NCLEX RN 2024 EXAM NGN JUNE 2024
UPDATE QUESTIONS AND VERIFIED
ANSWERS GRADED A+ DOWNLOAD
KEY 100%
"Therapeutic community," has as its focus living, learning, or working environment. Provide safe,
therapeutic environment. All treatment team members are viewed significant & valuable to client's
successful treatment outcomes. - Correct Answers-Milieu therapy
(Antihistamine)Side effect; drowsiness/sedation, blurred vision, hypertension & sometimes hypotension,
dry mouth, constipation, urinary retention, & sweating - Correct Answers-Brompheniramine maleate
(BroveX)
(extension) posturing characterized: rigid extension & pronation of arms & legs. Abnormal extension
upper extremities with internal rotation of upper arms & wrists & extension of lower extremities with
some internal rotation. Indicates damage in diencephalon, midbrain, or pons - Correct Answers-
Decerebrate posturing
(Eyelid drooping) Sagging of upper lid of eye so that it covers part of pupil. It can be caused by edema, or
it can be result of third cranial nerve disorders or neuromuscular disorders - Correct Answers-Ptosis
(flexion) posturing; Abnormal flexion of upper extremities & extension of lower extremities with possible
plantar flexion of feet. Indicates lesion in cerebral hemisphere or disruption of the corticospinal tracts. -
Correct Answers-Decorticate posturing
(MAOI) Avoid foods high in tyramine. Ingestion of these foods could trigger potentially fatal
hypertensive crisis. Foods to avoid include yogurt; aged cheeses; smoked or processed meats; red wines;
fruits such as avocados, raisins, or figs. - Correct Answers-Phenelzine (Nardil); for depression
(Non-invasive)
*Range-of-motion (ROM) exercise
*Cleaning a client's dentures
*Ambulating a postoperative client
*Taking vital signs on clients
*Assist client with urinary drainage catheter into chair
*A client needing a bed bath
*A client needing to ambulate
*A client requiring assistance with feeding
*A client needing to use bedside commode
,*Providing distraction for client by engaging him/her in a board game
*Client admitted dehydration on strict I&O
*Client who requires turning every 2 hours
*Confused older client who requires feeding
*Client 4 days postoperative exploratory laparotomy require ambulation 4 times day
*Measuring client's height & weight
*Monitoring oral intake & urinary output - Correct Answers-Unlicensed assistive personnel (UAP)
(Prone toe-in position) will promote internal rotation of hips, which will relax muscle, thereby making
injection less painful. - Correct Answers-Administering (IM) injection gluteal muscle, position to best
relax the muscle.
(Stye); application warm compresses 15 mins four times day & instillation ophthalmic antibiotic ointment
for causative infectious organism & prevent spread infection surrounding lid glands. Warm compresses
promote comfort & aid bringing purulent contents to head, causing rupture with drainage. - Correct
Answers-Hordeolum
*Pregnancy avoided for 1-3 months. *Vaccine administered subcutaneous route.*Exposure
immunosuppressed individuals avoided. *Hypersensitivity reaction can occur if client has allergy to eggs.
- Correct Answers-Rubella virus vaccine Postpartum
0.45% saline (½ NS) - Correct Answers-Hypotonic solution
1 oz = 30 ml - Correct Answers-Total intake Calculation
1. Assess unconsciousness.
2. Open the airway.
3. Look in mouth & remove object blocking airway if seen.
4. Attempt ventilation.
5. Perform abdominal thrusts. - Correct Answers-A nursing student is asked to describe the correct
steps for performing abdominal thrusts on an unconscious adult. In order of priority, how should the nurse
perform this technique?
1. Check compatibility phenytoin with IV solution.
2. Draw up medication in a 3-mL syringe.
3. Check client's identification (ID) bracelet.
4. Pinch off IV tubing above injection port.
5. Inject the medication.
,6. Document medication was administered. - Correct Answers-Prescription administer phenytoin
(Dilantin) by intravenous push (IVP) throughIV line infusing 1000 mL of 0.9% sodium chloride. Arrange
actions in order
1. Check the client's blood glucose level.
2. Give the client ½ cup of fruit juice to drink
3. Take the client's vital signs.
4. Retest the blood glucose level.
5. Give small snack carbohydrate & protein.
6. Document complaints, actions taken, & outcome. - Correct Answers-Hospitalized client type 1
diabetes mellitus received Humulin N & Humulin R insulin 2 hours ago at 7:30 am. Calls nurse & reports
feeling hungry, shaky, & weak. Ate breakfast at 8 am & is due to eat lunch at noon. (order of actions)
1. Clamp intravenous (IV) catheter.
2. Position client left Trendelenburg's position.
3. Contact health care provider (HCP).
4. Administer oxygen.
5. Take the client's vital signs.
6. Document the occurrence. - Correct Answers-A nurse is monitoring a client receiving total
parenteral nutrition (TPN). The client suddenly develops respiratory distress, dyspnea, and chest pain, and
the nurse suspects air embolism. In order of priority, how should the nurse plan the actions to take?
