NCLEX-PN 3000 PASSED Exam Questions and CORRECT Answers
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Course
NCLEX-PN 3000
Institution
NCLEX-PN 3000
NCLEX-PN 3000 PASSED Exam Questions
and CORRECT Answers
School-Age Child
A child with diabetes insipidus receives desmopressin acetate (DDAVP). When evaluating for
therapeutic effectiveness, the nurse would interpret which finding as a positive response to
this drug?
1. Decreased urine ou...
NCLEX-PN 3000 PASSED Exam Questions
and CORRECT Answers
School-Age Child
A child with diabetes insipidus receives desmopressin acetate (DDAVP). When evaluating for
therapeutic effectiveness, the nurse would interpret which finding as a positive response to
this drug?
1. Decreased urine output
2. Increased urine glucose level
3. Decreased blood pressure
4. Relief of nausea - CORRECT ANSWER- Correct Answer: 1
RATIONALES: The primary action of DDAVP is to stimulate water reabsorption by the
kidneys, thereby decreasing the urine output. DDAVP has no effect on glucose levels, blood
pressure, or nausea.
Intrapartum Period
When assessing a client who has just delivered a neonate, the nurse finds that the fundus is
boggy and deviated to the right. What should the nurse do?
1. Have the client void.
2. Assess the client's vital signs.
3. Evaluate lochia characteristics.
4. Massage the fundus. - CORRECT ANSWER- Correct Answer: 1
RATIONALES: Having the client void can determine whether the boggy, deviated fundus
results from a full bladder — the most common cause of these fundal findings. Vital sign
assessment is unnecessary unless the nurse suspects hemorrhage from delayed involution.
Evaluation of the lochia is done to detect possible hemorrhage. If the uterus remains boggy
after the client voids, or if hemorrhage is suspected, the nurse should massage the fundus.
Basic Physical Care
,In a client who had major surgery 5 days ago, which data collection finding would be the best
indication of a wound infection?
1. Complaints of deep, sharp incisional pain
2. Evidence of uneven wound edges
3. Purulent wound drainage
4. Oral temperature of 100.6° F (38.1° C) - CORRECT ANSWER-
When collecting data on a neonate, the nurse observes a vaguely outlined area of scalp
edema. Which term should the nurse use when documenting this observation?
1. Cephalhematoma
2. Petechiae
3. Subdural hematoma
4. Caput succedaneum - CORRECT ANSWER- ANSWER #4
RATIONALES: Caput succedaneum refers to a vaguely outlined area of scalp edema that
crosses the suture line and typically clears within a few days after birth. Cephalhematoma is a
swelling of the head that results from subcutaneous bleeding caused by pressure exerted on
the soft tissues during delivery; it's characterized by sharply demarcated boundaries that don't
cross the suture lines. Petechiae are minute, circumscribed, hemorrhagic areas of the skin. A
subdural hematoma is a collection of blood between the dura and the brain.
Psychotic Disorders
A 50-year-old male client is hospitalized in a psychiatric unit for treatment of an acute phase
of paranoid schizophrenia with delusions of persecution. At the end of her shift, a licensed
practical nurse reports the client's status to a registered nurse. Which observation by the
licensed practical nurse indicates that the client's condition is improving?
1. The client sits and stares at the television for several hours.
2. After shaving and showering, the client reports that the voices have been quiet for several
days.
3. The client reports that the television transmits thoughts to his mind less frequently than it
did before.
4. The client searches his room for hidden transmitters. - CORRECT ANSWER-
Preschooler
For a child who's admitted to the emergency department with an acute asthma attack, nursing
data collection is most likely to reveal:
, 1. apneic periods.
2. expiratory wheezing.
3. inspiratory stridor.
4. absent breath sounds. - CORRECT ANSWER- ANSWER 2
RATIONALES: Expiratory wheezing is common during an acute asthma attack and results
from narrowing of the airway caused by edema. Acute asthma rarely causes apneic periods.
Inspiratory stridor more commonly accompanies croup. Acute asthma is more likely to cause
adventitious breath sounds than absent breath sounds; however, adventitious sounds are an
ominous sign because the client is unable to exchange air.
Preschooler
The physician diagnoses leukemia in a child, age 4, who complains of being tired and sleeps
most of the day. Which nursing diagnosis reflects the nurse's understanding of the
pathophysiology behind leukemia?
1. Ineffective airway clearance related to fatigue
2. Activity intolerance related to anemia
3. Imbalanced nutrition: More than body requirements related to lack of activity
4. Ineffective cerebral tissue perfusion related to central nervous system infiltration by
leukemic cells - CORRECT ANSWER- Correct Answer: 2
RATIONALES: A child with leukemia may experience anemia from bone marrow
depression, such as from chemotherapy or replacement of normal bone marrow elements by
immature white blood cells. Anemia results in fatigue, lack of energy, and activity
intolerance. The information given in the question doesn't support the other diagnoses
Neurosensory Disorders
The nurse is collecting data on a 38-year-old client diagnosed with multiple sclerosis. Which
of the following symptoms would the nurse expect to find?
1. Vision changes
2. Absent deep tendon reflexes
3. Tremors at rest
4. Flaccid muscles - CORRECT ANSWER- Correct Answer: 1
RATIONALES: Vision changes, such as diplopia, nystagmus, and blurred vision, are
symptoms of multiple sclerosis. Deep tendon reflexes may be increased or hyperactive — not
absent. Babinski's sign may be positive. Tremors at rest aren't characteristic of multiple
sclerosis; however, intentional tremors, or those occurring with purposeful voluntary
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