ADVANCED QUESTIONS AND
ANSWERS FOR NCLEX PN
The nurse has provided discharge instructions to a client with an application of a halo
device. The nurse determines that the client needs further teaching if which statement is
made? - CORRECT ANSWER-1. "I will use a straw for drinking."
2. "I will drive only during the daytime."
3. "I will use caution because the device alters balance."
4. "I will wash the skin daily under the lamb's-wool liner of the vest."
The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to
stop uterine activity. During this medication therapy, the nurse implements nursing
interventions to monitor which specific body organs that can be affected by this
medication? - CORRECT ANSWER-1. Heart and lungs
2.Kidneys and lungs
3. Heart and kidneys
4. Lungs and gastrointestinal tract
The client with squamous cell carcinoma of the larynx is receiving bleomycin
intravenously. The nurse caring for the client anticipates that which diagnostic study will
be prescribed? - CORRECT ANSWER-1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary hfunction hstudies
The hnurse hcaring hfor han hinfant hwith hcongenital hheart hdisease his hmonitoring hthe
hinfant hclosely hfor hsigns hof hheart hfailure h(HF). hThe hnurse hshould hobserve hfor
hwhich hearly hsign hofhHF? h- hCORRECT hANSWER-1. hPallor
2. Cough
3. Tachycardia
4. Slow hand hshallow hbreathing
The hnurse his hpreparing hto hcare hfor ha hdying hclient, hand hseveral hfamily hmembers
hare hat hthehclient's hbedside. hWhich htherapeutic htechniques hshould hthe hnurse huse
hwhen hcommunicating hwith hthe hfamily? hSelect hall hthat happly. h- hCORRECT
hANSWER-1.
Discourage hreminiscing.
, 2. Make hthe hdecisions hfor hthe hfamily.
3. Encourage hexpression hof hfeelings, hconcerns, hand hfears.
4. Explain heverything hthat his hhappening hto hall hfamily hmembers.
5. Touch hand hhold hthe hclient's hor hfamily hmember's hhand hif happropriate.
6. Be hhonest hand hlet hthe hclient hand hfamily hknow hthat hthey hwill hnot hbe
habandoned hby hthehnurse.
The hclient harrives hat hthe hprenatal hclinic hfor hher hfirst hprenatal hassessment. hThe
hclient htellshthe hnurse hthat hthe hfirst hday hof hher hlast hmenstrual hperiod hwas
hOctober h20, h2016. hUsing hNägele's hrule, hthe hnurse hdetermines hthe hestimated
hdate hof hbirth his hwhich? h- hCORRECT hANSWER-1. hJuly h12, h2017
2. hJuly h27, h2017*
3. hAugust h12, h2017
4. hAugust h27, h2017
Oxybutynin hchloride h(Ditropan hXL) his hprescribed hfor ha hclient hwith hneurogenic
hbladder.hWhich hsign hwould hindicate ha hpossible htoxic heffect hrelated hto hthis
hmedication? h- hCORRECT hANSWER-1. hPallor
2. Drowsiness
3. Bradycardia
4. Restlessness
A hclient hdiagnosed hwith hangina hpectoris hreturns hto hthe hnursing hunit hafter
hexperiencing hanhangioplasty. hThe hnurse hreinforces hinstructions hto hthe hclient
hregarding hthe hprocedure handhhome hcare hmeasures. hWhich hstatement hby hthe hclient
hindicates han hunderstanding hof hthe hinstructions? h- hCORRECT hANSWER-1. h"I ham
hconsidering hcutting hmy hworkload."
2. h"I hneed hto hcut hdown hon hcigarette
hsmoking."* h3. h"I ham hso hrelieved hthat hmy
hheart his hrepaired." h4."I hneed hto hadhere hto
hmy hdietary hrestrictions."
The hnurse hnotes hthat hthe h4-hour hpostpartum hclient hhas hcool, hclammy hskin hand
hthat hshe his hrestless hand hexcessively hthirsty. hThe hnurse himmediately hnotifies hthe
hregistered hnurse hand hthen hperforms hwhich haction? h- hCORRECT hANSWER-1.
hChecks hthe hvital hsigns
2.Begins hfundal
hmassage h3.
hEncourages hambulation
4. hEncourages hthe hclient hto hdrink hfluids
The hnurse his hassigned hto hcare hfor ha hclient hwith ha hdiagnosis hof hdetached
hretina. hWhich hfinding hwould hindicate hthat hbleeding hhas hoccurred has ha hresult
hof hretinal hdetachment? h-hCORRECT hANSWER-1. hTotal hloss hof hvision
2. A hreddened hconjunctiva
3. A hsudden hsharp hpain hin hthe heye
4. Complaints hof ha hburst hof hblack hspots hor hfloaters
The hnurse his hcaring hfor ha hchild hwith ha hdiagnosis hof hKawasaki hdisease. hThe
hmother hof hthehchild hasks hthe hnurse habout hthe hdisorder. hWhich hstatement hmost
haccurately hdescribes
ANSWERS FOR NCLEX PN
The nurse has provided discharge instructions to a client with an application of a halo
device. The nurse determines that the client needs further teaching if which statement is
made? - CORRECT ANSWER-1. "I will use a straw for drinking."
