NCLEX-RN Exam 8 (75 Questions & Answers Updated 2024). ACCURATE TOP PRIORITY UPDATE| A+ SCORE.

NCLEX-RN Exam 8 (75 Questions & Answers Updated 2024). ACCURATE TOP PRIORITY UPDATE| A+ SCORE. 1. Question A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client? o A. Sexual dysfunction related to radiation therapy o B. Anticipatory grieving related to terminal illness o C. Tissue integrity related to prolonged bed rest o D. Fatigue related to chemotherapy • 2. Question A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor: o A. Platelet count o B. White blood cell count o C. Potassium levels o D. Partial prothrombin time (PTT) • 3. Question The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80, it will be most important to teach the client and family about: o A. Bleeding precautions o B. Prevention of falls o C. Oxygen therapy o D. Conservation of energy • 4. Question A client with a pituitary tumor has had transsphenoidal hypophysectomy. Which of the following interventions would be appropriate for this client? o A. Place the client in Trendelenburg position for postural drainage o B. Encourage coughing and deep breathing every 2 hours o C. Elevate the head of the bed 30° o D. Encourage the Valsalva maneuver for bowel movements • 5. Question The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is: o A. Measure the urinary output o B. Check the vital signs o C. Encourage increased fluid intake o D. Weigh the client • 6. Question A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding? o A. Place the client in a sitting position with the head hyperextended o B. Pack the nares tightly with gauze to apply pressure to the source of bleeding o C. Pinch the soft lower part of the nose for a minimum of 5 minutes o D. Apply ice packs to the forehead and back of the neck • 7. Question A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate postoperative period for the nurse to take is: o A. Blood pressure o . Temperature o C. Output o D. Specific gravity • 8. Question A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement? o A. Daily weights o B. Intake/output measurements o C. Sodium and potassium levels monitored o D. Glucometer readings as ordered • 9. Question A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurse’s next action be? o A. Obtain a crash cart o B. Check the calcium level o C. Assess the dressing for drainage o D. Assess the blood pressure for hypertension • 10. Question A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority? o A. Impaired physical mobility related to decreased endurance o B. Hypothermia r/t decreased metabolic rate o C. Disturbed thought processes r/t interstitial edema o D. Decreased cardiac output r/t bradycardia • 11. Question The client is having an arteriogram. During the procedure, the client tells the nurse, “I’m feeling really hot.” Which response would be best? o A. "You are having an allergic reaction. I will get an order for Benadryl." o B. "That feeling of warmth is normal when the dye is injected." o C. "That feeling of warmth indicates that the clots in the coronary vessels are dissolving." o D. "I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing." • 12. Question The nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching? o A. The nursing assistant wears gloves while giving the client a bath. o B. The nurse wears goggles while drawing blood from the client. o C. The doctor washes his hands before examining the client. o D. The nurse wears gloves to take the client’s vital signs. 13. Question The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective? o A. The client loses consciousness. o B. The client vomits. o C. The client’s ECG indicates tachycardia. o D. The client has a grand mal seizure. • 14. Question The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to: o A. Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep o B. Scrape the skin with a piece of cardboard and bring it to the clinic o C. Obtain a stool specimen in the afternoon o D. Bring a hair sample to the clinic for evaluation • 15. Question The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication? o A. Treatment is not recommended for children less than 10 years of age. o B. The entire family should be treated. o C. Medication therapy will continue for 1 year. o D. Intravenous antibiotic therapy will be ordered. • 16. Question The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse? o A. The client receiving linear accelerator radiation therapy for lung cancer o B. The client with a radium implant for cervical cancer