NCLEX PN EXAM 2024- 2025 ACTUAL EXAM
TEST BANK 2 VERSIONS COMPLETE 700
FREQUENTLY TESTED QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW WITH NGN QUESTIONS
A client on hospice home care is taking sips of water, but
refusing food. Family members appear distressed and
insists the personal care worker force feed the client. What
is the priority nursing action?
A) explain to the family that is the normal physiological
response to dying
B) explore the families, thoughts and concerns about the
clients refusal food
C) recommend a feeding tube
D) tell the family that force feeding the client could cause
the client to choke on the food - ....ANSWER...B
RATIONALE: It's common for family members to
become distressed when a terminally ill loved one refuses
1
,food. The nurse should explore their fears and concerns
and help them identify other ways to express how they
care.
The nurse is performing rounding on clients in restraints.
Which situation would require immediate intervention by
the nurse?
A) client in a belt restraint in the semi Fowler position
B) client in mitten restraints in the side lying position
C) client in soft wrist restraints in the supine position
D) client in vest restraint in the high Fowlers position -
....ANSWER...C
RATIONALE: Restrained clients are at risk for aspiration
when supine. They cannot safely swallow expel, secretions
or emesis. They should be placed in side lying, semi
Fowler, or high fowler position.
The LPN is working with a RN to care for a client who has
just returned to the cardiac unit after having a percutaneous
coronary intervention. Which actions by the RN should the
LPN question as outside of their scope?
A) administering oral pain meds
B) checking for bleeding at catheter site
C) performing post procedure, vital signs
2
,D) reinforcing instructions to keep involved extremity
straight
E) reviewing ECG for dysrhythmias - ....ANSWER...C, E
RATIONALE: The RN should perform initial
assessments like vital signs and review the ECG for
dysrhythmias. If the client is stable, the RN may delegate it
to the LPN.
LPNs can monitor the RNs findings, reinforce education,
routine, procedure, most medication's, ostomy care, tube
patency and feedings
A client has just been prescribed allopurinol for chronic
gout. Which instruction is MOST IMPORTANT for the
nurse to reinforce to the client?
A) Report for periodic laboratory testing for kidney
function, liver function, and blood functions.
B) Store the medication in a cool, dry place away from
direct heat and light
C) Take the medication after a meal to prevent gastric
distress
D) Take the medication with a full glass of water and
increase fluids during the day - ....ANSWER...D
3
, The nurse reinforcing discharge teaching with the parent of
a 6-year old client who had a tonsillectomy 4 hours ago.
The nurse should reinforce that it would be a PRIORITY
to notify the HCP if the client experiences
A) Ear pain
B) Foul-smelling breath
C) Frequent swallowing
D) Low-grade fever - ....ANSWER...C
Postoperative bleeding may occurs from frequent
swallowing, throat clearing, vomiting bright red blood.
The nurse is assisting in developing the POC for a client
diagnosed with anorexia Nervosa who is being admitted
after unsuccessful outpatient treatment. What is the
priority client outcome?
A) Acknowledges poor interpersonal skills
B) Identifies new coping mechanisms
C) Increases caloric intake to gain weight
D) Verbalizes sources of conflict and anger -
....ANSWER...C
Focus on the short term fix!
4
TEST BANK 2 VERSIONS COMPLETE 700
FREQUENTLY TESTED QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW WITH NGN QUESTIONS
A client on hospice home care is taking sips of water, but
refusing food. Family members appear distressed and
insists the personal care worker force feed the client. What
is the priority nursing action?
A) explain to the family that is the normal physiological
response to dying
B) explore the families, thoughts and concerns about the
clients refusal food
C) recommend a feeding tube
D) tell the family that force feeding the client could cause
the client to choke on the food - ....ANSWER...B
RATIONALE: It's common for family members to
become distressed when a terminally ill loved one refuses
1
,food. The nurse should explore their fears and concerns
and help them identify other ways to express how they
care.
The nurse is performing rounding on clients in restraints.
Which situation would require immediate intervention by
the nurse?
A) client in a belt restraint in the semi Fowler position
B) client in mitten restraints in the side lying position
C) client in soft wrist restraints in the supine position
D) client in vest restraint in the high Fowlers position -
....ANSWER...C
RATIONALE: Restrained clients are at risk for aspiration
when supine. They cannot safely swallow expel, secretions
or emesis. They should be placed in side lying, semi
Fowler, or high fowler position.
The LPN is working with a RN to care for a client who has
just returned to the cardiac unit after having a percutaneous
coronary intervention. Which actions by the RN should the
LPN question as outside of their scope?
A) administering oral pain meds
B) checking for bleeding at catheter site
C) performing post procedure, vital signs
2
,D) reinforcing instructions to keep involved extremity
straight
E) reviewing ECG for dysrhythmias - ....ANSWER...C, E
RATIONALE: The RN should perform initial
assessments like vital signs and review the ECG for
dysrhythmias. If the client is stable, the RN may delegate it
to the LPN.
LPNs can monitor the RNs findings, reinforce education,
routine, procedure, most medication's, ostomy care, tube
patency and feedings
A client has just been prescribed allopurinol for chronic
gout. Which instruction is MOST IMPORTANT for the
nurse to reinforce to the client?
A) Report for periodic laboratory testing for kidney
function, liver function, and blood functions.
B) Store the medication in a cool, dry place away from
direct heat and light
C) Take the medication after a meal to prevent gastric
distress
D) Take the medication with a full glass of water and
increase fluids during the day - ....ANSWER...D
3
, The nurse reinforcing discharge teaching with the parent of
a 6-year old client who had a tonsillectomy 4 hours ago.
The nurse should reinforce that it would be a PRIORITY
to notify the HCP if the client experiences
A) Ear pain
B) Foul-smelling breath
C) Frequent swallowing
D) Low-grade fever - ....ANSWER...C
Postoperative bleeding may occurs from frequent
swallowing, throat clearing, vomiting bright red blood.
The nurse is assisting in developing the POC for a client
diagnosed with anorexia Nervosa who is being admitted
after unsuccessful outpatient treatment. What is the
priority client outcome?
A) Acknowledges poor interpersonal skills
B) Identifies new coping mechanisms
C) Increases caloric intake to gain weight
D) Verbalizes sources of conflict and anger -
....ANSWER...C
Focus on the short term fix!
4
