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Nclex RN Exam Pack Set 1 75 Questions Answers Updated
2022
Community health nursing (Nevada State College)
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NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
1. 1. Question
While assessing a one-month-old infant, which of the findings
warrants further investigation by the nurse? Select all that apply.
o A. Abdominal respirations
o B. Irregular breathing rate
o C. Inspiratory grunt
o D. Increased heart rate with crying
o E. Nasal flaring
o F. Cyanosis
o G. Asymmetric chest movement
Correct Answers: C, E, F, & G
f poorly compliant lungs by partial glottic closure. As the infant prolongs the expiratory phase against this partially
ry distress.
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
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o Option F: Cyanosis refers to the bluish discoloration
of the skin and indicates a decrease in oxygen
attached to the red blood cells in the bloodstream.
o Option G: Asymmetric chest movement occurs
when the abnormal side of the lungs expands less
and lags behind the normal side. This indicates
respiratory distress.
o Option A: Abdominal respiration is normal among
infants and young children. Since their intercostal
muscles are not yet fully developed, they use their
abdominal muscles much more to pull the diaphragm
down for breathing.
o Option B: Newborns can have irregular breathing
patterns ranging from 30 to 60 breaths per minute
with short periods of apnea (15 seconds).
o Option D: An increase in heart rate is normal for an
infant during activity (including crying). Fluctuations in
heart rate follow the changes in the newborn’s
behavioral state – crying, movement, or wakefulness
corresponds to an increase in heart rate.
• 2. Question
A nurse is to administer meperidine hydrochloride (Demerol) 100 mg,
atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride
(Phenergan) 50 mg IM to a preoperative client. List the order in
which the nurse must carry out the following actions prior to
the administration of preoperative medications.
View Answers:
o Place the call bell within reach
o Raise the side rails on the bed
o Have the client empty bladder
o Instruct the client to remain in bed
Correct order is shown above.
the client empty the bladder. The first step in the process is to have the client void prior to administering the pr
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
Downloaded by Phoebe Dong ()
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client does not have a catheter, it is important to
empty the bladder before receiving preoperative
medications to prevent bladder injury (especially in
pelvic surgeries). Else, a straight catheter or an
indwelling catheter may be ordered to ensure the
bladder is empty.
o Instruct the client to remain in bed. Preoperative
medications can cause drowsiness and
lightheadedness which may put the client at risk for
injury.
o Raise the side rails on the bed. Raising the side
rails on the bed helps prevent accidental falls and
injury when the client decides to get out of the bed
without assistance.
o Place the call bell within reach. Call bells should
always be within the reach of a client.
2. 3. Question
A 32-year-old pregnant woman comes to the clinic for her prenatal
visit. The nurse gathers data about her obstetric history, which includes
3-year-old twins at home and a miscarriage 10 years ago at 12 weeks
gestation. How would the nurse accurately document this information?
Fill in the blanks.
o Answer: Gravida
(3) para (1)
Correct Answer: Gravida 3 para 1
Gravida is the number of confirmed pregnancies and each
pregnancy is only counted one time, even if the pregnancy was a
multiple gestation (i.e., twins, triplets). Para (parity) indicates
the total number of pregnancies that have reached viability (20
weeks) regardless of whether the infants were born alive. Thus,
for this woman, she is now pregnant, had 2 prior pregnancies,
and 1 viable birth (twins).
o 4. Question
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
Downloaded by Phoebe Dong ()
ONLYSTUDENTS
Nclex RN Exam Pack Set 1 75 Questions Answers Updated
2022
Community health nursing (Nevada State College)
Studocu is not sponsored or endorsed by any college or university
Downloaded by Phoebe Dong ()
, lOMoARcPSD|4330138
ONLYSTUDENTS
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
1. 1. Question
While assessing a one-month-old infant, which of the findings
warrants further investigation by the nurse? Select all that apply.
o A. Abdominal respirations
o B. Irregular breathing rate
o C. Inspiratory grunt
o D. Increased heart rate with crying
o E. Nasal flaring
o F. Cyanosis
o G. Asymmetric chest movement
Correct Answers: C, E, F, & G
f poorly compliant lungs by partial glottic closure. As the infant prolongs the expiratory phase against this partially
ry distress.
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
Downloaded by Phoebe Dong ()
, lOMoARcPSD|4330138
ONLYSTUDENTS
o Option F: Cyanosis refers to the bluish discoloration
of the skin and indicates a decrease in oxygen
attached to the red blood cells in the bloodstream.
o Option G: Asymmetric chest movement occurs
when the abnormal side of the lungs expands less
and lags behind the normal side. This indicates
respiratory distress.
o Option A: Abdominal respiration is normal among
infants and young children. Since their intercostal
muscles are not yet fully developed, they use their
abdominal muscles much more to pull the diaphragm
down for breathing.
o Option B: Newborns can have irregular breathing
patterns ranging from 30 to 60 breaths per minute
with short periods of apnea (15 seconds).
o Option D: An increase in heart rate is normal for an
infant during activity (including crying). Fluctuations in
heart rate follow the changes in the newborn’s
behavioral state – crying, movement, or wakefulness
corresponds to an increase in heart rate.
• 2. Question
A nurse is to administer meperidine hydrochloride (Demerol) 100 mg,
atropine sulfate (Atropisol) 0.4 mg, and promethazine hydrochloride
(Phenergan) 50 mg IM to a preoperative client. List the order in
which the nurse must carry out the following actions prior to
the administration of preoperative medications.
View Answers:
o Place the call bell within reach
o Raise the side rails on the bed
o Have the client empty bladder
o Instruct the client to remain in bed
Correct order is shown above.
the client empty the bladder. The first step in the process is to have the client void prior to administering the pr
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
Downloaded by Phoebe Dong ()
, lOMoARcPSD|4330138
ONLYSTUDENTS
client does not have a catheter, it is important to
empty the bladder before receiving preoperative
medications to prevent bladder injury (especially in
pelvic surgeries). Else, a straight catheter or an
indwelling catheter may be ordered to ensure the
bladder is empty.
o Instruct the client to remain in bed. Preoperative
medications can cause drowsiness and
lightheadedness which may put the client at risk for
injury.
o Raise the side rails on the bed. Raising the side
rails on the bed helps prevent accidental falls and
injury when the client decides to get out of the bed
without assistance.
o Place the call bell within reach. Call bells should
always be within the reach of a client.
2. 3. Question
A 32-year-old pregnant woman comes to the clinic for her prenatal
visit. The nurse gathers data about her obstetric history, which includes
3-year-old twins at home and a miscarriage 10 years ago at 12 weeks
gestation. How would the nurse accurately document this information?
Fill in the blanks.
o Answer: Gravida
(3) para (1)
Correct Answer: Gravida 3 para 1
Gravida is the number of confirmed pregnancies and each
pregnancy is only counted one time, even if the pregnancy was a
multiple gestation (i.e., twins, triplets). Para (parity) indicates
the total number of pregnancies that have reached viability (20
weeks) regardless of whether the infants were born alive. Thus,
for this woman, she is now pregnant, had 2 prior pregnancies,
and 1 viable birth (twins).
o 4. Question
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2022)
Downloaded by Phoebe Dong ()
