HARD NCLEX QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

HARD NCLEX QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
TheEnurseEisEmakingEassignmentsEforEtheEnextEshift.EWhichEclientEcanEbeEassignedEtoEaElicensedEpracticalEn
urse/licensedEvocationalEnurseE(LPN/LVN)?ESelectEallEthatEapply.

A.EAEclientEwhoEjustEhadEcoronaryEarteryEbypassEgraftE(CABG)E

B.EAEclientEwhoEneedsEassistanceEwithEcolostomyEirrigationEC.EAEclientEwhoEneedsEinitialEadmissionEassess
mentE

D.EAEclientEwhoEhasEC3EtoEC5EspineEinjuryE

E.EAEclientEwhoEisEreceivingEglargineEsubcutaneouslyE-EANSWEREBEandEE




R:EAnELPN/LVNEcanEperformEcolostomyEirrigationEandEadministerEsubcutaneousEinjections.EAEclientEwhoEju
stEhadECABGEisEunstableEandEneedsEtoEbeEmonitoredEbyEanERN.ETheEinitialEadmissionEassessmentEshouldEal
soEbeEperformedEbyEanERN.EC3EtoEC5EinjuryEmayEcauseErespiratoryEcompromise.EPossibleEparalysisEofEdiaph
ragmEdueEtoEphrenicEnerveEinvolvementEmayEoccur.EThisEclientEisEunstableEandEshouldEbeEassignedEtoEanER
N.



AEnurseEisEassignedEfourEclients.EWhichEclientEshouldEtheEnurseEseeEfirst?

E A.EAE50-year-oldEclientEwithEdiverticulitisE

B.EAE50-year-oldEclientEthreeEdaysEpostEmyocardialEinfarctionE

C.EAE33-year-oldEclientEwithEaErecentEdiagnosisEofEGuillain-BarréEsyndromeE

D.EAE17-year-oldEclientE24EhoursEpostEappendectomyE-EANSWEREC




R:Guillain-
BarréEsyndromeEisEcharacterizedEbyEascendingEparalysisEandEpotentialErespiratoryEfailure.ETheEorderEofEclie
ntEassessmentEshouldEfollowEclientEpriorities,EwithEdisordersEofEairway,Ebreathing,EandEthenEcirculationEsee
nEfirst.EThereEisEnoEinformationEtoEsuggestEthatEtheEclientEwithEpostEmyocardialEinfarctionEhasEanEarrhythmi
aEorEotherEcomplication.EThereEisEnoEevidenceEtoEsuggestEhemorrhageEorEperforationEforEtheEremainingEcli
entsEasEaEpriorityEofEcare.

, AEnurseEisEworkingEwithEanEunlicensedEassistiveEpersonnelE(UAP).EWhichEclientsEshouldEtheEnurseEassignEto
EtheEUAP?ESelectEallEthatEapply.



A.EAdultEclientEwhoEhadEabdominalEsurgeryEyesterdayEandErequiresEaEdressingEchange.E

B.EAdultEclientEnewlyEdiagnosedEwithEdiabetesEwhoEisElearningEtoEadministerEinsulin.E

C.EAdultEclientEwhoEhadEaEhysterectomyE3EdaysEagoEandErequiresEvitalEsignEchecksEeveryE4Ehours.E

D.EYoungEadultEclientEwhoErequiresEtubeEfeedings.E

E.EOlderEadultEclientEwhoEhadEhipEreplacementEsurgeryEandEneedsEtoEwalkEinEtheEhallEwithEaEwalker.E-
EANSWERECEandEE




R:ETheEUAPEcanEassistEclientsEambulateEandEtakeEvitalEsigns.EItEisEwithinEtheERNEscopeEofEpracticeEtoEteachEt
heEclientEtoEadministerEinsulin,EchangeEdressings,EandEadministerEtubeEfeedings.



AEnurseEisEpreparingEtoEhelpEaEclientEwithEweaknessEinEhisEorEherErightElegEmoveEfromEtheEbedEtoEaEchair.EW
hereEshouldEtheEnurseEplaceEtheEchair?E-EANSWERE45EdegreesEtoEtheEbedEonEtheEleftEside




R:ETheEnurseEshouldEplaceEtheEwheelchairEatEaE45EdegreeEangleEorEparallelEtoEtheEbedEonEtheEclient'sEstrong
EsideEtoEhelpEpreventEaEfall.




TheEnurseEteachesEtheEparentsEofEaE2-year-
oldEchildEhowEtoEinstillEantibioticEeardrops.EWhichEstatementEaboutEtheEdirectionEtoEpullEonEtheEearlobeEin
dicatesEthatEtheEchild'sEfatherEhasEunderstoodEtheEteaching?

A.E"IEshouldEpullEtheEearlobeEdownEandEbackward."E

B.E"IEshouldEpullEtheEearlobeEupEandEforward."E

C.E"IEshouldEpullEtheEearlobeEupEandEbackward."E

D.E"IEshouldEpullEtheEearlobeEdownEandEoutward."E-EANSWEREA