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SAUNDERS NCLEX RN NGN VERSION 2 LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The nurse assigned to care for a client diagnosed with cirrhosis
reviews the medical record and notes that the client has difficulty
maintaining an effective breathing pattern due to pressure on the
diaphragm. The nurse plans care knowing that which client
position will best assist in facilitating breathing?
1. Sims'
2. Prone
3. Supine
4. Semi-Fowler's - ANSWER-4. Semi-Fowler's
The client experiencing difficulty maintaining an effective
breathing pattern due to pressure on the diaphragm should
be placed in a semi-Fowler's or Fowler's position. The nurse
should support the client's arms and chest with pillows to
facilitate breathing by relieving pressure on the diaphragm.
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The supine, Sims', and prone positions all are flat positions
and would further affect the breathing pattern in the client.
A client diagnosed with chronic gastritis has been told that there is
too little intrinsic factor being produced. The nurse should explain
to the client that which therapy will be prescribed to treat the
problem?
1. Antacid use
2. Antibiotic therapy
3. Vitamin B6 injections
4. Vitamin B12 injections - ANSWER-4. Vitamin B12 injections
Insufficient intrinsic factor results in the inability to absorb
vitamin B12, which must then be supplemented by the
parenteral route. Vitamin B6 is absorbed when given orally.
Vitamin B6, antibiotic therapy, and antacid use do not help
treat the lack of intrinsic factor.
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A client admitted to the hospital diagnosed with severe jaundice is
having diagnostic testing. Because the client has no complaints of
fatigue, the client is encouraged to ambulate in the hall to
maintain muscle strength. The client paces around the room but
will not enter the hall. The nurse should determine which concern
is most likely the reason for the client's reluctance to walk in the
hall?
1. Unfamiliarity with the hospital
2. Fear of catching another disease
3. Feeling self-conscious about appearance
4. Not wanting to overexert and get overtired - ANSWER-3.
Feeling self-conscious about appearance
Clients with jaundice frequently have a body image
disturbance because of a change in appearance. This can be
manifested in negative verbal or nonverbal behavior. Options
1, 2, and 4 are unrelated to the data in the question.
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After the deflation of the balloon of a client's Sengstaken-
Blakemore tube, the nurse should monitor the client closely for
which priority esophageal complication?
1. Varices
2. Necrosis
3. Rupture
4. Hemorrhage - ANSWER-4. Hemorrhage
A Sengstaken-Blakemore tube is inserted in cirrhotic clients
with ruptured esophageal varices when other measures are
ineffective. The esophageal balloon exerts pressure on the
ruptured esophageal varices and stops the bleeding. The
pressure of the esophageal balloon is released at intervals to
decrease the risk of trauma to the esophageal tissues
including esophageal rupture or necrosis. When the balloon
is deflated the client may begin to bleed again from the
exiting esophageal varices.
The nurse observes that a client's nasogastric tube has suddenly
stopped draining. The tube is connected to suction, the machine
SAUNDERS NCLEX RN NGN VERSION 2 LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The nurse assigned to care for a client diagnosed with cirrhosis
reviews the medical record and notes that the client has difficulty
maintaining an effective breathing pattern due to pressure on the
diaphragm. The nurse plans care knowing that which client
position will best assist in facilitating breathing?
1. Sims'
2. Prone
3. Supine
4. Semi-Fowler's - ANSWER-4. Semi-Fowler's
The client experiencing difficulty maintaining an effective
breathing pattern due to pressure on the diaphragm should
be placed in a semi-Fowler's or Fowler's position. The nurse
should support the client's arms and chest with pillows to
facilitate breathing by relieving pressure on the diaphragm.
,2|Page
The supine, Sims', and prone positions all are flat positions
and would further affect the breathing pattern in the client.
A client diagnosed with chronic gastritis has been told that there is
too little intrinsic factor being produced. The nurse should explain
to the client that which therapy will be prescribed to treat the
problem?
1. Antacid use
2. Antibiotic therapy
3. Vitamin B6 injections
4. Vitamin B12 injections - ANSWER-4. Vitamin B12 injections
Insufficient intrinsic factor results in the inability to absorb
vitamin B12, which must then be supplemented by the
parenteral route. Vitamin B6 is absorbed when given orally.
Vitamin B6, antibiotic therapy, and antacid use do not help
treat the lack of intrinsic factor.
,3|Page
A client admitted to the hospital diagnosed with severe jaundice is
having diagnostic testing. Because the client has no complaints of
fatigue, the client is encouraged to ambulate in the hall to
maintain muscle strength. The client paces around the room but
will not enter the hall. The nurse should determine which concern
is most likely the reason for the client's reluctance to walk in the
hall?
1. Unfamiliarity with the hospital
2. Fear of catching another disease
3. Feeling self-conscious about appearance
4. Not wanting to overexert and get overtired - ANSWER-3.
Feeling self-conscious about appearance
Clients with jaundice frequently have a body image
disturbance because of a change in appearance. This can be
manifested in negative verbal or nonverbal behavior. Options
1, 2, and 4 are unrelated to the data in the question.
, 4|Page
After the deflation of the balloon of a client's Sengstaken-
Blakemore tube, the nurse should monitor the client closely for
which priority esophageal complication?
1. Varices
2. Necrosis
3. Rupture
4. Hemorrhage - ANSWER-4. Hemorrhage
A Sengstaken-Blakemore tube is inserted in cirrhotic clients
with ruptured esophageal varices when other measures are
ineffective. The esophageal balloon exerts pressure on the
ruptured esophageal varices and stops the bleeding. The
pressure of the esophageal balloon is released at intervals to
decrease the risk of trauma to the esophageal tissues
including esophageal rupture or necrosis. When the balloon
is deflated the client may begin to bleed again from the
exiting esophageal varices.
The nurse observes that a client's nasogastric tube has suddenly
stopped draining. The tube is connected to suction, the machine