1. Close the roller clamp on the IV tubing.
2. Spike the IV bag & half-fill drip chamber.
3. Open roller clamp & fill the tubing.
4. Uncap the distal end of the tubing
5. Attach distal end of the tubing to the client - Correct Answers-Prepares solution & IV tubing;
Arrange actions in order
1. Explain the procedure to the client.
2. Apply pressure over ulnar & radial arteries
3. Ask open & close the hand repeatedly.
4. Release pressure from the ulnar artery.
5. Assess color extremity distal to pressure point.
6. Document the findings - Correct Answers-Steps in which order to conduct an Allen's test?
Allens test; determines adequacy of ulnar circulation
, 1. Fill volume control container desired amount (IV) fluid by opening clamp between volume control
container & main IV bag.
2. Close clamp & check to be sure clamp on air vent volume control container is open.
3. Clean injection port on top of volume control container with antiseptic swab
4. Remove needle cap & insert needleless syringe tip through port, then inject medication & label volume
control container with name medication, dosage, total volume including diluents, & time of
administration.
5. Regulate IV infusion rate to allow medication infuse in time recommended by institutional policies.
6. Dispose syringe puncture proof & leakproof container. Discard supplies & perform hand hygiene. -
Correct Answers-After correctly completing rights of medication administration, performing hand
hygiene, and ensuring the correct position of the client, which steps should nurse take to administer
medication via a volume control container?
1. Gather information relevant to the case.
2. Examine; determine own values on issues.
3. Verbalize the problem.
4. Consider possible courses of action.
5. Negotiate the outcome.
6. Evaluate the action. - Correct Answers-Client involved head-on automobile crash awakened from
coma & asks for her husband, who was killed in same accident. Family does not want client to know that
her husband has died. Family wants nursing staff to tell client, husband was taken to another hospital, has
head injury, & in (ICU). Nurses Association Code of Ethics requires nurse to preserve integrity, but nurse
wants to follow family's instruction, nurse faces an ethical dilemma. Steps nurse should take to
systematically process this ethical dilemma?
1. Maintain a patent airway
2. Assess breath sounds by auscultation
3. Obtain oxygen saturation level using pulse oximetry.
4. Insert intravenous line for fluid administration.
5. Obtain an axillary temperature
6. Administer an antipyretic. - Correct Answers-Epiglottitis suspected. Which order of priority would
nurse implement actions?
1. Place in semi-Fowler's position
2. Turn on suction device & set regulator at 80 mm Hg.
3. Apply gloves & attach suction tubing to suction catheter.
4. Hyperoxygenate client.
UPDATE QUESTIONS AND VERIFIED
ANSWERS GRADED A+ DOWNLOAD
KEY 100%
"Therapeutic community," has as its focus living, learning, or working environment. Provide safe,
therapeutic environment. All treatment team members are viewed significant & valuable to client's
successful treatment outcomes. - Correct Answers-Milieu therapy
(Antihistamine)Side effect; drowsiness/sedation, blurred vision, hypertension & sometimes hypotension,
dry mouth, constipation, urinary retention, & sweating - Correct Answers-Brompheniramine maleate
(BroveX)
(extension) posturing characterized: rigid extension & pronation of arms & legs. Abnormal extension
upper extremities with internal rotation of upper arms & wrists & extension of lower extremities with
some internal rotation. Indicates damage in diencephalon, midbrain, or pons - Correct Answers-
Decerebrate posturing
(Eyelid drooping) Sagging of upper lid of eye so that it covers part of pupil. It can be caused by edema, or
it can be result of third cranial nerve disorders or neuromuscular disorders - Correct Answers-Ptosis
(flexion) posturing; Abnormal flexion of upper extremities & extension of lower extremities with possible
plantar flexion of feet. Indicates lesion in cerebral hemisphere or disruption of the corticospinal tracts. -
Correct Answers-Decorticate posturing
(MAOI) Avoid foods high in tyramine. Ingestion of these foods could trigger potentially fatal
hypertensive crisis. Foods to avoid include yogurt; aged cheeses; smoked or processed meats; red wines;
fruits such as avocados, raisins, or figs. - Correct Answers-Phenelzine (Nardil); for depression
(Non-invasive)
*Range-of-motion (ROM) exercise
*Cleaning a client's dentures
*Ambulating a postoperative client
*Taking vital signs on clients
*Assist client with urinary drainage catheter into chair
*A client needing a bed bath
*A client needing to ambulate
*A client requiring assistance with feeding
*A client needing to use bedside commode
,*Providing distraction for client by engaging him/her in a board game
*Client admitted dehydration on strict I&O
*Client who requires turning every 2 hours
*Confused older client who requires feeding
*Client 4 days postoperative exploratory laparotomy require ambulation 4 times day
*Measuring client's height & weight
*Monitoring oral intake & urinary output - Correct Answers-Unlicensed assistive personnel (UAP)
(Prone toe-in position) will promote internal rotation of hips, which will relax muscle, thereby making
injection less painful. - Correct Answers-Administering (IM) injection gluteal muscle, position to best
relax the muscle.
