ADVANCED QUESTIONS AND x x
ANSWERS FOR NCLEX PN
x x x x
The xnurse xhas xprovided xdischarge xinstructions xto xa xclient xwith xan xapplication xof xa xhalo
xdevice. xThe xnurse xdetermines xthat xthe xclient xneeds xfurther xteaching xif xwhich xstatement
xis xmade? x- xCORRECT xANSWER-1. x"I xwill xuse xa xstraw xfor xdrinking."
x2. x"I xwill xdrive xonly xduring xthe xdaytime."
3. "I xwill xuse xcaution xbecause xthe xdevice xalters xbalance."
4. "I xwill xwash xthe xskin xdaily xunder xthe xlamb's-wool xliner xof xthe xvest."
The xnurse xis xcaring xfor xa xclient xin xpreterm xlabor xwho xis xreceiving xterbutaline xsulfate
xto xstop xuterine xactivity. xDuring xthis xmedication xtherapy, xthe xnurse ximplements
xnursing xinterventions xto xmonitor xwhich xspecific xbody xorgans xthat xcan xbe xaffected
xby xthis xmedication? x- xCORRECT xANSWER-1. xHeart xand xlungs
2. Kidneys xand xlungs
3. Heart xand xkidneys
4. Lungs xand xgastrointestinal xtract
The xclient xwith xsquamous xcell xcarcinoma xof xthe xlarynx xis xreceiving xbleomycin
xintravenously. xThe xnurse xcaring xfor xthe xclient xanticipates xthat xwhich xdiagnostic
xstudy xwill xbe xprescribed? x- xCORRECT xANSWER-1. xEchocardiography
2. Electrocardiography
3. Cervical xradiography
4. Pulmonary xfunction xstudies
The xnurse xcaring xfor xan xinfant xwith xcongenital xheart xdisease xis xmonitoring xthe
xinfant xclosely xfor xsigns xof xheart xfailure x(HF). xThe xnurse xshould xobserve xfor xwhich
xearly xsign xof xHF? x- xCORRECT xANSWER-1. xPallor
2. Cough
3. Tachycardia
4. Slow xand xshallow xbreathing
The xnurse xis xpreparing xto xcare xfor xa xdying xclient, xand xseveral xfamily xmembers xare xat
xthe xclient's xbedside. xWhich xtherapeutic xtechniques xshould xthe xnurse xuse xwhen
xcommunicating xwith xthe xfamily? xSelect xall xthat xapply. x- xCORRECT xANSWER-1.
Discourage xreminiscing.
, 2. Make xthe xdecisions xfor xthe xfamily.
3. Encourage xexpression xof xfeelings, xconcerns, xand xfears.
4. Explain xeverything xthat xis xhappening xto xall xfamily xmembers.
5. Touch xand xhold xthe xclient's xor xfamily xmember's xhand xif xappropriate.
6. Be xhonest xand xlet xthe xclient xand xfamily xknow xthat xthey xwill xnot xbe xabandoned
xby xthe xnurse.
The xclient xarrives xat xthe xprenatal xclinic xfor xher xfirst xprenatal xassessment. xThe xclient
xtells xthe xnurse xthat xthe xfirst xday xof xher xlast xmenstrual xperiod xwas xOctober x20,
x2016. xUsing xNägele's xrule, xthe xnurse xdetermines xthe xestimated xdate xof xbirth xis
xwhich? x- xCORRECT xANSWER-1. xJuly x12, x2017
2. July x27, x2017*
3. August x12, x2017
4. August x27, x2017
Oxybutynin xchloride x(Ditropan xXL) xis xprescribed xfor xa xclient xwith xneurogenic
xbladder. xWhich xsign xwould xindicate xa xpossible xtoxic xeffect xrelated xto xthis
xmedication? x- xCORRECT xANSWER-1. xPallor
2. Drowsiness
3. Bradycardia
4. Restlessness
A xclient xdiagnosed xwith xangina xpectoris xreturns xto xthe xnursing xunit xafter
xexperiencing xan xangioplasty. xThe xnurse xreinforces xinstructions xto xthe xclient
xregarding xthe xprocedure xand xhome xcare xmeasures. xWhich xstatement xby xthe xclient
xindicates xan xunderstanding xof xthe xinstructions? x- xCORRECT xANSWER-1. x"I xam
xconsidering xcutting xmy xworkload."
2. "I xneed xto xcut xdown xon xcigarette xsmoking."*
3. "I xam xso xrelieved xthat xmy xheart xis xrepaired."
4. "I xneed xto xadhere xto xmy xdietary xrestrictions."
The xnurse xnotes xthat xthe x4-hour xpostpartum xclient xhas xcool, xclammy xskin xand xthat
xshe xis xrestless xand xexcessively xthirsty. xThe xnurse ximmediately xnotifies xthe xregistered
xnurse xand x then xperforms xwhich xaction? x- x CORRECT xANSWER-1. xChecks xthe xvital
xsigns
2. Begins xfundal xmassage
3. Encourages xambulation
4. Encourages xthe xclient xto xdrink xfluids
The xnurse xis xassigned xto xcare xfor xa xclient xwith xa xdiagnosis xof xdetached xretina.
xWhich xfinding xwould xindicate xthat xbleeding xhas xoccurred xas xa xresult xof xretinal
xdetachment? x- xCORRECT xANSWER-1. xTotal xloss xof xvision
2. A xreddened xconjunctiva
3. A xsudden xsharp xpain xin xthe xeye
4. Complaints xof xa xburst xof xblack xspots xor xfloaters
The xnurse xis xcaring xfor xa xchild xwith xa xdiagnosis xof xKawasaki xdisease. xThe xmother xof
ANSWERS FOR NCLEX PN
x x x x
The xnurse xhas xprovided xdischarge xinstructions xto xa xclient xwith xan xapplication xof xa xhalo
xdevice. xThe xnurse xdetermines xthat xthe xclient xneeds xfurther xteaching xif xwhich xstatement
xis xmade? x- xCORRECT xANSWER-1. x"I xwill xuse xa xstraw xfor xdrinking."
x2. x"I xwill xdrive xonly xduring xthe xdaytime."
