NCLEX QUESTIONS FOR FUNDAMENTALS OF NURSING WITH RATIONALE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NCLEX QUESTIONS FOR
FUNDAMENTALS OF NURSING WITH
RATIONALE QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AI73-year-
oldIpatientIwhoIsustainedIaIrightIhipIfractureIinIaIfallIrequestsIpainImedicationIfromItheInurse.IBasedIonIhisIin
jury,IwhichItypeIofIpainIisIthisIpatientImostIlikelyIexperiencing?

I 1)IPhantom

I 2)IVisceral

I 3)IDeepIsomatic

I 4)IReferredI-IANSWERIAnswer:

3)IDeepIsomatic
I



Rationale:

DeepIsomaticIpainIoriginatesIinIligaments,Itendons,Inerves,IbloodIvessels,IandIbones.ITherefore,IaIhipIfractu
reIcausesIdeepIsomaticIpain.IPhantomIpainIisIpainIthatIisIperceivedItoIoriginateIfromIaIpartIthatIwasIremoved
IduringIsurgery.IVisceralIpainIisIcausedIbyIdeepIinternalIpainIreceptorsIandIcommonlyIoccursIinItheIabdomina

lIcavity,Icranium,IandIthorax.IReferredIpainIoccursIinIanIareaIthatIisIdistantItoItheIoriginalIsite.



WhichIpainImanagementItaskIcanItheInurseIsafelyIdelegateItoInursingIassistiveIpersonnel?

I 1)IAskingIaboutIpainIduringIvitalIsigns

I 2)IEvaluatingItheIeffectivenessIofIpainImedication

I 3)IDevelopingIaIplanIofIcareIinvolvingInonpharmacologicIinterventions

I 4)IAdministeringIover-the-counterIpainImedicationsI-IANSWERIAnswer:

1)IAskingIaboutIpainIduringIvitalIsigns
I


Rationale:

TheInurseIcanIdelegateItheItaskIofIaskingIaboutIpainIwhenInursingIassistiveIpersonnelI(NAP)IobtainIvitalIsigns
.ITheINAPImustIbeIinstructedItoIreportIfindingsItoItheInurseIwithoutIdelay.ITheInurseIshouldIevaluateItheIeffe
ctivenessIofIpainImedicationsIandIdevelopItheIplanIofIcare.IAdministeringIover-the-
counterIandIprescriptionImedicationsIisItheIresponsibilityIofItheIregisteredInurseIorIlicensedIpracticalInurse.

,WhichIfactorIinItheIpatient'sIpastImedicalIhistoryIdictatesIthatItheInurseIexerciseIcautionIwhenIadministerin
gIacetaminophenI(Tylenol)?



1)IHepatitisIB

2)IOccasionalIalcoholIuse

3)IAllergyItoIaspirin

4)IGastricIirritationIwithIbleedingI-IANSWERIAnswer:

1)IHepatitisIB
I



Rationale:

EvenIinIrecommendedIdoses,IacetaminophenIcanIcauseIsevereIhepatotoxicityIinIpatientsIwithIliverIdisease,I
suchIasIhepatitisIB.IPatientsIwhoIconsumeIalcoholIregularlyIshouldIalsoIuseIacetaminophenIcautiously.IThos
eIallergicItoIaspirinIorIotherInonsteroidalIanti-
inflammatoryIdrugsI(NSAIDs)IcanIuseIacetaminophenIsafely.IAcetaminophenIrarelyIcausesIgastrointestinalI(
GI)Iproblems;Itherefore,IitIcanIbeIusedIforIthoseIwithIaIhistoryIofIgastricIirritationIandIbleeding.



WhichIactionIshouldItheInurseItakeIbeforeIadministeringImorphineI4.0ImgIintravenouslyItoIaIpatientIcomplai
ningIofIincisionalIpain?



1)IAssessItheIpatient'sIincision.

2)IClarifyItheIorderIwithItheIprescriber.

3)IAssessItheIpatient'sIrespiratoryIstatus.

4)IMonitorItheIpatient'sIheartIrate.I-IANSWERIAnswer:

3)IAssessItheIpatient'sIrespiratoryIstatus.
I



Rationale:

BeforeIadministeringIanIopioidIanalgesic,IsuchIasImorphine,ItheInurseIshouldIassessItheIpatient'sIrespiratory
IstatusIbecauseIopioidIanalgesicsIcanIcauseIrespiratoryIdepression.IItIisInotInecessaryItoIclarifyItheIorderIwit

hItheIphysicianIbecauseImorphineI4ImgIIVIisIanIappropriateIdose.IItIisInotInecessaryItoImonitorItheIpatient'sI
heartIrate.

,WhichIactionIshouldItheInurseItakeIwhenIpreparingIpatient-
controlledIanalgesiaIforIaIpostoperativeIpatient?