(Stye); application warm compresses 15 mins four times day & instillation ophthalmic antibiotic ointment
for causative infectious organism & prevent spread infection surrounding lid glands. Warm compresses
promote comfort & aid bringing purulent contents to head, causing rupture with drainage. - Correct
Answers-Hordeolum
*Pregnancy avoided for 1-3 months. *Vaccine administered subcutaneous route.*Exposure
immunosuppressed individuals avoided. *Hypersensitivity reaction can occur if client has allergy to eggs.
- Correct Answers-Rubella virus vaccine Postpartum
0.45% saline (½ NS) - Correct Answers-Hypotonic solution
1 oz = 30 ml - Correct Answers-Total intake Calculation
1. Assess unconsciousness.
2. Open the airway.
3. Look in mouth & remove object blocking airway if seen.
4. Attempt ventilation.
5. Perform abdominal thrusts. - Correct Answers-A nursing student is asked to describe the correct
steps for performing abdominal thrusts on an unconscious adult. In order of priority, how should the nurse
perform this technique?
1. Check compatibility phenytoin with IV solution.
2. Draw up medication in a 3-mL syringe.
3. Check client's identification (ID) bracelet.
4. Pinch off IV tubing above injection port.
5. Inject the medication.
,6. Document medication was administered. - Correct Answers-Prescription administer phenytoin
(Dilantin) by intravenous push (IVP) throughIV line infusing 1000 mL of 0.9% sodium chloride. Arrange
actions in order
1. Check the client's blood glucose level.
2. Give the client ½ cup of fruit juice to drink
3. Take the client's vital signs.
4. Retest the blood glucose level.
5. Give small snack carbohydrate & protein.
6. Document complaints, actions taken, & outcome. - Correct Answers-Hospitalized client type 1
diabetes mellitus received Humulin N & Humulin R insulin 2 hours ago at 7:30 am. Calls nurse & reports
feeling hungry, shaky, & weak. Ate breakfast at 8 am & is due to eat lunch at noon. (order of actions)
1. Clamp intravenous (IV) catheter.
2. Position client left Trendelenburg's position.
3. Contact health care provider (HCP).
4. Administer oxygen.
5. Take the client's vital signs.
6. Document the occurrence. - Correct Answers-A nurse is monitoring a client receiving total
parenteral nutrition (TPN). The client suddenly develops respiratory distress, dyspnea, and chest pain, and
the nurse suspects air embolism. In order of priority, how should the nurse plan the actions to take?
1. Close the roller clamp on the IV tubing.
2. Spike the IV bag & half-fill drip chamber.
3. Open roller clamp & fill the tubing.
4. Uncap the distal end of the tubing
5. Attach distal end of the tubing to the client - Correct Answers-Prepares solution & IV tubing;
Arrange actions in order
1. Explain the procedure to the client.
2. Apply pressure over ulnar & radial arteries
3. Ask open & close the hand repeatedly.
4. Release pressure from the ulnar artery.
5. Assess color extremity distal to pressure point.
6. Document the findings - Correct Answers-Steps in which order to conduct an Allen's test?
Allens test; determines adequacy of ulnar circulation
, 1. Fill volume control container desired amount (IV) fluid by opening clamp between volume control
container & main IV bag.
2. Close clamp & check to be sure clamp on air vent volume control container is open.
3. Clean injection port on top of volume control container with antiseptic swab
4. Remove needle cap & insert needleless syringe tip through port, then inject medication & label volume
control container with name medication, dosage, total volume including diluents, & time of
administration.
5. Regulate IV infusion rate to allow medication infuse in time recommended by institutional policies.
6. Dispose syringe puncture proof & leakproof container. Discard supplies & perform hand hygiene. -
Correct Answers-After correctly completing rights of medication administration, performing hand
hygiene, and ensuring the correct position of the client, which steps should nurse take to administer
medication via a volume control container?
1. Gather information relevant to the case.
2. Examine; determine own values on issues.
3. Verbalize the problem.
4. Consider possible courses of action.
5. Negotiate the outcome.
6. Evaluate the action. - Correct Answers-Client involved head-on automobile crash awakened from
coma & asks for her husband, who was killed in same accident. Family does not want client to know that
her husband has died. Family wants nursing staff to tell client, husband was taken to another hospital, has
head injury, & in (ICU). Nurses Association Code of Ethics requires nurse to preserve integrity, but nurse
wants to follow family's instruction, nurse faces an ethical dilemma. Steps nurse should take to
systematically process this ethical dilemma?
1. Maintain a patent airway
2. Assess breath sounds by auscultation
3. Obtain oxygen saturation level using pulse oximetry.
4. Insert intravenous line for fluid administration.
5. Obtain an axillary temperature
6. Administer an antipyretic. - Correct Answers-Epiglottitis suspected. Which order of priority would
nurse implement actions?
1. Place in semi-Fowler's position
2. Turn on suction device & set regulator at 80 mm Hg.
3. Apply gloves & attach suction tubing to suction catheter.
4. Hyperoxygenate client.
