Questions and Correct answers for NCLEX-PN Success
nurse is caring requesting assistance with smoking cassation. The nurse should anticipoce
presoription for which of the following - correct answer Bupropion Naltrexone Methadone
Disulfiram
Anurse is collecting data from a client who has diabetic ketoacdosis. Which of the following
findings should expect - correct answer Frutiy breath
A nurse is collecting data from a client who has sickle cell anemia and is experiencing a vaso-
occlusive which of the following actions should the nurse take? (Click on the "Exhibit" button
for additional information There are three tabs that contain separate categories data.) Exhibit -
correct answer Recommend a transfusion of packed Rbcs
A nurse is contributing to the development of an in-service training about the differences in
mental health bellefs across various cultural groups. Which of the following culture-bound
syndromes should the nurse include when discussing Navajo Indian cultural beliefs? - correct
answer Ghost sickness
A nurse is assisting with the care of a client who has schizophrenia and auditory hallueinations.
Which of the following responses should the nurse make - correct answer "Let's talk about
what the voices are saying to you."
A nurse is assisting with the care of a client who has schizophrenia and auditory hallucinations.
Which of the following reaponsea should the nurse make - correct answer Let's talk about what
the voices are saying to you.
A nurse is discussing informed consent with a newly licensed nurse. Which of the following
statements by the newly liscensed nurse indicates an understanding of the information -
correct answer "A client can. withdraw consent at any time after signing the informed consent
form."
A nurse is reinforcing teaching with a client who has hypertension about decreasing sodium
intake. Which of the following foods should the nurse recommend? - correct answer 1 baked
potato
A nurse is caring for a client who is postoperative following a transurethral resection of the
prostate. The nurse notes bright red urinary drainage after notifying the surgeon which of the
following actions should the nurse take? - correct answer Request a prescription to obtain the
clients bun level.
,A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance
for a client who has a sigmoid colostomy which of the following instruction should the nurse
include in the teaching - correct answer Empty clients asked me pouch before removing skin
barrier
A charge nurse is observing a newly licensed nurse performing dressing change on a peripheral
IV site. For which of the following actions by the new nurse should the charge nurse intervene -
correct answer Use a sterile gloves to remove the old dressing
A nurse is caring for a client who has a peanut allergy the client states I feel like my throat is
closing which of the following actions should the nurse take - correct answer Give epinephrine
intramuscularly
A nurse is transcribing a clients prescription for erythromycin 500 mg four times per day which
of the following information shared the news clarify with the provider - correct answer Time
A nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new
prescription for timilol Eyedrops which of the following statements by the client indicates an
understanding of the teaching - correct answer I should check my heart rate while taking this
medicine
A nurse in a long-term care facility is caring for a client who has methicillin resistant
Staphylococcus aureus (Mrsa)which of the following actions should the nurse take - correct
answer Wear a gown when assisting the client with personal hygiene
A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the
following information should the nurse include in the teaching - correct answer Interlace the
fingers while rubbing hands together
A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking insulin lispro
and insulin glargine which of the following instruction should the nurse include in the teaching -
correct answer Drawl up the insulin list Bro and insulin glargine in separate syringes
A nurse is contributing to the plan of care for a client who has ascites Due to cirrhosis which of
the following interventions should the nurse recommend to include in the plan - correct answer
Measure the clients abdominal girth daily
A nurse is caring for a newborn who has hyperbilirubinemia and is receiving photo therapy
which of the following findings should the nurse report to the provider - correct answer Loose
stools
A nurse is caring for a client who is today's postoperative the client has a prescription for
acetaminophen 300 mg with codeine 30 mg one tablet every 3 to 4 hours PRN for pain the
nurse in advertently administers two tablets to the client in which of the following location
should the nurse document the eror - correct answer Controlled substance inventory record
,A nurse is caring for a adolescent client who is bulimia nevosa which of the following actions
should the nurse take first - correct answer Observe the client during and after meals
A nurse is assigned an assistive personnel to perform a Gastroatomy Feeling for a client who
has been receiving feedings at homeWhich of the following actions should the nurse take to
monitor the APs performance of the task - correct answer Request the AP to provide a return
demonstration of the task
A community health nurse is a system in the development of a brochure about hypertension
which of the following actions should the nurse take - correct answer Explain the medical
terminology using basic one syllable words
And charge nurse assigned a nurse to care for a group of clients which of the following client
should the nurse ask the charge nurse to reassign to an RN - correct answer A client who has a
new diagnosis of diabetes mellitus and needs to learn self administration of insulin
A nurse is caring for a client who has depressive disorder the client states everyone will be
better off if I were not around which of the following responses should the nurse make - correct
answer Are you thinking of hurting yourself?
A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning
which of the following actions should the nurse take - correct answer Discontinue use and take
the IV pump
A nurse is Reinforcing teaching with the Client family about home oxygen use via nasal cannula
which of the following statements by a family member indicates an understanding of the
teaching - correct answer We will frequently check the top of his ears for sores
A nurse is caring for a client who has been giving methylergonovine intramuscularly for
postpartum hemorrhage which of the following should the nurse monitor for adverse reactions
- correct answer Elevated blood pressure
A nurse is collecting data from a child who is one hour postoperative following a tonsillectomy
which of the following findings is the nurses priority - correct answer Frequent swallowing
A nurse is caring for a client who is in stage kidney disease the client has decided to stop dialysis
treatment which of the following actions should the nurse take - correct answer Support the
clients
Decision and stop the treatment
A nurse is receiving change of shift report on a group of clients which of the following client
should the nurse see first - correct answer A client who is postoperative following hip
arthroplasty and reports calf pain
, A charge nurse working in a long-term care facility overhears to assistive personnel in the
nurses station discussing a client who was just admitted which of the following actions should
the charge nurse take - correct answer Tell the APs to stop the conversation
A nurse is caring for a client who has a prescription for worsen which of the following
laboratory test should the nurse monitor - correct answer International normalized ratio
A nurse is preparing to perform a wet to dry dressing change for a client who has an infected
abdominal wound which of the following techniques should the nurse use when performing the
dressing change - correct answer Clean the wound from center to outer edges
A nurse is reinforcing teaching with a parent who is preschooler has night terrors which of the
following instructions should the nurse include - correct answer Use a night light near the
child's bed
A nurse is assisting with the community health education course for a family members who
have an Alzheimer's disease which of the following information should the nurse include ? -
correct answer Limit number of choices for the client
Following a kosher diet which of the following on the menu is OK - correct answer Roasted
salmon
Which of the following breaks Patient confidentiality - correct answer A nurse tells the chaplain
that her assigned client has a new diagnosis of cancer
A nurse is collecting data on a client who has alcohol use disorder and is experiencing
withdrawal which of the following manifestations should the nurse expect ? - correct answer
Hypertension
A nurse is reviewing the medical record of a client who has COPD which of the following
laboratory findings indicates a need to request a dietary referral for the client ? - correct
answer Pre-albumin 13 mg /dL
A nurse is collecting data from a client who has anorexia nervosa which of the following findings
should the nurse identify as a positive outcome to treatment ? - correct answer The client
resumes menstruation
A nurse is caring for a client who has an abdominal surgical incision and notices an evisceration
which of the following actions should the nurse take ? - correct answer Cover the one with a
transparent dressing
A nurse is reinforcing teaching about breastfeeding with the mother of a full term newborn
who is 5 days old which of the following statements by the mother indicates an understanding
of the teaching - correct answer My baby should breast-feed 5 to 10 minutes on each breast.