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Exam (elaborations)

Nclex Rn Exam A+ Grade Assured Complete Solutions And Verified Answers

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NCLEX RN EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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NCLEX EXAM ga ga




Exam Solution ga




RN test 3 NCLEX questions 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS ga ga ga ga




QUESTION 1 ga




A public health nurse is leaving the home of a young mother who has an infant with spec
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ial needs. The neighbor states, "How is she doing, since the baby's father is no help?" Wh
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at is the nurse's best response?
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a. "New mothers need support."
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b. "The lack of a father is difficult."
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c. "How are you today?"
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d. "It is a very sad situation."
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ANSWER

a. The nurse must maintain confidentiality when providing care. The statement "New mothers need sup
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port" is a general statement that all new parents need help. The statement is not judgmental of the fam
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ily's roles. "How are you today?" is dismissive of the neighbor's question.
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QUESTION 2 ga




A nursing student is preparing to administer morning care to a patient. What question b
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y the student is most important to ask?
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a. "Would you prefer a bath or a shower?"
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b. "May I help you with a bed bath now or later this morning?"
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c. "I will be giving you your bath. Do you use soap or shower gel?"
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d. "I prefer a shower in the evening. When would you like your bath?"
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ANSWER

b. The nurse should ask permission to assist the patient with a bath. This allows for patient preferences
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and consent for care that involves entering the patient's personal space.
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QUESTION 3 ga




1. A nurse providing health services for a community setting for people age 55 years an
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d older considers health problems for these residents. Which of the following problems i
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,s most appropriate for many middle-aged adults?
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a. Adequate nutrition
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b. Mental health problems
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c. Abuse
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d. Caregiver role strain
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ANSWER

d. Many middle-
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aged adults help care for aging parents and have concerns about their own health and ability to continu
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e to care for an older family member. Caregivers often face 24-
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hour care responsibilities for extended periods of time, which creates physical and emotional problems
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for the caregiver. Nutritional issues are more common in the childhood years and possibly in older adul
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ts. Mental health issues and abuse can occur in multiple age groups.
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QUESTION 4 ga




1. A nursing instructor teaching a gerontology class to nursing students discusses myths
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related to the aging of adults. Which statement will the students identify as a myth abou
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t older adults?
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a. Most older adults live in their own homes.
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b. Healthy older adults enjoy sexual activity.
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c. Aging results in mental deterioration.
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d. Older adults want to be attractive to others.
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ANSWER

c. Although response time may be longer, intelligence does not normally decrease because of aging. Mos
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t older adults live in their own homes. Although sexual activity may be less frequent, the ability to perf
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orm and enjoy sexual activity lasts well into the 90s in healthy older adults. Older adults want to be att
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ractive to others. ga ga




QUESTION 5 ga




1. A nurse is helping to prepare a calendar for an older adult patient with cognitive imp
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airment. Which type of cognitive impairment is non-reversible?
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a. Post-stroke speech issues
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b. Malnutrition
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c. Alzheimer's disease
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d. Loss of cardiac reserve
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ANSWER

c. Alzheimer's disease causes progressive, irreversible cognitive impairment. It is the most common deg
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enerative neurologic illness and the most common cause of cognitive impairment. With therapeutic inte
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rvention, speech therapy, proper diet, and pharmacologic intervention, the other problems can be mana
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ged and potentially improved.
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, QUESTION 6 ga




1. Following a fall that left an older adult temporarily bedridden, the nurse is using the S
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PICES assessment tool to evaluate for cascade iatrogenesis. Which are correct aspects of
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this tool? Select all that apply.
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a. S—Senility
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b. P—Problems with feeding
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c. I—Irritability
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d. C—Confusion
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e. E—Edema of the legs f. S—Skin breakdown
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ANSWER

b, d, f. The SPICES acronym is used to identify common problems in older adults and stands for: S—
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Sleep disorders P—Problems with eating or feeding I—Incontinence C—Confusion E—
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Evidence of falls S—Skin breakdown ga ga ga ga




QUESTION 7 ga




1. The nurse in a long-
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term care facility states in report that an older adult resident is quite frail. The oncomin
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g caregiver prioritizes prevention of what problem?
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a. Confusion
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b. Falls
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c. Delirium
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d. Dementia
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ANSWER

b. Fear of falling, indicators of frailty, and personality traits of high neuroticism and low conscientiousn
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ess contribute to falls in older adults. Falling once doubles the chance of the older adult falling again.
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QUESTION 8 ga




1. A patient is admitted to the acute care medical center with change in mental status, d
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ehydration, and electrolyte imbalances. Which of these reflects a reversible cause of the
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changes in mental status? ga ga ga



a. Alzheimer's disease
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b. Delirium
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c. Dementia
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d. Delirium superimposed on dementia
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ANSWER

b. Delirium, an acute syndrome of brain failure, can last from hours to weeks, has a specific cause, and
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resolves with treatment of the identified underlying cause. Symptoms of delirium include deficits in att
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ention, awareness, and cognition. Dementia refers to various organic disorders affecting cognitive functi
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on that are progressive and irreversible.
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