NCLEX PN FINAL EXAM LATEST 2023 ACTUAL
EXAM TEST BANK QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(COMPLETE EXAM)
Terms in this set (103)
A 5 year old is admitted to
the unit following a
tonsillectomy. Which of the
following would indicate a
complication of the
surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
A 6-month-old client is C." Describe his usual diet."
admitted with possible
intussuception. Which why?
question during the nursing
history is least helpful in The least-helpful questions are those describing his
obtaining information usual diet. A, B, and D are useful in determining the
regarding this diagnosis? extent of disease process and thus, are incorrect
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?"
,A 6 year old with cerebral
palsy functions at the level
of an 18 month old. Which
finding would support that
assessment?
A. She dresses herself
B. She pulls a toy behind her
C. She can build a tower of
eight blocks
D. She can copy a
horizontal or vertical line.
A 24 year-old female client A. taking the vital signs
is scheduled for surgery in
the morning. Which of the why?
following is the primary the primary responisblity of the nurse is to take the vital
responsibility of the nurse? signs before any surgery.
A. taking the vital signs answers B,C and D are the responsibility of the doctor.
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work
A 25 year old male is C. Cover both eyes with paper cups
brought to the ER with a
piece of metal in his eye. why?
Which action by the nurse is
correct? Covering both eyes prevents consensual movement of
the affected eye.
A. Use a magnet to remove
the object
B. Rinse the eye thoroughly
with saline
C. Cover both eyes with
paper cups
D. Patch the affected eye
only
,A 70 year old man who is A. The client is observed by shaving only one side of his
recovering from a stroke face
exhibits signs of unilateral
neglect. Which behavior is why?
suggested of unilateral
neglect? The client with unilateral neglect will neglect one side of
the body
A. The client is observed by
shaving only one side of his
face
B. The client is unable to
distinguish between two
tactile stimuli presented
simultaneously
C. The client is unable to
complete a range a vision
without turning his head
side to side
D. The client is unable to
carry out cognitive and
motor activity at the same
time
, The child with seizure
disorder is being treated
with Dilantin (phenytoin).
Which of the following
statements by the patient's
mother indicates to the
nurse that the patient is
experiencing a side effect
of Dilantin therapy?
A. "She is very irritable
lately."
B. "She sleeps quite a bit of
the time."
C. "Her gums look too big
for her teeth."
D. "She has gained about 10
pounds in the last 6
months."
A client arrives in the C. Bucks traction
emergency room with a
possible fractured femur. why?
The nurse should anticipate
an order for: The client with a fractured femur will be placed in Bucks
traction to realign the leg and decrease spasms and
A. Trendelenburg position pain.
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow
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