NCLEX NGN RN ACTUAL EXAM LATEST MAY 2023 TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES AGRADE You are caring for a patient who complains of sexual dysfunction. The patient was admitted for alcohol dependence. What education should y

NCLEX NGN RN ACTUAL EXAM LATEST MAY 2023 TEST BANK 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES AGRADE You are caring for a patient who complains of sexual dysfunction. The patient was admitted for alcohol dependence. What education should you provide this patient on sexual dysfunction and alcohol abuse? a. Alcohol abuse increases desire and performance ability. b. Alcohol abuse leads to headaches and too-tired syndrome. c. Alcohol abuse leads to hyperarousal and premature ejaculation. d. Alcohol abuse decreases desire and ability to perform. - ANSWERa. Alcohol abuse increases desire and performance ability. Your patient stopped drinking abruptly and now complains of feeling wired and being on pins and needles. What should your next intervention be? a. Monitor the patient for other symptoms. b. Determine the time of last drink, and assess the patient for other signs and symptoms of withdrawal. c. Assess the patient for all current substance use patterns, including time of last usage and withdrawal. d. Notify the physician to get an order for stimulate medication. - ANSWERc. Assess the patient for all current substance use patterns, including time of last usage and withdrawal. You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant inspect skin integrity for this patient? a. Every 30 minutes b. Every 2 hours c. Every 3 hours d. Every 4 hours - ANSWERa. Every 30 minutes You are working in the emergency department and find out that a tornado has hit the local area. Numerous casualties are being sent to the emergency department. What action should you take at this time? a. Prepare the triage room. b. Obtain additional supplies. c. Activate the agency disaster plan. d. Call in additional staff. - ANSWERc. Activate the agency disaster plan. harry You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15 drops per 1 mL. You prepare to set the flow rate at how many drops per minute? a. 15 drops a minute b. 17 drops a minute c. 21 drops a minute d. 23 drops a minute - ANSWERc. 21 drops a minute You are preparing to administer an intravenous dose of 400,000 units of penicillin G benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000 units per mL. You prepare to administer how much of the medication? a. 1.3 ml b. 1.5 ml c. 10 ml d. 13 ml - ANSWERa. 1.3 ml You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to administer the correct dose? a. 10 ml b. 15 ml c. 20 ml d. 50 ml - ANSWERb. 15 ml You enter a patients room and find the patient not breathing, no pulse, and unresponsive. You have called for help. What is the next step? a. Bag mask ventilations b. Chest compressions c. Oxygen d. Open airway - ANSWERb. Chest compressions The correct hand placement for chest compressions is the: a. Lower third of sternum b. Upper half of the sternum c. Upper third of the sternum d. Lower half of the sternum - ANSWERd. Lower half of the sternum What is the proper technique for opening the airway on a trauma patient? a. Head tilt-chin lift b. Flexed position c. Modified head tilt-chin lift harry d. Jaw thrust maneuver - ANSWERd. Jaw thrust maneuver The most appropriate place to check the pulse on a 1-month-old infant is: a. Brachial b. Carotid c. Popliteal d. Radial - ANSWERa. Brachial You are encouraging your postoperative patient to cough and take deep breaths. The patient questions why it is so important to do this. Your response would include the understanding that retaining pulmonary secretions can lead to: a. Fluid imbalance b. Carbon dioxide retention c. Pulmonary edema d.Pneumonia - ANSWERd.Pneumonia Which of the following would you want to include in an education session to the staff on HIV and AIDS? a. Newborn infants of HIV positive mothers usually test positive b. The hematological system is usually attacked by HIV. c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells. d. T lymphocytes are destroyed because the virus attacks the immune system. - ANSWERd. T lymphocytes are destroyed because the virus attacks the immune system. You are conducting a teaching session for mothers at a local school on rubeola (measles). Which of the following would you not want to include in this education? a. Profuse runny nose, coughing and fever occur before the rash develops. b. The child may develop small, blue-white spots with a red base in the mouth c. Ears usually develop a rash first, which then spreads toward the feet. d. The communicable period usually ranges from 10 to 15 days after the rash appears. - ANSWERd. The communicable period usually ranges from 10 to 15 days after the rash appears. harry