2023 RN NCLEX PROCTORED EXAM WITH 100% CORRECT QUESTIONS AND ANSWERS

2023 RN NCLEX PROCTORED EXAM WITH 100% CORRECT QUESTIONS AND ANSWERS A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU? A: A Guthrie test can check the necessary lab values. B: The urine has a high concentration of phenylpyruvic acid C: Mental deficits are often present with PKU. D: The effects of PKU are reversible. - Answer (D) The effects of PKU stay with the infant throughout their life. A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient? A: Onset of pulmonary edema B: Metabolic alkalosis C: Respiratory alkalosis D: Parkinson's disease type symptoms - Answer (D) Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development. A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is? A: Let others know about the patient's deficits B: Communicate with your supervisor your concerns about the patient's deficits. C: Continuously update the patient on the social environment. D: Provide a secure environment for the patient. - Answer (D) This patient's safety is your primary concern. A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient? A: Deep breathing techniques to increase O2 levels. B: Cough regularly and deeply to clear airway passages. C: Cough following bronchodilator utilization D: Decrease CO2 levels by increase oxygen take output during meals. - Answer (C) The bronchodilator will allow a more productive cough. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present? A: Slow pulse rate B: Weight gain C: Decreased systolic pressure D: Irregular WBC lab values - Answer (B) Weight gain is associated with CHF and congenital heart deficits. A mother has recently been informed that her child has Down's syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down's syndrome? A: Simian crease B: Brachycephaly C: Oily skin D: Hypotonicity - Answer (C) The skin would be dry and not oily. A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered? A: Streptokinase B: Atropine C: Acetaminophen D: Coumadin - Answer (A) Streptokinase is a clot busting drug and the best choice in this situation. A patient asks a nurse, "My doctor recommended I increase my intake of folic acid. What type of foods contain folic acids?" A: Green vegetables and liver B: Yellow vegetables and red meat C: Carrots D: Milk - Answer (A) Green vegetables and liver are a great source of folic acid. A nurse is putting together a presentation on meningitis. Which of the following microorganisms has noted been linked to meningitis in humans? A: S. pneumonia B: H. influenza C: N. meningitis D: Cl. difficile - Answer (D) Cl. difficile has not been linked to meningitis. A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC's last in my body? The correct response is. A: The life span of RBC is 45 days. B: The life span of RBC is 60 days. C: The life span of RBC is 90 days. D: The life span of RBC is 120 days. - Answer (D) RBC's last for 120 days in the body. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient? A: Following surgery B: Upon admit C: Within 48 hours of discharge D: Preoperative discussion - Answer (B) Discharge education begins upon admit. A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?