2. "I will drive only during the daytime."
3. "I will use caution because the device alters balance."
4. "I will wash the skin daily under the lamb's-wool liner of the vest."
The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to
stop uterine activity. During this medication therapy, the nurse implements nursing
interventions to monitor which specific body organs that can be affected by this
medication? - CORRECT ANSWER-1. Heart and lungs
2.Kidneys and lungs
3. Heart and kidneys
4. Lungs and gastrointestinal tract
The client with squamous cell carcinoma of the larynx is receiving bleomycin
intravenously. The nurse caring for the client anticipates that which diagnostic study will
be prescribed? - CORRECT ANSWER-1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary hfunction hstudies
The hnurse hcaring hfor han hinfant hwith hcongenital hheart hdisease his hmonitoring hthe
hinfant hclosely hfor hsigns hof hheart hfailure h(HF). hThe hnurse hshould hobserve hfor
hwhich hearly hsign hofhHF? h- hCORRECT hANSWER-1. hPallor
2. Cough
3. Tachycardia
4. Slow hand hshallow hbreathing
The hnurse his hpreparing hto hcare hfor ha hdying hclient, hand hseveral hfamily hmembers
hare hat hthehclient's hbedside. hWhich htherapeutic htechniques hshould hthe hnurse huse
hwhen hcommunicating hwith hthe hfamily? hSelect hall hthat happly. h- hCORRECT
hANSWER-1.
Discourage hreminiscing.
, 2. Make hthe hdecisions hfor hthe hfamily.
3. Encourage hexpression hof hfeelings, hconcerns, hand hfears.
4. Explain heverything hthat his hhappening hto hall hfamily hmembers.
5. Touch hand hhold hthe hclient's hor hfamily hmember's hhand hif happropriate.
6. Be hhonest hand hlet hthe hclient hand hfamily hknow hthat hthey hwill hnot hbe
habandoned hby hthehnurse.
The hclient harrives hat hthe hprenatal hclinic hfor hher hfirst hprenatal hassessment. hThe
hclient htellshthe hnurse hthat hthe hfirst hday hof hher hlast hmenstrual hperiod hwas
hOctober h20, h2016. hUsing hNägele's hrule, hthe hnurse hdetermines hthe hestimated
hdate hof hbirth his hwhich? h- hCORRECT hANSWER-1. hJuly h12, h2017
2. hJuly h27, h2017*
3. hAugust h12, h2017
4. hAugust h27, h2017
Oxybutynin hchloride h(Ditropan hXL) his hprescribed hfor ha hclient hwith hneurogenic
hbladder.hWhich hsign hwould hindicate ha hpossible htoxic heffect hrelated hto hthis
hmedication? h- hCORRECT hANSWER-1. hPallor
2. Drowsiness
3. Bradycardia
4. Restlessness
A hclient hdiagnosed hwith hangina hpectoris hreturns hto hthe hnursing hunit hafter
hexperiencing hanhangioplasty. hThe hnurse hreinforces hinstructions hto hthe hclient
hregarding hthe hprocedure handhhome hcare hmeasures. hWhich hstatement hby hthe hclient
hindicates han hunderstanding hof hthe hinstructions? h- hCORRECT hANSWER-1. h"I ham
hconsidering hcutting hmy hworkload."
2. h"I hneed hto hcut hdown hon hcigarette
hsmoking."* h3. h"I ham hso hrelieved hthat hmy
hheart his hrepaired." h4."I hneed hto hadhere hto
hmy hdietary hrestrictions."
The hnurse hnotes hthat hthe h4-hour hpostpartum hclient hhas hcool, hclammy hskin hand
hthat hshe his hrestless hand hexcessively hthirsty. hThe hnurse himmediately hnotifies hthe
hregistered hnurse hand hthen hperforms hwhich haction? h- hCORRECT hANSWER-1.
hChecks hthe hvital hsigns
2.Begins hfundal
hmassage h3.
hEncourages hambulation
4. hEncourages hthe hclient hto hdrink hfluids
The hnurse his hassigned hto hcare hfor ha hclient hwith ha hdiagnosis hof hdetached
hretina. hWhich hfinding hwould hindicate hthat hbleeding hhas hoccurred has ha hresult
hof hretinal hdetachment? h-hCORRECT hANSWER-1. hTotal hloss hof hvision
2. A hreddened hconjunctiva
3. A hsudden hsharp hpain hin hthe heye
4. Complaints hof ha hburst hof hblack hspots hor hfloaters
The hnurse his hcaring hfor ha hchild hwith ha hdiagnosis hof hKawasaki hdisease. hThe
hmother hof hthehchild hasks hthe hnurse habout hthe hdisorder. hWhich hstatement hmost
haccurately hdescribes
