NCLEX PN ACTUAL EXAM 2024 EXPERT
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A client is admitted with a Ewing's sacroma. which symptoms would be expected due to this tumor's
location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain - ANSWERS-D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which
labatory value might be a indicate a serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter - ANSWERS-C. WBC 2,000 per cubic millimeter
,why?
Tegratol can suppress the bone marrow and decrease the white blood cells count; thus, a lab value of
WBC 2,000 per cubic millimeter indicates side effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question during the nursing history
is least helpful in obtaining information regarding this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?" - ANSWERS-C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are useful in determining the
extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods. Which food should be
avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls - ANSWERS-C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
,A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the
priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolytes loss in the incisional area
the client with a perineal resection will have a perineal incision. Drains will be used to facilitate wound
drainage. This will help prevent infection of the surgical site. The client will not have an illestomy. as in
answer A he will have some electrolyte loss, but treatment is not focused on preventing the loss, so
answer B is incorrect A high fiber diet in answer C is not ordered at this time.
The nurse is performing discharge teaching on a client with diverticulitis who has been placed on low-
roughage diet. Which food would have to be eliminated from this client's diet?
A. Roasted Chicken
B. Noodles
C. Cooked Broccoli
D. Custard - ANSWERS-C. Cooked Broccoli
why?
the client with diverticulitis should avoid eating foods that are gas forming and that increase abdominal
discomfort, such as cooked broccoli.
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born.
The best explanation of the weight loss is:
, A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium still, loss of extracelluar fluid, and initiation
of breast-feeding. - ANSWERS-D. The baby can lose up to 10% of weight due to meconium still, loss of
extraceullar fluid, and initiation of breast-feeding.
why?
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the infant to
lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy to the infant
formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health history
would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups - ANSWERS-C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-
operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
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