NCLEX NGN NEWEST 2024 ACTUAL EXAM 180 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse has attended a staff education program about bioterrorism. Which of the following statements
by the nurse would require follow-up?
1. "Botulism is transmitted by ingestion of contaminated canned foods."
2. "Hemorrhagic fever is spread by direct contact with blood or body fluids."
3. "Anthrax is spread through direct contact with the bacteria and its spores."
4. "Bubonic plague is transmitted from person to person via airborne droplets." - ANSWER-4.
"Bubonic plague is transmitted from person to person via airborne droplets." It is spread through flea
bites and contact with infected skin
Rationale:
1. Botulism is transmitted by foods. ex: babies getting Botulism from honey
2. Infectious diseases that affect clotting and is spread by blood or body fluids 3. Anthrax:
Contact
The nurse observes a coworker who is assessing a client's thoracic expansion.
Which of the following would indicate that the coworker is using the correct assessment technique?
1. percussion from the apex of the scapula downward on each side
2. placement of the hands flat on the back with the thumbs at the level of the tenth ribs pointing to the
spine, then asking the client to inhale
3. measurement of the anteroposterior diameter of the chest
4. placement of the palms at the level of the tenth ribs with thumbs pointing to the xiphoid process,
then asking the client to inhale - ANSWER-4. placement of the palms at the level of the tenth ribs
with thumbs pointing to the xiphoid process, then asking the client to inhale
This is how to measure anterior thoracic expansion.
2. Posterior thoracic expansion
,The nurse at a health fair is talking with a client who is in perimenopause and is experiencing hot flashes.
Which of the following lifestyle modifications would be appropriate for the nurse to recommend?
1. increasing fluid intake
2. exercising daily
3. decreasing sodium intake
4. wearing clothing in layers - ANSWER-4. wearing clothing in layers
Wear light layers so you can remove layers when you get a hot flash
The nurse in a community-based setting is teaching clients over 65 years of age about health promotion
activities. Which of the following information should the nurse include?
1. "Purchase all of your prescribed medications at the same pharmacy."
2. "Schedule an appointment for a vision screening every 3 years."
3. "Participate in daily aerobic exercises for 60 minutes."
4. "Increase your intake of fat-soluble vitamins." - ANSWER-3. "Participate in daily aerobic exercises
for 60 minutes."
The nurse is screening clients for those at increased risk for developing cancer. At highest risk for
developing leukemia is the client who
1. received more than 3 blood transfusions
2. has a magnetic resonance imaging (MRI) scan annually
3. has polycythemia vera and requires phlebotomy treatments
4. had colon cancer and received chemotherapy treatments - ANSWER-4. had colon cancer and
received chemotherapy treatments
Chemotherapy is known to cause Leukemia, and Chemo has a greater risk than radiation to cause
Leukemia.
The nurse is caring for an older adult client in the postoperative period. The nurse should know that this
client, compared with younger clients in the postoperative period, will have an increased need for 1.
oral hygiene
2. analgesics
,3. high-calorie foods
4. early mobilization - ANSWER-4. early mobilization
The nurse is planning a staff education program about the prevention of urinary tract infections (UTls) in
children. Which of the following information should the nurse include? Select all that apply.
1. "Teach the child to perform Kegel exercises."
2. "Encourage the child to empty the bladder completely."
3. "Encourage the child to maintain an adequate fluid intake."
4. "Teach the child how to properly cleanse the perineal area."
5. "Offer the child noncarbonated, decaffeinated beverage choices." - ANSWER-2, 3, 4
The nurse is teaching the family member of a client with moderate Alzheimer's disease (AD). Which of
the following interventions should the nurse include in the teaching? Select all that apply.
1. Use distraction when the client becomes agitated.
2. Place calendars within clear view of the client.
3. Use short, simple sentences and provide step-by-step instructions for the client.
4. Avoid reminiscing with the client about past experiences in order to avoid feelings of loss and
loneliness.
5. Encourage the client to participate in a daytime exercise program to promote restful sleep at night. -
ANSWER-1, 2, 3, 5
The nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client. Which of the
following actions should the nurse take?
