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75 NCLEX QUESTIONS C/O AND ANSWERS WITH SOLUTIONS 2024

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  • NCLEX-RN
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  • NCLEX-RN

75 NCLEX QUESTIONS C/O AND ANSWERS WITH SOLUTIONS 2024

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  • September 22, 2024
  • 56
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX-RN
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75 NCLEX QUESTIONS C/O AND
ANSWERS WITH SOLUTIONS 2024
TheBnurseBisBtakingBtheBhealthBhistoryBofBaBpatientBbeingBtreatedBforBEmphysemaBandBChronicBBronchitis.B
AfterBbeingBtoldBtheBpatientBhasBbeenBsmokingBcigarettesBforB30Byears,BtheBnurseBexpectsBtoBnoteBwhichBa
ssessmentBfinding?



1.BIncreaseBinBForcedBVitalBCapacityB(FVC)

2.BABnarrowedBchestBcavity

3.BClubbedBfingersB

4.BAnBincreasedBriskBofBcardiacBfailureB-BANSWERB1.BIncreaseBinBForcedBVitalBCapacityB(FVC)

ForcedBVitalBCapacityBisBtheBvolumeBofBairBexhaledBfromBfullBinhalationBtoBfullBexhalation.BABpatientBwithBC
OPDBwouldBhaveBaBdecreaseBinBFVC.BIncorrect.



2.BABnarrowedBchestBcavity

ABpatientBwithBCOPDBoftenBpresentsBwithBaB'barrelBchest,'BwhichBisBseenBasBaBwidenedBchestBcavity.BIncorr
ect.



3.BClubbedBfingersB-BCORRECT

ClubbedBfingersBareBaBsignBofBaBlong-term,BorBchronic,BdecreaseBinBoxygenBlevels.



4.BAnBincreasedBriskBofBcardiacBfailure

AlthoughBaBpatientBwithBtheseBconditionsBwouldBindeedBbeBatBanBincreasedBriskBforBcardiacBfailure,BthisBisB
aBpotentialBcomplicationBandBnotBanBassessmentBfinding.BIncorrect.



TheBnurseBisBtakingBtheBhealthBhistoryBofBaB70-year-
oldBpatientBbeingBtreatedBforBaBDuodenalBUlcer.BAfterBbeingBtoldBtheBpatientBisBcomplainingBofBepigastricBp
ain,BtheBnurseBexpectsBtoBnoteBwhichBassessmentBfinding?



1.BMelena

2.BNausea

3.BHernia

,4.BHyperthermiaB-BANSWERB1.BMelenaB-BCORRECT

MelenaBisBtheBfindingBthatBthereBareBtracesBofBbloodBinBtheBstoolBwhichBpresentsBasBblack,BtarryBfeces.BThis
BisBaBcommonBmanifestationBofBDuodenalBUlcers,BsinceBtheBDuodenumBisBfurtherBdownBtheBgastricBanato

my.



2.BNausea

NauseaBmayBbeBpresent,BbutBisBaBgeneralizedBsymptomBandBbyBitselfBdoesn'tBindicateBaBDuodenalBUlcer.BIn
correct.



3.BHernia

ABHerniaBisBaBprotrusionBofBaBsegmentBofBtheBabdomenBthroughBanotherBabdominalBstructure.BItBisBnotBas
sociatedBwithBanBUlcerBandBisBaBcondition,BnotBanBassessmentBfinding.BIncorrect.



4.BHyperthermia

Hyperthermia,BaBhighBtemperature,BisBnotBanBassessmentBfindingBofBaBDuodenalBUlcer.BIncorrect



ABnurseBisBprovidingBdischargeBteachingBforBaBpatientBwithBsevereBGastroesophogealBRefluxBDisease.BWhic
hBofBtheseBstatementsBbyBtheBpatientBindicatesBaBneedBforBmoreBteaching?



1.B"I'mBgoingBtoBlimitBmyBmealsBtoB2-3BperBdayBtoBreduceBacidBsecretion."



2.B"I'mBgoingBtoBmakeBsureBtoBremainBuprightBafterBmealsBandBelevateBmyBheadBwhenBIBsleep"



3.B"IBwon'tBbeBdrinkingBteaBorBcoffeeBorBeatingBchocolateBanyBmore."



4.B"I'mBgoingBtoBstartBtryingBtoBloseBsomeBweight."B-BANSWERB1.B"I'mBgoingBtoBlimitBmyBmealsBtoB2-
3BperBdayBtoBreduceBacidBsecretion."

CORRECTB-
BLargeBmealsBincreaseBtheBvolumeBandBpressureBinBtheBstomachBandBdelayBgastricBemptying.BIt'sBrecomme

ndedBinsteadBtoBeatB4-6BsmallBmealsBaBday.



