NCLEX-RN EXAM 2020

NCLEX-RN EXAM 20201. Which of the following signs or symptoms indicates a possible nutritional deficiency? Pale conjunctiva 2. A nurse is preparing to insert a small-bore nasogastric feeding tube for a client's enteral feedings. In which method does the nurse measure the correct length of the tube? From the tip of the nose to the earlobe to the xiphoid process 3. In which of the following ways can a nurse promote sleep for a client who is experiencing insomnia? Give the client a pair of socks to wear if his feet become cold 4. A client is complaining of pain that starts in the shoulder and travels down the length of his arm. This type of pain is referred to as: Radiating pain 5. A client with an enlarged prostate is having trouble starting his flow of urine when using the bathroom. Another name for this condition is: Hesitancy 6. A nurse is preparing to irrigate a client's colostomy. Which of the following situations is a contraindication for this type of irrigation? The client has diverticulitis 7. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? The client was found lying on the floor. 8. A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? Transport the victim to the operating room for surgery. 9. Which of the following statements best describes substance P? Substance P is found in the dorsal horn of the spinal column 10. The primary purpose of a patient care meeting or conference is to determine which of the following? How the healthcare team can best meet the patient's needs. 11. Who should be members of a patient care conference? ALL members of the healthcare team and the patient/resident. 12. The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next? Reassess the client. 13. The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? Clarify with the team leader to make a safe ICU client assignment.