN ACTUAL EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
The critical care nurse is caring for a client with a subclavian
central line catheter. The nurse knows that a specific central-line
bundle was developed to reduce the client's risk for developing a
catheter-related bloodstream infection (CLABSI). The
interventions include which essential actions? Select all that
apply.
1.
Strict hand washing
2.
Daily dressing change
3.
Betadine skin antisepsis
4.
Optimal catheter site selection
5.
Strict sterile technique with maximal barrier precautions during
placement
6.
Infection control primary health care provider as a member of the
client's health care team - ANSWER 1, 4, 5
The nurse caring for a Chinese-American client plans to use
communication according to Chinese-American cultural beliefs
and practices. Which techniques are considered disrespectful in
the Chinese-American's view of communication? Select all that
apply.
,1.
Sitting side-by-side
2.
Maintaining eye contact
3.
Closing the conversation abruptly
4.
Touching the opposite sex in public
5.
Allowing silent pauses during conversation - ANSWER 2, 3, 4
he nurse is assigned to care for a client with a diagnosis of
detached retina. Which findings would indicate that bleeding has
occurred as a result of retinal detachment? Select all that apply.
1.
Total loss of vision
2.
Vision may be cloudy
3.
A reddened conjunctiva
4.
A sudden sharp pain in the eye
5.
Complaints of a burst of black spots or floaters
,6.
Vision is clear straight ahead but not to the right - ANSWER 2, 5
The nurse admits a client who has seizure precautions
prescribed. The client has a seizure just after the nurse has
implemented the precautions. Which actions should the nurse
take? Select all that apply.
1.
Time the start and stop of the seizure.
2.
Apply oxygen at 2L with nasal cannula.
3.
Turn the client to the side and do not restrain.
4.
Note the distinguishing characteristics of the seizure.
5.
Use a padded tongue blade to avoid tongue injury.
6.
Turn on the suction machine with oral catheter. - ANSWER 1, 2,
3, 4, 6
A primary health care provider (PHCP) has written a prescription
for a preoperative client to have "enemas until clear." The nurse
has administered three enemas and the client is still passing
brown liquid stool. Which action should the nurse take next?
1.
Notify the primary health care provider.
, 2.
Continue to administer the enemas until the stool is clear.
3.
Encourage the client to drink clear liquids and administer another
enema in 1 hour.
4.
Wait 30 minutes, check the client's electrolyte levels, and then
administer another enema. - ANSWER 1
The nurse reviews the client's health record and notes that based
on Leopold's maneuvers, the fetus is in a cephalic presentation.
Which findings while performing Leopold's maneuvers support the
identification of a cephalic presentation? Select all that apply.
1.
Small parts are located on the left side of the uterus.
2.
Small parts are located on the right side of the uterus.
3.
A round hard ballottable shape is located in the fundus.
4.
A round hard ballottable shape is located just above the
symphysis pubis.
5.
A soft, irregular non-ballottable shape is located just above the
symphysis pubis. - ANSWER 1, 2, 5
he nurse is assigned to assist the primary health care provider
(PHCP) with the removal of a chest tube. Which interventions
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
The critical care nurse is caring for a client with a subclavian
central line catheter. The nurse knows that a specific central-line
bundle was developed to reduce the client's risk for developing a
catheter-related bloodstream infection (CLABSI). The
interventions include which essential actions? Select all that
apply.
1.
Strict hand washing
2.
Daily dressing change
3.
Betadine skin antisepsis
4.
Optimal catheter site selection
5.
Strict sterile technique with maximal barrier precautions during
placement
6.
Infection control primary health care provider as a member of the
client's health care team - ANSWER 1, 4, 5
The nurse caring for a Chinese-American client plans to use
communication according to Chinese-American cultural beliefs
and practices. Which techniques are considered disrespectful in
the Chinese-American's view of communication? Select all that
apply.
,1.
Sitting side-by-side
2.
Maintaining eye contact
3.
Closing the conversation abruptly
4.
Touching the opposite sex in public
5.
Allowing silent pauses during conversation - ANSWER 2, 3, 4
he nurse is assigned to care for a client with a diagnosis of
detached retina. Which findings would indicate that bleeding has
occurred as a result of retinal detachment? Select all that apply.
1.
Total loss of vision
2.
Vision may be cloudy
3.
A reddened conjunctiva
4.
A sudden sharp pain in the eye
5.
Complaints of a burst of black spots or floaters
,6.
Vision is clear straight ahead but not to the right - ANSWER 2, 5
The nurse admits a client who has seizure precautions
prescribed. The client has a seizure just after the nurse has
implemented the precautions. Which actions should the nurse
take? Select all that apply.
1.
Time the start and stop of the seizure.
2.
Apply oxygen at 2L with nasal cannula.
3.
Turn the client to the side and do not restrain.
4.
Note the distinguishing characteristics of the seizure.
5.
Use a padded tongue blade to avoid tongue injury.
6.
Turn on the suction machine with oral catheter. - ANSWER 1, 2,
3, 4, 6
A primary health care provider (PHCP) has written a prescription
for a preoperative client to have "enemas until clear." The nurse
has administered three enemas and the client is still passing
brown liquid stool. Which action should the nurse take next?
1.
Notify the primary health care provider.
, 2.
Continue to administer the enemas until the stool is clear.
3.
Encourage the client to drink clear liquids and administer another
enema in 1 hour.
4.
Wait 30 minutes, check the client's electrolyte levels, and then
administer another enema. - ANSWER 1
The nurse reviews the client's health record and notes that based
on Leopold's maneuvers, the fetus is in a cephalic presentation.
Which findings while performing Leopold's maneuvers support the
identification of a cephalic presentation? Select all that apply.
1.
Small parts are located on the left side of the uterus.
2.
Small parts are located on the right side of the uterus.
3.
A round hard ballottable shape is located in the fundus.
4.
A round hard ballottable shape is located just above the
symphysis pubis.
5.
A soft, irregular non-ballottable shape is located just above the
symphysis pubis. - ANSWER 1, 2, 5
he nurse is assigned to assist the primary health care provider
(PHCP) with the removal of a chest tube. Which interventions
