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NR NCLEX EXAM QUESTIONS WITH CORRECT ANSWERS GRADED A+ SUCCESS ASSUARED 2022/2023 UPDATE
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NR NCLEX EXAM QUESTIONS WITH CORRECTANSWERS GRADED A+ SUCCESS ASSUARED
2022/2023 UPDATE
1. 1. Question
Which action(s) should you delegate to the experienced nursing
assistant when caring for a patient with a thrombotic stroke with
residual left-sided weakness? Select all that apply.
o A. Assist the patient to reposition every 2 hours.
o B. Reapply pneumatic compression boots.
o C. Remind the patient to perform active ROM.
o D. Check extremities for redness and edema.
Correct Answer: A, B, & C.
The experienced nursing assistant would know how to reposition the
patient and how to reapply compression boots and would remind the
patient to perform activities he has been taught to perform.
o Option D: Assessing for redness and swelling (signs of deep
venous thrombosis {DVT}) requires additional education and is
still appropriate to the professional nurse.
• 2. Question
The patient who had a stroke needs to be fed. What instruction
should you give to the nursing assistant who will feed the
patient?
o A. Position the patient sitting up in bed before
you feed her.
o B. Check the patient’s gag and swallowing reflexes.
,NR NCLEX EXAM QUESTIONS WITH CORRECT
ANSWERS GRADED A+ SUCCESS ASSUARED
2022/2023 UPDATE
o C. Feed the patient quickly because there are three more
waiting.
o D. Suction the patient’s secretions between bites of
food.
• 3. Question
Correct Answer: A. Position the patient sitting up in bed before you feed her.
Positioning the patient in a sitting position decreases the risk of aspiration.
Option B: The nursing assistant is not trained to assess gag or swallowing r
Option C: The patient should not be rushed during feeding.
Option D: A patient who needs to be suctioned between bites of food is n
You have just admitted a patient with bacterial meningitis to
the medical-surgical unit. The patient complains of a severe
headache with photophobia and has a temperature of 102.60 F
orally. Which collaborative intervention must be
accomplished first?
o A. Administer codeine 15 mg orally for the patient’s
headache.
o B. Infuse ceftriaxone (Rocephin) 2000 mg IV to
treat the infection.
o C. Give acetaminophen (Tylenol) 650 mg orally to reduce
the fever.
o D. Give furosemide (Lasix) 40 mg IV to
decrease intracranial pressure.
Correct Answer: B. Infuse ceftriaxone (Rocephin) 2000
mg IV to treat the infection.
,NR NCLEX EXAM QUESTIONS WITH CORRECT
ANSWERS GRADED A+ SUCCESS ASSUARED
2022/2023 UPDATE
Untreated bacterial meningitis has a mortality rate approaching 100%, so rapid an
Option A: Pain medications may be given after treating the infection tha
Option C: Acetaminophen should be given to decrease the fever after ad
Option D: Furosemide will help reduce CNS stimulation and irritation an
• 4. Question
You are mentoring a student nurse in the intensive care unit (ICU)
while caring for a patient with meningococcal meningitis. Which
action by the student requires that you intervene immediately?
o A. The student enters the room without putting on
a mask and gown.
o B. The student instructs the family that visits are
restricted to 10 minutes.
o C. The student gives the patient a warm blanket when
he says he feels cold.
o D. The student checks the patient’s pupil response to
light every 30 minutes.
Correct Answer: A. The student enters the room without putting on a mask and
Meningococcal meningitis is spread through contact with respiratory secretions so u
Option B: The presence of a family member at the bedside may decrease
Option C: Patients with hyperthermia frequently complain of feeling chille
Option D: Checking the pupil response to light is appropriate, but it is no
, NR NCLEX EXAM QUESTIONS WITH CORRECT
ANSWERS GRADED A+ SUCCESS ASSUARED
2022/2023 UPDATE
is uncomfortable for a patient with
photophobia. Focus: Prioritization
• 5. Question
A 23-year-old patient with a recent history of encephalitis is
admitted to the medical unit with new-onset generalized tonic-
clonic seizures. Which nursing activities included in the patient’s
care will be best to delegate to an LPN/LVN whom you are
supervising? Select all that apply.
o A. Document the onset time, nature of seizure activity,
and postictal behaviors for all seizures.
o B. Administer phenytoin (Dilantin) 200 mg PO
daily.
o C. Teach the patient about the need for good
oral hygiene.
o D. Develop a discharge plan, including physician visits
and referral to the Epilepsy Foundation.
o E. Gather information about the seizure activity
• 6. Question
Correct Answer: B & E
Administration of medications that are not a high risk is included in LPN education
Option A: Documentation is a nursing responsibility.
Option C: Patient education must be accomplished by the registered nurse
Option D: Planning of care is a complex activity that requires RN level edu
While working in the ICU, you are assigned to care for a patient
with a seizure disorder. Which of these nursing actions will you
implement first if the patient has a seizure?
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