NCLEX RN January/ Feb 2024 NGN Actual Questions & Answers Bank with Rationales
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Course
NCLEX RN
Institution
NCLEX RN
NCLEX RN January/ Feb 2024 NGN Actual Questions & Answers Bank with
Rationales.1. 1. Question
1 point(s)
Category: Management of Care
The nurse is managing care for several clients in the outpatient clinic. Among the
following clients who called, which one should the nurse prioritize in respon...
Follow for more study materials https://www.facebook.com/groups/772671407426795/ Follow for more study materials https://www.facebook.com/groups/772671407426795/ NCLEX RN January / Feb 2024 NGN Actual Questions & Answers Bank with Rationales 100% Verified 450 Q&A David.jamin19@ gmail.com Follow for more study materials https://www.facebook.com/groups/772671407426795/ NCLEX RN January / Feb 2024 NGN Actual Questions & Answers Bank with Rationales 1. 1. Question 1 point(s) Category: Management of Care The nurse is managin g care for several clients in the outpatient clinic. Among the following clients who called, which one should the nurse prioritize in responding to first? o A. A client with hepatitis A who states, “My arms and legs are itching.” o B. A client with a cast on the right leg who states, “I have a funny feeling in my right leg.” o C. A client with osteomyelitis of the spine who states, “I am so nauseous t hat I can’t eat.” o D. A client with rheumatoid arthritis who states, “I am having trouble sleeping.” Correct Answer: B. A client with a cast on the right leg who states, “I have a funny feeling in my right leg.” It may indicate neurovascular compromise, requiring immediate assessment. Option A: Bilirubin levels in hepatitis A may increase, and itching is a common symptom. Option C: A client feeling nauseous may require consultation but is not a priority. Option D: Client s with rheumatoid arthritis may feel pain in the affected areas at night. They may need a prescription for painkillers but it is not urgent. 2. 2. Question 1 point(s) Category: Management of Care A nurse on the surgical floor is prioritizing care for clients after receiving the report from the previous shift. Which of the following patients should the nurse assess first? Follow for more study materials https://www.facebook.com/groups/772671407426795/ A. A 35 -year-old patient admitted three hours ago for a gunshot wound, with a 1.5 cm area of dark drain age noted on the dressing. B. A 43 -year-old patient who underwent a mastectomy two days ago, with 23 ml of serosanguinous fluid in the Jackson -Pratt drain. C. A 59 -year-old patient with a history of a collapsed lung from an accident, with no drainage noted in the chest tube in the past eight hours. E. A 54 -year-old patient with a total knee replacement two days ago, with moderate swelling at the surgical site. E. A 47 -year-old patient who had a laparoscopic cholecystectomy yesterday, complaining of mild pain at the incision site. F. A 62 -year-old patient who had an abdomi nal-perineal resection three days ago, now reporting chills. Correct Answer: F. A 62 -year-old patient who had an abdominal -perineal resection three days ago, now reporting chills. The client is at risk for peritonitis; should be assessed for further sympto ms and infection. 3. 3. Question 1 point(s) Category: Physiological Adaptation A nurse in a post -surgical unit is monitoring a 46 -year-old patient who underwent a thyroidectomy 12 hours ago for the treatment of Grave’s disease. Which of the following observat ions should most concern the nurse? A. Blood pressure 138/82 mmHg, respirations 16 per minute, oral temperature 37.2ºC or 99º F. B. The patient carefully supports their head and ne ck when turning their head to the right. C. The patient expresses difficulty in swallowing but can manage liquids. D. The patient appears drowsy and complains of a sore throat. Follow for more study materials https://www.facebook.com/groups/772671407426795/ E. The patient shows involuntary flexion of their wrist when blood pressure is measured. F. The patient has a hoarse voice when speaking. Correct Answer: E. The patient shows involunt ary flexion of their wrist when blood pressure is measured. Carpal spasms (Trousseau’s sign) indicate hypocalcemia which can occur after thyroidectomy due to accidental removal or damage to the parathyroid glands. Hypocalcemia is a serious complication and requires immediate attention. The other options, while they might warrant monitoring, are not as immediately concerning as a potential sign of hypocalcemia. Option A: The vital signs are all within the normal range. Option B: Supporting the head and neck while turning protects the surgical site from dehiscence. Option C: Common side effect of neck surgery. Option D: Drowsiness may be a side effect of the anesthesia used during surgery and will fade away eventually; a sore throat is a normal finding after t hyroid surgery. Option F: Hoarseness of voice is a common side effect of post -op thyroidectomy due to one or more of the nerves irritated during the procedure of due to inflammation that occurs after surgery. 4. 4. Question 1 point(s) Category: Physiological Adaptation A 38-year-old patient is admitted to the emergency department with severe pain in the lower right quadrant of the abdomen, nausea, and a low -grade fever, raising concerns about possible appendicitis. The nurse is considering pain relief strategi es. Which of the following actions should the nurse prioritize ? A. Encourage the patient to change positions frequently in bed. B. Administer Demerol 50 mg IM q 4 hours and PRN, as prescribed. C. Apply warmth to the abdomen with a heating pad. D. Use comfort measures and pillows to position the patient comfortably. E. Ad minister an antiemetic as prescribed for nausea relief.
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