Nclex-Pncomprehensive Test 2024| 90+ Real Ngn Exam Questions And Correct Answers| Graded A+

NCLEX-PNCOMPREHENSIVE TEST 2024| 90+ REAL NGN EXAM QUESTIONS AND CORRECT ANSWERS| GRADED A+ The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? 1. We need to encourage adequate fluid intake 2. Coughing spells may be triggered by dust or smoke 3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks 4. Good hand-washing techniques need to be instituted to prevent spreading the disease to others - 3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks A client enters the emergency department confused, twitching, & having seizures. His family states he recently was placed on corticosteroids for arthritis & was feeling better & exercising daily. Upon assessment, he has flushed skin, dry mucous membranes, an elevated temperature, & poor skin turgor. His serum sodium level is 172 mEq/L. Which interventions would the health care provider likely prescribe? select all that apply. 1. Monitor the vital signs 2. Monitor intake & output 3. Increase water intake orally 4. Monitor the electrolyte levels 5. Provide a sodium-reduced diet 6. Administer sodium replacements - 1. Monitor the vital signs 2. Monitor intake & output 3. Increase water intake orally 4. Monitor the electrolyte levels 5. Provide a sodium-reduced diet The nurse is monitoring a client receiving glipizide (glucotrol). Which outcome indicates an ineffective response from the medication. 1. A decrease in polyuria 2. A decrease in polyphagia 3. A fasting plasma glucose of 100 mg/dL 4. A glycosylated hemoglobin level of 12% - 4. A glycosylated hemoglobin level of 12% The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should be included in the plan of care for instructions? 1. Maintain a high fluid intake 2. Discontinue the medication when feeling better 3. If the urine turns dark brown, call the health care provider immediately 4. Decrease the dosage when symptoms are improving to prevent an allergic response - 1. Maintain a high fluid intake Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. Which is the best rationale for checking gastric residual volume before administering the tube feeding? 1. Observe the digestion of formula 2. Check fluid & electrolyte status 3. Evaluate absorption of the last feeding 4. Confirm proper nasogastric tube placement - 3. Evaluate absorption of the last feeding A postoperative client requests medication for flatulence (gas pains). Which medication from the following PRN list should the nurse administer to this client 1. Ondansetron (zofran) 2. Simethicone (mylicon) 3. Acetaminophen (tylenol) 4. Magnesium hydroxide ( milk of mag) - 2. Simethicone (mylicon) A client is admitted to the hospital with a diagnosis of major depression. During the admission interview, the nurse determines that a major concern is the client's altered nutrition related to poor nutritional intake. Which nursing intervention related to altered nutrition should be the initial choice? 1. Weigh the client three times per week, before breakfast. 2. Explain to the client the importance of a good nutritional intake 3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult as soon as possible 4. Offer the client several small, frequent meals daily, and schedule brief nursing interactions with the client during these times - 4. Offer the client several small, frequent meals daily, and schedule brief nursing interactions with the client during these times A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the client for a potential hypoglycemic reaction at which time? 1. 5:00 pm 2. 10:00 am 3. 11:00 am 4. 11:00 pm - 1. 5:00 pm The nurse assist in developing a plan of care for a client with hyperparathyroidism receiving calcitonin-human (Cibacalcin). Which outcome has the highest priority regarding this medication? 1. Relief of pain 2. Absence of side effects 3. Reaching normal serum calcium levels 4. Verbalization of appropriate medication knowledge - 3. Reaching normal serum calcium levels The nursing instructor asks a nursing student about the cause of hemophilia. The student correctly responds by telling the instructor which fact about hemophilia. 1. Hemophilia is a Y-linked hereditary disorder 2. A splenectomy resolves the bleeding disorders 3. Hemophilia A results from deficiency of factor VIII 4. A bone marrow transplant is the treatment of choice - 3. Hemophilia A results from deficiency of factor VIII A 4 year old child is admitted to the hospital with suspected acute lymphocytic leukemia (ALL). The nurse understands that which diagnostic study should confirm this diagnosis? 1. A platelet count 2. A lumbar puncture 3. Bone marrow biopsy 4. White blood cell (WBC) count - 3. Bone marrow biopsy A child with leukemia is experiencing nausea related to medication therapy. The nurse, concerned about the child's nutritional status, should offer which during an episode of nausea? 1. Low-calorie foods 2. Cool, clear liquid 3. Low-protein foods 4. The child's favorite foods - 2. Cool, clear liquid To ensure a safe environment for a child admitted to the hospital for a crainotomy to remove a brain tumor, the nurse should include which in the plan of care 1. Initiating seizure precautions 2. Using a wheelchair for out of bed activities 3. Assisting the child with ambulation at all times 4. Avoiding contact with other children on the nursing unit - 1. Initiating seizure precautions The nurse is preparing to suction an adult client through the client's tracheostomy tube. Which interventions should the nurse perform for this procedure? Select all that apply. 1. Apply suction for up to 10 to 15 seconds 2. Hyperoxygenate the client before suctioning 3. Set the wall suction unit pressure at 160 mm Hg 4. Apply suction while gently inserting the catheter 5. Apply intermittent suction while rotating and withdrawing the catheter 6. Advance the catheter until resistance is met and then pull the catheter back 1 cm - 1. Apply suction for up to 10 to 15 seconds 2. Hyperoxygenate the client before suctioning 5. Apply intermittent suction while rotating and withdrawing the catheter 6. Advance the catheter until resistance is met and then pull the catheter back 1 cm