/PN NCLEX ACTUAL EXAM (NEXT GENERATION) 2024-
2025 COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram.
Which of the following statements made by the client indicates an understanding of the
teaching? - <<answer>>-I will feel a warming sensation after injection of the dye
A nurse is assisting with the plan of care for a client who has end-stage amyotrophic lateral
sclerosis and has developed pneumonia. Which of the following actions should the nurse take?
- <<answer>>-Verify the status of the client's advance directive
A nurse is reinforcing teaching with a new mother on facility security measures. Which of the
following statements by the mother indicates an understanding of the teaching? - <<answer>>-
I will have an identification band that matches the one my baby wears
A nurse working at an inpatient mental health facility is contributing to the plan of care for a
client who has anorexia nervosa. Which of the following actions should the nurse include in the
plan of care? - <<answer>>-Record the amount of food the client consumes
A nurse is discussing home safety with a group of clients who have type 1 diabetes mellitus.
Which of the following statements indicates any understand of the teaching? - <<answer>>-I
will dispose of my needles in a plastic laundry detergent container
A nurse is visiting the home of a client who recently had a total hip arthroplasty. During
Observation of the clients' home, which of the following findings places the client at risk for
falls? (select all that apply.) - <<answer>>-Medication stored on the top shelf of the cupboard.
Client walks barefoot in the house.
,A nurse is reinforcing teaching with a client who has a new prescription for nitro- glycerin
(nitrostat) sublingual tablets for treatment of angina. Which of the following instructions should
the nurse include? - <<answer>>-Take up to three tablets during a single angina episode
A nurse is caring for a client who has right-sided heart failure. The client's partner expresses
concern that the client will die. Which of the following is an appropriate re- sponse by the
nurse? - <<answer>>-"It is difficult to see someone so sick. What have you been told about
your partner's prognosis?"
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increase fatigue. Listen to the audio clip. Which of the following lung
sounds should the nurse report to the provider? - <<answer>>-Fine crackles
A nurse is reinforcing teaching with a client who is to self-administer epoetin alfa (Epogen).
Which of the following instructions should the nurse include? - <<answer>>-Administer the
medication subcutaneously
A nurse is caring for a client who has a Salem Sump tube connected to intermittent wall
suction. Which of the following nursing interventions should the nurse perform? - <<answer>>-
Reposition the client every 2 hours
A nurse is provider's office is reviewing pediculosis capitis management and pre- vention
strategies with the parent of a school-age child. Which of the following strategies should the
nurse include? (select all that apply) - <<answer>>-Store the child's clothing in a separate
cubicle when at school.
Boil brushes and combs in water for 10 min.
Dry bed linens and clothing for at least 20 mins.
A nurse is contributing to the plan of care for an adolescent who has cystic fibrosis. Which of
the following diets should the nurse recommend? - <<answer>>-High-calorie
, A nurse is assisting with the transfer of a client to a long-term care facility. The nurse should
review which of the following sections of the medical record to the locate information about
the clients personal health insurance? - <<answer>>-Admission sheet
A nurse is reinforcing teaching with a client who has a new prescription for pred- nisone for the
treatment of Addison's disease. Which of the ff. instructions should the nurse include? -
<<answer>>-"You will need to schedule a bone density test"
A nurse is assisting in the admission of a client who has diabetic ketoacidosis to a medical unit.
Which of the ff. IV solutions the nurse anticipates administering first upon admission? -
<<answer>>-0.9% sodium chloride
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the
following findings is the priority? - <<answer>>-Tingling around the mouth
A client who has asthma and is started on montelukast (Singular) returns to the clinic 1 month
later. Which of the ff. indicates that the client is complying with this medication regimen? -
<<answer>>-The client takes the medication once daily at bedtime
A nurse is collecting data from an older adult client who is receiving a unit of packed RBCs.
Which of the ff. findings should the nurse report to the provider as an indication of circulatory
overload? - <<answer>>-Crackles heard on auscultation
A nurse is preparing a client for surgery. The client states, "I'm sure this surgery will not help me
get better." Which of the ff. responses by the nurse is appropriate? - <<answer>>-"You're
saying that you are doubtful that this procedure will benefit you"
A nurse is preparing to provide suctioning for a toddler who has a tracheostomy. Which of ff.
actions should be included in the plan of care? - <<answer>>-Allow the child to rest for 45
seconds between aspirations