NGN NCLEX /NCLEX NGN RN ACTUAL EXAM STUDYGUIDE REAL Q&A
LATEST 2024 TEST BANK 800 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES AGRADE
KEITH DANIEL 8/21/24 NCLEX
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NCLEX RN ACTUAL EXAM TEST
BANK 800 +OF REAL QUESTIONS & ANSWERS NCLEX 2024
QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: A
Explanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial
contractility. Increased ventricular contractility would increase outfl ow tract obstruction in the client with
hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C)
Diuretics are used with caution to avoid causing hypovolemi
A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
Answer: D Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted
edematous bronchial lumin
, A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is
usually pale.
Cyanosis is not an early sign of hypoxi
A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.
QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type
of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Answer: B Explanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve sensory
perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral
hallucinations involve sensory perceptions of sensation.
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Stuvia.com - The Marketplace to Buy and Sell your Study Material
NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2022 | NCLEX
Exam
QUESTION 4
Which of the following findings would be abnormal in a postpartal woman?
A. Chills shortly after delivery
B. Pulse rate of 60 bpm in morning on first postdelivery day
C. Urinary output of 3000 mL on the second day after delivery
D. An oral temperature of 101F (38.3C) on the third day after delivery
Answer: D Explanation:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a
nervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B)
The pulse rate during the immediate postpartal period may be low but presents no cause for alarm. The
body attempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of
blood flow to the vascular bed. (C) Urinary output increases during the early postpartal period (12–24
hours) owing to diuresis. The kidneys must eliminate an estimated 2000–3000 mL of extracellular fluid
associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after delivery as a
result of exertion and dehydration of labor. However, any temperature greater than 100.4F needs
further investigation to identify any infectious process.
QUESTION 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching
of the parents, the nurse states that:
A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures D.
Febrile seizures are associated with diseases of the central nervous system
Answer: C Explanation:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur
during the temperature rise rather than after a prolonged elevation. (B) Febrile seizures may recur and
are more likely to do so when the first seizure occurs in the 1st year of life. (C) There is little risk of
neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. (D) Febrile
seizures are associated with disease of the central nervous system.
LATEST 2024 TEST BANK 800 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES AGRADE
KEITH DANIEL 8/21/24 NCLEX
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
NCLEX RN ACTUAL EXAM TEST
BANK 800 +OF REAL QUESTIONS & ANSWERS NCLEX 2024
QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Answer: A
Explanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial
contractility. Increased ventricular contractility would increase outfl ow tract obstruction in the client with
hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C)
Diuretics are used with caution to avoid causing hypovolemi
A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
Answer: D Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted
edematous bronchial lumin
, A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is
usually pale.
Cyanosis is not an early sign of hypoxi
A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.
QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type
of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Answer: B Explanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve sensory
perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral
hallucinations involve sensory perceptions of sensation.
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Stuvia.com - The Marketplace to Buy and Sell your Study Material
NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2022 | NCLEX
Exam
QUESTION 4
Which of the following findings would be abnormal in a postpartal woman?
A. Chills shortly after delivery
B. Pulse rate of 60 bpm in morning on first postdelivery day
C. Urinary output of 3000 mL on the second day after delivery
D. An oral temperature of 101F (38.3C) on the third day after delivery
Answer: D Explanation:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a
nervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B)
The pulse rate during the immediate postpartal period may be low but presents no cause for alarm. The
body attempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of
blood flow to the vascular bed. (C) Urinary output increases during the early postpartal period (12–24
hours) owing to diuresis. The kidneys must eliminate an estimated 2000–3000 mL of extracellular fluid
associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after delivery as a
result of exertion and dehydration of labor. However, any temperature greater than 100.4F needs
further investigation to identify any infectious process.
QUESTION 5
A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching
of the parents, the nurse states that:
A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures D.
Febrile seizures are associated with diseases of the central nervous system
Answer: C Explanation:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur
during the temperature rise rather than after a prolonged elevation. (B) Febrile seizures may recur and
are more likely to do so when the first seizure occurs in the 1st year of life. (C) There is little risk of
neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. (D) Febrile
seizures are associated with disease of the central nervous system.