2.B"I'mBgoingBtoBmakeBsureBtoBremainBuprightBafterBmealsBandBelevateBmyBheadBwhenBIBsleep"

,IncorrectB-BThisBisBaBcorrectBverbalizationBofBhealthBpromotionBforBGERD.



3.B"IBwon'tBbeBdrinkingBteaBorBcoffeeBorBeatingBchocolateBanyBmore."

IncorrectB-BThisBisBaBcorrectBverbalizationBofBhealthBpromotionBforBGERD.



4.B"I'mBgoingBtoBstartBtryingBtoBloseBsomeBweight."

IncorrectB-BThisBisBaBcorrectBverbalizationBofBhealthBpromotionBforBGERD.



TheBnurseBinBtheBEmergencyBRoomBisBtreatingBaBpatientBsuspectedBtoBhaveBaBPepticBUlcer.BOnBassessingBla
bBresults,BtheBnurseBfindsBthatBtheBpatient'sBbloodBpressureBisB95/60,BpulseBisB110BbeatsBperBminute,BandBt
heBpatientBreportsBepigastricBpain.BWhatBisBtheBPRIORITYBintervention?



1.BStartBaBlarge-boreBIVBinBtheBpatient'sBarm

2.BAskBtheBpatientBforBaBstoolBsample

3.BPrepareBtoBinsertBanBNGBTube

4.BAdministerBintramuscularBmorphineBsulphateBasBorderedB-BANSWERB1.BStartBaBlarge-
boreBIVBinBtheBpatient'sBarm

CORRECTB-
BTheBnurseBshouldBsuspectBthatBtheBpatientBisBhaemorrhagingBandBwillBneedBneedBaBfluidBreplacementBthe

rapy,BwhichBrequiresBaBlargeBboreBIV.



2.BAskBtheBpatientBforBaBstoolBsample

IncorrectB-
BWhileBthisBisBusefulBinBtheBdiagnosisBandBassessmentBofBPepticBUlcerBDisease,BitBisBnotBtheBpriorityBinterve

ntion.



3.BPrepareBtoBinsertBanBNGBTube

IncorrectB-
BWhileBthisBinterventionBmayBbeBusedBinBtheBlaterBstagesBofBPepticBUlcerBDisease,BitBisBnotBtheBfirstBandBpri

orityBintervention.



4.BAdministerBintramuscularBmorphineBsulphateBasBordered

, IncorrectB-BWhileBthisBisBanBimportantBinterventionBtoBmanageBpain,BitBisBnotBtheBpriorityBintervention.



ABfemaleBpatientBwithBatrialBfibrillationBhasBtheBfollowingBlabBresults:BHemoglobinBofB11Bg/dl,BaBplateletBco
untBofB150,000,BanBINRBofB2.5,BandBpotassiumBofB2.7BmEq/L.BWhichBresultBisBcriticalBandBshouldBbeBreporte
dBtoBtheBphysicianBimmediately?



1.BHemoglobinB11Bg/dl

2.BPlateletBofB150,000

3.BINRBofB2.5

4.BPotassiumBofB2.7BmEq/LB-BANSWERB1.BHemoglobinB11Bg/dl

ThisBisBbelowBnormal,BbutBaBnormalBfemaleBhemoglobinBisB12-14.BThereBisBaBmoreBcriticalBlabBresult.



2.BPlateletBofB150,000

ThisBisBalsoBbelowBtheBnormalBvalues,BbutBisBnotBtheBmostBcriticalBlabBresult.



3.BINRBofB2.5

ThisBisBaBtherapeuticBrangeBforBaBpatientBwhoBisBtakingBanBanticoagulantBforBatrialBfibrillation



4.BPotassiumBofB2.7BmEq/L

CORRECTB-BABpotassiumBimbalanceBforBaBpatientBwithBaBhistoryBofBdysrhythmiaBcanBbeBlife-
threateningBandBcanBleadBtoBcardiacBdistress.



WhileBreceivingBnormalBsalineBinfusionsBtoBtreatBaBGIBbleed,BtheBnurseBnotesBthatBtheBpatient'sBlowerBlegsB
haveBbecomeBedematousBandBauscultatesBcracklesBinBtheBlungs.BWhatBshouldBtheBnurseBdoBfirst?



1.BStopBtheBsalineBinfusionBimmediately

2.BNotifyBPhysician

3.BElevateBtheBpatient'sBlegs

4.BContinueBtheBinfusion,BsinceBtheseBareBnormalBfindingsB-
BANSWERB1.BStopBtheBsalineBinfusionBimmediately

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