1. Assess the client's recent urine output.
2. Prime a Y-tubing blood administration set with lactated Ringer's solution.
3. Ensure that the client has a peripheral venous access device (VAD) that is 24-gauge or larger.
4. Verify with another nurse that the client's room number is on both the blood product label and the
client's identification band. - ANSWER-4. Verify with another nurse that the client's room number
is on both the blood product label and the client's identification band.
Always verify blood products with another nurse
, Rationale: Blood should only be given with normal saline and infused with an 18 or 20 gauge needle.
The nurse is assessing the coping strategies of a client who had a myocardial infarction (MI) 3 days ago.
Which of the following statements by the client would indicate ineffective coping?
1. "I know that stopping smoking will be difficult."
2. "I plan to attend a cardiac rehabilitation support group."
3. "I have trouble believing this has really happened to me."
4. "I have let down my family because I will not be able to financially support them any longer." -
ANSWER-4. "I have let down my family because I will not be able to financially support them any
longer."
The hospice nurse has taught an in-home caregiver about comfort care for a client at the end of life.
Which of the following statements by the caregiver would require follow-up?
1. "I have been applying petroleum jelly to keep the client's lips moist."
2. "I have been offering healthy foods frequently to keep up the client's strength."
3. "A blowing fan seems to be less anxiety-producing for the client than an oxygen mask."
4. "Sitting upright seems to reduce the client's noisy breathing more than lying down in the bed." -
ANSWER-4. "Sitting upright seems to reduce the client's noisy breathing more than lying down in
the bed."
It is common for hospice patients to have "death rattle," which are loud wet respirations. The correct
intervention is to reposition them laterally, not upright. And never suction!
Hospice is characterized as making the patient as comfortable as possible so if they have less anxiety
with a fan, let them continue using it. Offering food is okay but don't force them to eat.
The nurse is witnessing the client's signature on a consent form. Which of the following conditions
should the nurse recognize must be met to ensure the consent is valid?
Select all that apply.
1. The client gave consent voluntarily.
2. The client received adequate disclosure.
3. The consent form is witnessed by 2 health care professionals.
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse has attended a staff education program about bioterrorism. Which of the following statements
by the nurse would require follow-up?
1. "Botulism is transmitted by ingestion of contaminated canned foods."
2. "Hemorrhagic fever is spread by direct contact with blood or body fluids."
3. "Anthrax is spread through direct contact with the bacteria and its spores."
4. "Bubonic plague is transmitted from person to person via airborne droplets." - ANSWER-4.
"Bubonic plague is transmitted from person to person via airborne droplets." It is spread through flea
bites and contact with infected skin
Rationale:
1. Botulism is transmitted by foods. ex: babies getting Botulism from honey
2. Infectious diseases that affect clotting and is spread by blood or body fluids 3. Anthrax:
Contact
The nurse observes a coworker who is assessing a client's thoracic expansion.
Which of the following would indicate that the coworker is using the correct assessment technique?
1. percussion from the apex of the scapula downward on each side
2. placement of the hands flat on the back with the thumbs at the level of the tenth ribs pointing to the
spine, then asking the client to inhale
3. measurement of the anteroposterior diameter of the chest
4. placement of the palms at the level of the tenth ribs with thumbs pointing to the xiphoid process,
then asking the client to inhale - ANSWER-4. placement of the palms at the level of the tenth ribs
with thumbs pointing to the xiphoid process, then asking the client to inhale
This is how to measure anterior thoracic expansion.
2. Posterior thoracic expansion
,The nurse at a health fair is talking with a client who is in perimenopause and is experiencing hot flashes.
Which of the following lifestyle modifications would be appropriate for the nurse to recommend?
1. increasing fluid intake
2. exercising daily
3. decreasing sodium intake
4. wearing clothing in layers - ANSWER-4. wearing clothing in layers
Wear light layers so you can remove layers when you get a hot flash
The nurse in a community-based setting is teaching clients over 65 years of age about health promotion
activities. Which of the following information should the nurse include?
1. "Purchase all of your prescribed medications at the same pharmacy."
2. "Schedule an appointment for a vision screening every 3 years."
