NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN
NCLEX ACTUAL EXAM COMPLETE 500
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
PN NCLEX NGN
The LPN assigns the ambulation of a client to the UAP. The
UAP placing the client's foley bag on the IV pole at the level of
the client's chest during ambulation down the length of the
hallway. What action should the LPN take initially?
A) Immediately lower the bag and speak privately to the UAP
B) Let UAP complete assigned tasks and speak to them at the
end of the shift
C) Praise UAP for encouraging the client to walk the entire
hallway
D) Speak with the nurse manager about the need for UAP
inservice education - ANSWER- A
Rationale; The foley bag is too high and should be lowered
below the level of the bladder. Correction of staff should be
done privately not when the client is present. Attend to the
error right away to stop potential harm to the client.
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The nurse is caring for an 8 month old client with suspected
acute otitis media. Which of the following findings would be
consistent with the condition? SATA
A) Frequent pulling on affected ear
B) Purulent drainage from the affected ear
C) Refusal to eat
D) Restlessness and irritability
E) Retracted tympanic membranes - ANSWER- A, B, C, D
Rationale; Otitis media is caused by a blocked eustachian
tube leading to the buildup of purulent fluid and
inflammation in the middle ear. In Otitis the tympanic
membrane will appear red and bulging due to fluid build up.
A client with seizure disorder is prescribed a moderately high
dose of phenytoin. Which teaching topic should the nurse
reinforce with this client?
A) Diet high in iron
B) Good oral care and dental follow-up
C) Shaving with an electric razor
D) Use of sunglasses for eye protection - ANSWER- B
Rationale; Encourage good oral hygiene and go to dentist to
prevent gingival hyperplasia (overgrowth of the gum tissues
or red gums that bleed easily). The other major side effects
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are increased body ahri, rash, folic acid depletion, and
osteoporosis.
The client is brought to the psychiatric emergency room by
ambulance after being observed walking in the street and
shouting at vehicles. The client states that aliens are trying to
attack him and he is now on a mission to find and kill them. The
mother says that last year he believed he was being watched by
unidentified government agency and subsequently broke up with
his girlfriend, quit his job, and disconnected his phone number.
the mother noticed he no longer cares about activities that used
to interest him. He moved into the garden with the dog. He is
malodorous and disheveled and laughing for no apparent reason.
She shows little emotion. His answers are brief and asks if the
interview is being secretly recorded. The clients speech is
difficult to follow, and repeatedly says in a monotone voice , "I
said I'll find them." He became angry and refuses to sit in a chair
for the remainder for the interview.
Highligt - ANSWER- Aliens are trying to attack him, watched
by unidentified government agency, asks if the interview is
being secretly recorded, and "I said I'll find them."
Rationale; Acute psychiatric illness is bizarre thinking that
is disconnected from reality. Including hallucination and
delusions, could lead the client to be unsafe or aggressive.
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Which of the following symptoms are consistent with
schizophrenia? SATA
A) Disorganized speech
B) Flat effect
C) Laughing for no apparent reason
D) Loss of interest in pleasurable activities
E) Self care deficit - ANSWER- A, B, C, D, E
Which complication of schizophrenia should the nurse be
MOST concerned about?
A) Anxiety
B) Insufficient nutritional intake
C) Self-harm
D) Substance use disorder - ANSWER- C
Rationale; Self harm and suicide is the most concerning
complication as the rates are higher in patients with
schizophrenia.
The nurse assists the RN with development of the POC. For
each intervention, specify if the intervention is appropriate or
not appropriate for the care of the client with schizophrenia.
Allow the client to listen to music
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