NCLEX practice 2024 QUESTIONS AND REVISED
CORRECT ANSWERS () SCORED A+ 100%
GUARANTEE PASS.
/. A nurse is caring for a client who has a depressed skull fracture of the bone that
makes up the larger part of the upper and side wall of the cranium. This fracture is
located on which of the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
/.What is the primary dietary alteration for a client who has heart failure? - Answer-
Sodium Restriction
ex: turkey sandwich with whole-wheat bread
/.A nurse is caring for a clinet who has multiple sclerosis and is receiving interferon
beta-1a. The nurse should identify that which of the following client statements indicates
a potential adverse effect of the medication?
a. my body aches all over
b. i have abdominal cramping
c. my hair seems to be thinning
d. it hurts when i urinate
-adverse effects of interferon beta-1a include flu-like symptoms
/.A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which
of the following is the purpose of these treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex
- the purpose is to loosen and promote the drainage of secretions from the lungs
,/.A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of
gestation. The client asks what the purpse of the test is/ Which of the following
responses should the nurse provide?
a. this test will determine if you are likely to deliver within the next week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature
- This NST is used as a prenatal fetal assessment, it tracks fetal heart rate patterns
expected with fetal movement and can help identify fetal distress
/.A nurse cares for a client receiving chemotherapy. The latest blood work shows:
platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
c. bleeding precautions
d. neutropenic precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less than
/.A nurse is teaching a female client who has pyelonephritis about the disorder. Which
of the following pieces of information should the nurse include to help the client prevent
a recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly
-phosphate can help kidney stones
-yogurt helps with genital tract infections
/.A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client
who has had a subtotal thyroidectomy. Which of the following pieces of equipment
should the nurse have available at the bedside for this client?
a. cardiac monitor
b. defibrillator
c. thoracotomy tray
d. tracheostomy tray
, -laryngeal edema is common after thyroidectomy, which can result in airway obstruction
and emergency intubation can be difficult due to the swelling so a nurse should have
this tray
-thoracotomy = for chest tube insertion
/.A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of
the following actions should the nurse plan to take first?
a. obtain sample menus from the dietitian to give to the client
b. ask the client to identify the types of food she prefers
c. identify the recommended range of the client's blood glucose level
d. discuss long-term complications that can result from non-adherence to the dietary
plan
-Nursing process: assess, diagnosis, planning, implementation and evaluation
/.A nurse is providing dietary teaching to a client who has late-stage chronic kidney
disease (CKD). Which of the following nutrients should the nurse instruct the client to
increase her diet?
a. calcium
b. phosphorus
c. potassium
d. sodium
-CKD can cause hypocalcemia due to reduced production of vitamin D which is needed
for calcium absorption
-Clients with CKD can develop hyperphosphatemia, hyperkalemia and hypernatremia
/.The nurse assesses a client who has new onset atrial fibrillation. The ventricular rate is
145 beats/min. What does the nurse expect to observe?
a. head and neck pain
b. bilateral lower extremity swelling
c. distended jugular veins
d. dizziness and dyspnea -
-uncontrolled atrial fibrillation can result in acute drop in cardiac output. s/s are dizziness
and shortness of breath
-bilateral lower swelling = high salt, stay in position too long, heart failure, kidney failure,
etc
-distended jugular signs of chronic heart failure, fluid overload, pulmonary hypertension,
cardiac tamponade
CORRECT ANSWERS () SCORED A+ 100%
GUARANTEE PASS.
/. A nurse is caring for a client who has a depressed skull fracture of the bone that
makes up the larger part of the upper and side wall of the cranium. This fracture is
located on which of the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
/.What is the primary dietary alteration for a client who has heart failure? - Answer-
Sodium Restriction
ex: turkey sandwich with whole-wheat bread
/.A nurse is caring for a clinet who has multiple sclerosis and is receiving interferon
beta-1a. The nurse should identify that which of the following client statements indicates
a potential adverse effect of the medication?
a. my body aches all over
b. i have abdominal cramping
c. my hair seems to be thinning
d. it hurts when i urinate
-adverse effects of interferon beta-1a include flu-like symptoms
/.A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which
of the following is the purpose of these treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex
- the purpose is to loosen and promote the drainage of secretions from the lungs
,/.A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of
gestation. The client asks what the purpse of the test is/ Which of the following
responses should the nurse provide?
a. this test will determine if you are likely to deliver within the next week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature
- This NST is used as a prenatal fetal assessment, it tracks fetal heart rate patterns
expected with fetal movement and can help identify fetal distress
/.A nurse cares for a client receiving chemotherapy. The latest blood work shows:
platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
c. bleeding precautions
d. neutropenic precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less than
/.A nurse is teaching a female client who has pyelonephritis about the disorder. Which
of the following pieces of information should the nurse include to help the client prevent
a recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly
-phosphate can help kidney stones
-yogurt helps with genital tract infections
/.A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client
who has had a subtotal thyroidectomy. Which of the following pieces of equipment
should the nurse have available at the bedside for this client?
a. cardiac monitor
b. defibrillator
c. thoracotomy tray
d. tracheostomy tray
, -laryngeal edema is common after thyroidectomy, which can result in airway obstruction
and emergency intubation can be difficult due to the swelling so a nurse should have
this tray
-thoracotomy = for chest tube insertion
/.A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of
the following actions should the nurse plan to take first?
a. obtain sample menus from the dietitian to give to the client
b. ask the client to identify the types of food she prefers
c. identify the recommended range of the client's blood glucose level
d. discuss long-term complications that can result from non-adherence to the dietary
plan
-Nursing process: assess, diagnosis, planning, implementation and evaluation
/.A nurse is providing dietary teaching to a client who has late-stage chronic kidney
disease (CKD). Which of the following nutrients should the nurse instruct the client to
increase her diet?
a. calcium
b. phosphorus
c. potassium
d. sodium
-CKD can cause hypocalcemia due to reduced production of vitamin D which is needed
for calcium absorption
-Clients with CKD can develop hyperphosphatemia, hyperkalemia and hypernatremia
/.The nurse assesses a client who has new onset atrial fibrillation. The ventricular rate is
145 beats/min. What does the nurse expect to observe?
a. head and neck pain
b. bilateral lower extremity swelling
c. distended jugular veins
d. dizziness and dyspnea -
-uncontrolled atrial fibrillation can result in acute drop in cardiac output. s/s are dizziness
and shortness of breath
-bilateral lower swelling = high salt, stay in position too long, heart failure, kidney failure,
etc
-distended jugular signs of chronic heart failure, fluid overload, pulmonary hypertension,
cardiac tamponade