3. "I xwill xuse xcaution xbecause xthe xdevice xalters xbalance."
4. "I xwill xwash xthe xskin xdaily xunder xthe xlamb's-wool xliner xof xthe xvest."
The xnurse xis xcaring xfor xa xclient xin xpreterm xlabor xwho xis xreceiving xterbutaline xsulfate
xto xstop xuterine xactivity. xDuring xthis xmedication xtherapy, xthe xnurse ximplements
xnursing xinterventions xto xmonitor xwhich xspecific xbody xorgans xthat xcan xbe xaffected
xby xthis xmedication? x- xCORRECT xANSWER-1. xHeart xand xlungs
2. Kidneys xand xlungs
3. Heart xand xkidneys
4. Lungs xand xgastrointestinal xtract
The xclient xwith xsquamous xcell xcarcinoma xof xthe xlarynx xis xreceiving xbleomycin
xintravenously. xThe xnurse xcaring xfor xthe xclient xanticipates xthat xwhich xdiagnostic
xstudy xwill xbe xprescribed? x- xCORRECT xANSWER-1. xEchocardiography
2. Electrocardiography
3. Cervical xradiography
4. Pulmonary xfunction xstudies
The xnurse xcaring xfor xan xinfant xwith xcongenital xheart xdisease xis xmonitoring xthe
xinfant xclosely xfor xsigns xof xheart xfailure x(HF). xThe xnurse xshould xobserve xfor xwhich
xearly xsign xof xHF? x- xCORRECT xANSWER-1. xPallor
2. Cough
3. Tachycardia
4. Slow xand xshallow xbreathing
The xnurse xis xpreparing xto xcare xfor xa xdying xclient, xand xseveral xfamily xmembers xare xat
xthe xclient's xbedside. xWhich xtherapeutic xtechniques xshould xthe xnurse xuse xwhen
xcommunicating xwith xthe xfamily? xSelect xall xthat xapply. x- xCORRECT xANSWER-1.
Discourage xreminiscing.
, 2. Make xthe xdecisions xfor xthe xfamily.
3. Encourage xexpression xof xfeelings, xconcerns, xand xfears.
4. Explain xeverything xthat xis xhappening xto xall xfamily xmembers.
5. Touch xand xhold xthe xclient's xor xfamily xmember's xhand xif xappropriate.
6. Be xhonest xand xlet xthe xclient xand xfamily xknow xthat xthey xwill xnot xbe xabandoned
xby xthe xnurse.
The xclient xarrives xat xthe xprenatal xclinic xfor xher xfirst xprenatal xassessment. xThe xclient
xtells xthe xnurse xthat xthe xfirst xday xof xher xlast xmenstrual xperiod xwas xOctober x20,
x2016. xUsing xNägele's xrule, xthe xnurse xdetermines xthe xestimated xdate xof xbirth xis
xwhich? x- xCORRECT xANSWER-1. xJuly x12, x2017
2. July x27, x2017*
3. August x12, x2017
4. August x27, x2017
Oxybutynin xchloride x(Ditropan xXL) xis xprescribed xfor xa xclient xwith xneurogenic
xbladder. xWhich xsign xwould xindicate xa xpossible xtoxic xeffect xrelated xto xthis
xmedication? x- xCORRECT xANSWER-1. xPallor
2. Drowsiness
3. Bradycardia
4. Restlessness
A xclient xdiagnosed xwith xangina xpectoris xreturns xto xthe xnursing xunit xafter
xexperiencing xan xangioplasty. xThe xnurse xreinforces xinstructions xto xthe xclient
xregarding xthe xprocedure xand xhome xcare xmeasures. xWhich xstatement xby xthe xclient
xindicates xan xunderstanding xof xthe xinstructions? x- xCORRECT xANSWER-1. x"I xam
xconsidering xcutting xmy xworkload."
2. "I xneed xto xcut xdown xon xcigarette xsmoking."*
3. "I xam xso xrelieved xthat xmy xheart xis xrepaired."
4. "I xneed xto xadhere xto xmy xdietary xrestrictions."
The xnurse xnotes xthat xthe x4-hour xpostpartum xclient xhas xcool, xclammy xskin xand xthat
xshe xis xrestless xand xexcessively xthirsty. xThe xnurse ximmediately xnotifies xthe xregistered
xnurse xand x then xperforms xwhich xaction? x- x CORRECT xANSWER-1. xChecks xthe xvital
xsigns
2. Begins xfundal xmassage
3. Encourages xambulation
4. Encourages xthe xclient xto xdrink xfluids
The xnurse xis xassigned xto xcare xfor xa xclient xwith xa xdiagnosis xof xdetached xretina.
xWhich xfinding xwould xindicate xthat xbleeding xhas xoccurred xas xa xresult xof xretinal
xdetachment? x- xCORRECT xANSWER-1. xTotal xloss xof xvision
2. A xreddened xconjunctiva
3. A xsudden xsharp xpain xin xthe xeye
4. Complaints xof xa xburst xof xblack xspots xor xfloaters
The xnurse xis xcaring xfor xa xchild xwith xa xdiagnosis xof xKawasaki xdisease. xThe xmother xof