1)ICautionItheIpatientItoIlimitItheInumberIofItimesIheIpressesItheIdosingIbutton.

2)IAskIanotherInurseItoIdouble-checkItheIsetupIbeforeIpatientIuse.

3)IInstructItheIpatientItoIadministerIaIdoseIonlyIwhenIexperiencingIpain.

4)IProvideIclear,IsimpleIinstructionsIforIdosingIifItheIpatientIisIcognitivelyIimpaired.I-IANSWERIAnswer:

2)IAskIanotherInurseItoIdouble-checkItheIsetupIbeforeIpatientIuse.
I



Rationale:

AsIaIsafeguardItoIreduceItheIriskIforIdosingIerrors,ItheInurseIshouldIrequestIanotherInurseItoIdouble-
checkItheIsetupIbeforeIpatientIuse.ITheInurseIshouldIreassureItheIpatientIthatItheIpumpIhasIaIlockoutIfeatur
eIthatIpreventsIhimIfromIoverdosingIevenIifIheIcontinuesItoIpushItheIdoseIadministrationIbutton.ITheInurseIs
houldIalsoIinstructItheIpatientItoIadministerIaIdoseIbeforeIpotentiallyIpainfulIactivities,IsuchIasIwalking.IPatie
nt-controlledIanalgesiaIisIcontraindicatedIforIthoseIwhoIareIcognitivelyIimpaired.



TheInurseIadministersIcodeineIsulfateI30ImgIorallyItoIaIpatientIwhoIunderwentIcraniotomyI3IdaysIagoIforIaIbr
ainItumor.IHowIsoonIafterIadministrationIshouldItheInurseIreassessItheIpatient'sIpain?



1)IImmediately

2)IInI10Iminutes

3)IInI15Iminutes

4)IInI60IminutesI-IANSWERIAnswer:

4)IInI60Iminutes
I



Rationale:

CodeineIadministeredIbyItheIoralIrouteIreachesIpeakIconcentrationIinI60Iminutes;Itherefore,ItheInurseIshoul
dIreassessItheIpatient'sIpainI60IminutesIafterIadministration.ITheInurseIshouldIreassessIpainIafterI10Iminute
sIwhenIadministeringIcodeineIbyItheIintramuscularIorIsubcutaneousIroutes.IDrugsIadministeredIbyItheIintra
venousI(IV)IrouteIareIeffectiveIalmostIimmediately;Ihowever,IcodeineIisInotIrecommendedIforIIVIadministrat
ion.

, WhichInonsteroidalIanti-
inflammatoryIdrugImightIbeIadministeredItoIinhibitIplateletIaggregationIinIaIpatientIatIriskIforIthrombophleb
itis?



1)IIbuprofenI(Motrin)

2)ICelecoxibI(Celebrex)

3)IAspirinI(Ecotrin)

4)IIndomethacinI(Indocin)I-IANSWERIAnswer:

3)IAspirinI(Ecotrin)
I



Rationale:

AspirinIisIaIuniqueINSAIDIthatIinhibitsIplateletIaggregation.ILow-
doseIaspirinItherapyIisIcommonlyIadministeredItoIdecreaseItheIriskIofIthrombophlebitis,ImyocardialIinfarcti
on,IandIstroke.IIbuprofen,Icelecoxib,IandIindomethacinIareINSAIDs,IbutItheyIdoInotIinhibitIplateletIaggregati
on.



AIclientIwhoIisIreceivingIepiduralIanalgesiaIcomplainsIofInauseaIandIlossIofImotorIfunctionIinIhisIlegs.ITheInur
seIobtainsIhisIbloodIpressureIandInotesIaIdropIinIhisIbloodIpressureIfromItheIpreviousIreading.IWhichIcompli
cationIisItheIpatientImostIlikelyIexperiencing?



1)IInfectionIatItheIcatheterIinsertionIsite

2)ISideIeffectIofItheIepiduralIanalgesic

3)IEpiduralIcatheterImigration

4)ISpinalIcordIdamageI-IANSWERIAnswer:

3)IEpiduralIcatheterImigration
I



Rationale:

TheIpatientIisIexhibitingIsignsIofIepiduralIcatheterImigration,IwhichIincludeInausea,IaIdecreaseIinIbloodIpress
ure,IandIlossIofImotorIfunctionIwithoutIanIidentifiableIcause.ISignsIofIinfectionIatItheIcatheterIsiteIincludeIre
dness,Iswelling,IandIdrainage.ILossIofImotorIfunctionIisInotIaItypicalIsideIeffectIassociatedIwithIepiduralIanalg
esics.ITheseIareIcommonIsignsIofIcatheterImigration,InotIspinalIcordIdamage.