3. "Participate in daily aerobic exercises for 60 minutes."
4. "Increase your intake of fat-soluble vitamins." - ANSWER-3. "Participate in daily aerobic exercises
for 60 minutes."
The nurse is screening clients for those at increased risk for developing cancer. At highest risk for
developing leukemia is the client who
1. received more than 3 blood transfusions
2. has a magnetic resonance imaging (MRI) scan annually
3. has polycythemia vera and requires phlebotomy treatments
4. had colon cancer and received chemotherapy treatments - ANSWER-4. had colon cancer and
received chemotherapy treatments
Chemotherapy is known to cause Leukemia, and Chemo has a greater risk than radiation to cause
Leukemia.
The nurse is caring for an older adult client in the postoperative period. The nurse should know that this
client, compared with younger clients in the postoperative period, will have an increased need for 1.
oral hygiene
2. analgesics
,3. high-calorie foods
4. early mobilization - ANSWER-4. early mobilization
The nurse is planning a staff education program about the prevention of urinary tract infections (UTls) in
children. Which of the following information should the nurse include? Select all that apply.
1. "Teach the child to perform Kegel exercises."
2. "Encourage the child to empty the bladder completely."
3. "Encourage the child to maintain an adequate fluid intake."
4. "Teach the child how to properly cleanse the perineal area."
5. "Offer the child noncarbonated, decaffeinated beverage choices." - ANSWER-2, 3, 4
The nurse is teaching the family member of a client with moderate Alzheimer's disease (AD). Which of
the following interventions should the nurse include in the teaching? Select all that apply.
1. Use distraction when the client becomes agitated.
2. Place calendars within clear view of the client.
3. Use short, simple sentences and provide step-by-step instructions for the client.
4. Avoid reminiscing with the client about past experiences in order to avoid feelings of loss and
loneliness.
5. Encourage the client to participate in a daytime exercise program to promote restful sleep at night. -
ANSWER-1, 2, 3, 5
The nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client. Which of the
following actions should the nurse take?
1. Assess the client's recent urine output.
2. Prime a Y-tubing blood administration set with lactated Ringer's solution.
3. Ensure that the client has a peripheral venous access device (VAD) that is 24-gauge or larger.
4. Verify with another nurse that the client's room number is on both the blood product label and the
client's identification band. - ANSWER-4. Verify with another nurse that the client's room number
is on both the blood product label and the client's identification band.
Always verify blood products with another nurse
, Rationale: Blood should only be given with normal saline and infused with an 18 or 20 gauge needle.
The nurse is assessing the coping strategies of a client who had a myocardial infarction (MI) 3 days ago.
Which of the following statements by the client would indicate ineffective coping?
1. "I know that stopping smoking will be difficult."
2. "I plan to attend a cardiac rehabilitation support group."
3. "I have trouble believing this has really happened to me."
4. "I have let down my family because I will not be able to financially support them any longer." -
ANSWER-4. "I have let down my family because I will not be able to financially support them any
longer."
The hospice nurse has taught an in-home caregiver about comfort care for a client at the end of life.
Which of the following statements by the caregiver would require follow-up?
1. "I have been applying petroleum jelly to keep the client's lips moist."
2. "I have been offering healthy foods frequently to keep up the client's strength."
3. "A blowing fan seems to be less anxiety-producing for the client than an oxygen mask."
4. "Sitting upright seems to reduce the client's noisy breathing more than lying down in the bed." -
ANSWER-4. "Sitting upright seems to reduce the client's noisy breathing more than lying down in
the bed."
It is common for hospice patients to have "death rattle," which are loud wet respirations. The correct
intervention is to reposition them laterally, not upright. And never suction!
Hospice is characterized as making the patient as comfortable as possible so if they have less anxiety
with a fan, let them continue using it. Offering food is okay but don't force them to eat.
The nurse is witnessing the client's signature on a consent form. Which of the following conditions
should the nurse recognize must be met to ensure the consent is valid?
Select all that apply.
1. The client gave consent voluntarily.
2. The client received adequate disclosure.
3. The consent form is witnessed by 2 health care professionals.