The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears. The incubation period is 10-15 days. The blue-white spots found in the mouth during Rubeola are called Koplik's spots. You are providing a teaching session to a group of patients regarding skin cancer. Which of the following statements would you not want to include in this education? a. Wear sunscreen when engaged in outdoor activities. b. The body should be examined monthly for any lesions that appear suspicious. c. A hat, opaque clothing, and sunglasses should be worn when in the sun. d. Avoid sun exposure after 3pm. - ANSWERd. Avoid sun exposure after 3pm. you should avoid the sun from 11am-3pm You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for pediculosis capitus. Which of the following would be the correct application technique? a.Apply at bedtime and wash out in the morning b. Apply before washing hair c. Apply to hair avoiding scalp d. Apply to hair for 10 mins and then rinse - ANSWERd. Apply to hair for 10 mins and then rinse You are preparing a teaching session on tuberculosis. What is one of the first symptoms that the group might notice in someone who has tuberculosis? a.Bloody, productive cough b. Cough with mucoid sputum c. Chest pain d. Dyspnea - ANSWERb. Cough with mucoid sputum The older patient that you have been assigned to is having difficulty distinguishing between hot and cold temperatures. Alteration of what gland activity would lead to this problem? a. Parotid b. Thymus c. Pineal d. Sweat - ANSWERd. Sweat ATI PN PEDIATRICS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED ANSWERS| AGRADE A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? a. Perform the assessment in a head to toe sequence. b. Minimize physical contact with the child initially. c. Explain procedures using medical terminology. d. Stop the assessment if the child becomes uncooperative. -ANSWER B Rationale: The nurse should initially minimize physical contact with the toddler, and then progress from the least traumatic to the most traumatic procedures. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory? a. Pneumococcal polysaccharide b. Meningococcal polysaccharide c. Rotavirus d. Herpes zoster -ANSWER B Rationale: The meningococcal polysaccharide immunization is used to prevent infection by certain groups of meningococcal bacteria. Meningococcal infection can cause lifethreatening illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia, which affects the blood. Both of these conditions can be fatal. College freshmen, particularly those who live in dormitories, are at an increased risk for meningococcal disease relative to other persons their age. Therefore, the Centers for harry Disease Control and Prevention has issued a recommendation that all incoming college students receive the meningococcal immunization. A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? a. Cow's milk b. Wheat bread c. Corn syrup d. Egg -ANSWER A Rationale: According to evidence-based practice, the nurse should instruct the parent that cow's milk is the most common food allergy in children. Some children are sensitive to the protein, called casein, found in cow's milk. They have difficulty metabolizing the casein and are, therefore, allergic to cow's milk. A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? a. "I lock my medications in the medicine cabinet." b. "I keep my child's crib mattress at the highest level." c. "I turn pot handles to the side of my stove while cooking." d. "I will give my child syrup of ipecac if she swallows something poisonous." - ANSWER A Rationale: Locking up medications and other potential poisons prevents access. Toddlers have improved gross and fine motor skills that allow for further exploration of the environment and possible access to hazardous substances. A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find? a. Stepping harry b. Babinski c. Extrusion d. Moro -ANSWER B Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and causing the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year. Persistence of neonatal reflexes might indicate neurological deficits. A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer? a. Human papillomavirus (HPV) and hepatitis A b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP) c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) -ANSWER C Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and at a minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The IPV immunization series consists of 4 doses and is administered at the ages of 2 months, 4 months, 6 to 18 months, and 4 to 6 years. A nurse is developing a plan of care for a school-age child who underwent a surgical procedure that resulted in temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? a. Assign an assistive personnel to feed the child.