Exam (elaborations)
NCLEX-PN REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-PN REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-PN REVIEW QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
TheLnurseLisLtakingLtheLhealthLhistoryLofLaLpatientLbeingLtreatedLforLEmphysemaLandLChronicLBronchitis.LAft
erLbeingLtoldLtheLpatientLhasLbeenLsmokingLcigarettesLforL30Lyears,LtheLnurseLexpectsLtoLnoteLwhichLassess
mentLfinding?
1.LIncreaseLinLForcedLVitalLCapacityL(FVC)
2.LALnarrowedLchestLcavity
3.LClubbedLfingersL
4.LAnLincreasedLriskLofLcardiacLfailureL-LANSWERL3.LClubbedLfingersL-LCORRECT
ClubbedLfingersLareLaLsignLofLaLlong-term,LorLchronic,LdecreaseLinLoxygenLlevels.
TheLnurseLisLtakingLtheLhealthLhistoryLofLaL70-year-
oldLpatientLbeingLtreatedLforLaLDuodenalLUlcer.LAfterLbeingLtoldLtheLpatientLisLcomplainingLofLepigastricLpai
n,LtheLnurseLexpectsLtoLnoteLwhichLassessmentLfinding?
1.LMelena
2.LNausea
3.LHernia
4.LHyperthermiaL-LANSWERL1.LMelenaL-LCORRECT
MelenaLisLtheLfindingLthatLthereLareLtracesLofLbloodLinLtheLstoolLwhichLpresentsLasLblack,LtarryLfeces.LThisLisL
aLcommonLmanifestationLofLDuodenalLUlcers,LsinceLtheLDuodenumLisLfurtherLdownLtheLgastricLanatomy.
ALnurseLisLprovidingLdischargeLteachingLforLaLpatientLwithLsevereLGastroesophogealLRefluxLDisease.LWhichL
ofLtheseLstatementsLbyLtheLpatientLindicatesLaLneedLforLmoreLteaching?
1.L"I'mLgoingLtoLlimitLmyLmealsLtoL2-3LperLdayLtoLreduceLacidLsecretion."
2.L"I'mLgoingLtoLmakeLsureLtoLremainLuprightLafterLmealsLandLelevateLmyLheadLwhenLILsleep"
,3.L"ILwon'tLbeLdrinkingLteaLorLcoffeeLorLeatingLchocolateLanyLmore."
4.L"I'mLgoingLtoLstartLtryingLtoLloseLsomeLweight."L-LANSWERL1.L"I'mLgoingLtoLlimitLmyLmealsLtoL2-
3LperLdayLtoLreduceLacidLsecretion."
CORRECTL-
LLargeLmealsLincreaseLtheLvolumeLandLpressureLinLtheLstomachLandLdelayLgastricLemptying.LIt'sLrecommen
dedLinsteadLtoLeatL4-6LsmallLmealsLaLday.
TheLnurseLinLtheLEmergencyLRoomLisLtreatingLaLpatientLsuspectedLtoLhaveLaLPepticLUlcer.LOnLassessingLlabLr
esults,LtheLnurseLfindsLthatLtheLpatient'sLbloodLpressureLisL95/60,LpulseLisL110LbeatsLperLminute,LandLtheLpa
tientLreportsLepigastricLpain.LWhatLisLtheLPRIORITYLintervention?
1.LStartLaLlarge-boreLIVLinLtheLpatient'sLarm
2.LAskLtheLpatientLforLaLstoolLsample
3.LPrepareLtoLinsertLanLNGLTube
4.LAdministerLintramuscularLmorphineLsulphateLasLorderedL-LANSWERL1.LStartLaLlarge-
boreLIVLinLtheLpatient'sLarm
CORRECTL-
LTheLnurseLshouldLsuspectLthatLtheLpatientLisLhaemorrhagingLandLwillLneedLneedLaLfluidLreplacementLthera
py,LwhichLrequiresLaLlargeLboreLIV.
ALfemaleLpatientLwithLatrialLfibrillationLhasLtheLfollowingLlabLresults:LHemoglobinLofL11Lg/dl,LaLplateletLcoun
tLofL150,000,LanLINRLofL2.5,LandLpotassiumLofL2.7LmEq/L.LWhichLresultLisLcriticalLandLshouldLbeLreportedLtoLt
heLphysicianLimmediately?
1.LHemoglobinL11Lg/dl
2.LPlateletLofL150,000
3.LINRLofL2.5
4.LPotassiumLofL2.7LmEq/LL-LANSWERL4.LPotassiumLofL2.7LmEq/L
CORRECTL-LALpotassiumLimbalanceLforLaLpatientLwithLaLhistoryLofLdysrhythmiaLcanLbeLlife-
threateningLandLcanLleadLtoLcardiacLdistress.
, WhileLreceivingLnormalLsalineLinfusionsLtoLtreatLaLGILbleed,LtheLnurseLnotesLthatLtheLpatient'sLlowerLlegsLha
veLbecomeLedematousLandLauscultatesLcracklesLinLtheLlungs.LWhatLshouldLtheLnurseLdoLfirst?
1.LStopLtheLsalineLinfusionLimmediately
2.LNotifyLPhysician
3.LElevateLtheLpatient'sLlegs
4.LContinueLtheLinfusion,LsinceLtheseLareLnormalLfindingsL-
LANSWERL1.LStopLtheLsalineLinfusionLimmediately
CORRECTL-
LtheLpatientLhasLaLfluidLvolumeLoverloadLasLaLresultLofLoverlyLrapidLfluidLreplacement.LTheLnurseLshouldLsto
pLtheLinfusionLandLnotifyLtheLphysician.
TheLnurseLisLworkingLinLaLsupportLgroupLforLclientsLwithLHIV.LWhichLpointLisLmostLimportantLforLtheLnurseLt
oLstress?
1.LTheyLmustLinformLhouseholdLmembersLofLtheirLcondition
2.LTheyLmustLtakeLtheirLmedicationsLexactlyLasLprescribed
3.LTheyLmustLabstainLfromLsubstanceLuse
4.LTheyLmustLavoidLlargeLcrowdsL-LANSWERL2.LTheyLmustLtakeLtheirLmedicationsLexactlyLasLprescribed
CORRECTL-LAntiretroviralsLmustLbeLtakenLexactlyLasLprescribedLtoLpreventLdrug-
resistantLstrains.LEvenLmissedLdosesLcanLreduceLtheLeffectivenessLofLfutureLtreatment.
ALnurseLfindsLaL30-year-
oldLwomanLexperiencingLanaphylaxisLfromLaLbeeLsting.LEmergencyLpersonnelLhaveLbeenLcalled.LTheLnurseL
notesLtheLwomanLisLbreathingLbutLshortLofLbreath.LWhichLofLtheLfollowingLinterventionsLshouldLtheLnurseLd
oLfirst?
1.LInitiateLcardiopulmonaryLresuscitation
2.LCheckLforLaLpulseL
3.LAskLtheLwomanLifLsheLcarriesLanLemergencyLmedicalLkit
4.LStayLwithLtheLwomanLuntilLhelpLcomesL-
LANSWERL3.LAskLtheLwomanLifLsheLcarriesLanLemergencyLmedicalLkit
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