NCLEX EXAM zm
Exam Solution zm
Saunders Comprehensive Review for the Nclex RN Exa zm zm zm zm zm zm zm
mination 2026 A+ GRADE ASSURED COMPLETE SOLUTI zm zm zm zm zm zm
ONS AND VERIFIED ANSWERS (35AB8)
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QUESTION 1 zm
The registered nurse is planning the client assignments for the day. Which is the most
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appropriate assignment for an assistive personnel (AP)? 1. A client requiring a colost
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omy irrigation 2. A client receiving continuous tube feedings 3. A client who requires
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urine specimen collections 4. A client with difculty swallowing food and fluids
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ANSWER
Answer: 3 Rationale: The nurse must determine the most appropriate assignment based on the skills
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of the staff member and the needs of the client. In this case, the most appropriate assignment for t
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he AP would be to care for the client who requires urine specimen collections. The AP is skilled in t
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his procedure. Colostomy irrigations and tube feedings are not performed by APs because these are
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invasive procedures. The client with difficulty swallowing food and fluids is at risk for aspiration.
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QUESTION 2 zm
The nurse reviews a client's electrolyte laboratory report and notes that the potassiu
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m level is 2.5 mEq/L (2.5 mmol/L). Which patterns would the nurse watch for on the
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electrocardiogram (ECG) as a result of the laboratory value? Select all that apply. 1. U
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waves 2. Absent P waves 3. Inverted T waves 4. Depressed ST segment 5. Widened QR
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S complex
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ANSWER
Answer: 1, 3, 4 Rationale: The normal serum potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/
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L). A serum potassium level lower than 3.5 mEq/L (3.5 mmol/L) indicates hypokalemia. Potassium d
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eficit is an electrolyte imbalance that can be potentially life-
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threatening. Electrocardiographic changes include shallow, flat, or inverted T waves; ST segment dep
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ression; and prominent U waves. Absent P waves are not a characteristic of hypokalemia but may b
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e noted in a client with atrial fibrillation, junctional rhythms, or ventricular rhythms. A widened QRS
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complex may be noted in hyperkalemia and in hypermagnesemia.
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Exam Solution zm
Saunders Comprehensive Review for the Nclex RN Exa zm zm zm zm zm zm zm
mination 2026 A+ GRADE ASSURED COMPLETE SOLUTI zm zm zm zm zm zm
ONS AND VERIFIED ANSWERS (35AB8)
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QUESTION 1 zm
The registered nurse is planning the client assignments for the day. Which is the most
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appropriate assignment for an assistive personnel (AP)? 1. A client requiring a colost
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omy irrigation 2. A client receiving continuous tube feedings 3. A client who requires
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urine specimen collections 4. A client with difculty swallowing food and fluids
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ANSWER
Answer: 3 Rationale: The nurse must determine the most appropriate assignment based on the skills
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of the staff member and the needs of the client. In this case, the most appropriate assignment for t
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he AP would be to care for the client who requires urine specimen collections. The AP is skilled in t
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his procedure. Colostomy irrigations and tube feedings are not performed by APs because these are
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invasive procedures. The client with difficulty swallowing food and fluids is at risk for aspiration.
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QUESTION 2 zm
The nurse reviews a client's electrolyte laboratory report and notes that the potassiu
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m level is 2.5 mEq/L (2.5 mmol/L). Which patterns would the nurse watch for on the
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electrocardiogram (ECG) as a result of the laboratory value? Select all that apply. 1. U
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waves 2. Absent P waves 3. Inverted T waves 4. Depressed ST segment 5. Widened QR
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S complex
zm
ANSWER
Answer: 1, 3, 4 Rationale: The normal serum potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/
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L). A serum potassium level lower than 3.5 mEq/L (3.5 mmol/L) indicates hypokalemia. Potassium d
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eficit is an electrolyte imbalance that can be potentially life-
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threatening. Electrocardiographic changes include shallow, flat, or inverted T waves; ST segment dep
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ression; and prominent U waves. Absent P waves are not a characteristic of hypokalemia but may b
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e noted in a client with atrial fibrillation, junctional rhythms, or ventricular rhythms. A widened QRS
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complex may be noted in hyperkalemia and in hypermagnesemia.
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