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NCLEX RN 2023 A GUARANTEED PASS QUESTIONS AND ANSWERS
[Show more]NCLEX RN 2023 A GUARANTEED PASS QUESTIONS AND ANSWERS
[Show more]A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the 
following findings should the nurse monitor? Select all that apply 
a. elevated troponin level 
b. diaphoresis 
c. hyperglycemia 
d. abdominal discomfort 
e. increased alanine aminotransferase (...
Preview 3 out of 17 pages
Add to cartA nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the 
following findings should the nurse monitor? Select all that apply 
a. elevated troponin level 
b. diaphoresis 
c. hyperglycemia 
d. abdominal discomfort 
e. increased alanine aminotransferase (...
A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the 
following findings should the nurse monitor? Select all that apply 
a. elevated troponin level 
b. diaphoresis 
c. hyperglycemia 
d. abdominal discomfort 
e. increased alanine aminotransferase (...
Preview 3 out of 16 pages
Add to cartA nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the 
following findings should the nurse monitor? Select all that apply 
a. elevated troponin level 
b. diaphoresis 
c. hyperglycemia 
d. abdominal discomfort 
e. increased alanine aminotransferase (...
what is a major side effect to monitor when pt is on pioglitazone for DM 2? - 
PITTING EDEMA pioglitazone-thiaglozone these drugs can worsen heart failure 
by causing fluid over load . don't give to ppl with heart failure. 
normal amount of chest tube drainage expected after a valve replacement - ...
Preview 3 out of 21 pages
Add to cartwhat is a major side effect to monitor when pt is on pioglitazone for DM 2? - 
PITTING EDEMA pioglitazone-thiaglozone these drugs can worsen heart failure 
by causing fluid over load . don't give to ppl with heart failure. 
normal amount of chest tube drainage expected after a valve replacement - ...
polycythemia vera - abnormally high number of RBCs 
in COPD/lung disease from hypoxemia 
blood viscosity increases 
client may develop blood clots 
tx: periodic phlebotomy to remove RBCs, HCT monitored monthly 
heparin - report a decrease of >50% from baseline or a drop below 150,000 in platelet...
Preview 2 out of 13 pages
Add to cartpolycythemia vera - abnormally high number of RBCs 
in COPD/lung disease from hypoxemia 
blood viscosity increases 
client may develop blood clots 
tx: periodic phlebotomy to remove RBCs, HCT monitored monthly 
heparin - report a decrease of >50% from baseline or a drop below 150,000 in platelet...
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 
 1. Calcium chloride 
 2. Calcium gluconate 
 3. Calcitonin (Miacalcin) 
 4. Large doses of v...
Preview 4 out of 79 pages
Add to cart1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 
 1. Calcium chloride 
 2. Calcium gluconate 
 3. Calcitonin (Miacalcin) 
 4. Large doses of v...
A client receiving the medication buspirone is admitted to the hospital with the diagnosis of possible hepatitis. The nurse identifies that the client's sclerae look yellow. What will be the nurse's initial action? 
 
A. Withhold the medication. 
B. Give the buspirone with milk. 
C. Reduce the dos...
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Add to cartA client receiving the medication buspirone is admitted to the hospital with the diagnosis of possible hepatitis. The nurse identifies that the client's sclerae look yellow. What will be the nurse's initial action? 
 
A. Withhold the medication. 
B. Give the buspirone with milk. 
C. Reduce the dos...
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for: 
...
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Add to cartThe client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for: 
...
When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - CORRECT ANSWER Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute b...
Preview 2 out of 15 pages
Add to cartWhen selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - CORRECT ANSWER Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute b...
You're assessing your patient load for the patients who are at MOST risk for seizures. Select all the patients below that are at risk: 
 
A. 32-year-old with a blood glucose of 20 mg/dL 
B. 63-year-old whose CT scan shows an ischemic stroke 
C. 72-year-old who is post op day 5 from open heart surge...
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Add to cartYou're assessing your patient load for the patients who are at MOST risk for seizures. Select all the patients below that are at risk: 
 
A. 32-year-old with a blood glucose of 20 mg/dL 
B. 63-year-old whose CT scan shows an ischemic stroke 
C. 72-year-old who is post op day 5 from open heart surge...
A client who has amyotrophic lateral sclerosis is having frequent episodes of 
dysphagia. Which of the following referrals is appropriate for the nurse to 
make currently? 
1. Physical Therapist 
2. Speech Pathologist 
3. Registered Dietitian 
4. Occupational Therapist 
2. Speech Pathologist 
A cl...
Preview 4 out of 45 pages
Add to cartA client who has amyotrophic lateral sclerosis is having frequent episodes of 
dysphagia. Which of the following referrals is appropriate for the nurse to 
make currently? 
1. Physical Therapist 
2. Speech Pathologist 
3. Registered Dietitian 
4. Occupational Therapist 
2. Speech Pathologist 
A cl...
A client taking morphine sulfate for acute pain has not voided in 6 hours. 
The nurse suspects the client has developed urinary retention. What is 
the PRIORITY nursing intervention? 
# (08) 
1. Ask if the client needs to use the bedpan 
2. Assess the client's fluid intake 
3. Assess the client'...
Preview 2 out of 15 pages
Add to cartA client taking morphine sulfate for acute pain has not voided in 6 hours. 
The nurse suspects the client has developed urinary retention. What is 
the PRIORITY nursing intervention? 
# (08) 
1. Ask if the client needs to use the bedpan 
2. Assess the client's fluid intake 
3. Assess the client'...
Which psychosocial health concern involves accepting descriptive statements stated by 
a confused older client? 
1. Validation Therapy 
2. Reminiscence 
3. Reality Orientation 
4. Therapeutic Communication - CORRECT ANSWER Validation Therapy 
Validation Therapy - CORRECT ANSWER the psychosocial con...
Preview 2 out of 5 pages
Add to cartWhich psychosocial health concern involves accepting descriptive statements stated by 
a confused older client? 
1. Validation Therapy 
2. Reminiscence 
3. Reality Orientation 
4. Therapeutic Communication - CORRECT ANSWER Validation Therapy 
Validation Therapy - CORRECT ANSWER the psychosocial con...
Which method elicits the most accurate information during a physical assessment of an 
older adult? 
A. use reliable assessment tools for older adults 
B. Review the past medical record for medications 
C. Ask the client to recount one's health history 
D. Obtain the client's information from a c...
Preview 3 out of 21 pages
Add to cartWhich method elicits the most accurate information during a physical assessment of an 
older adult? 
A. use reliable assessment tools for older adults 
B. Review the past medical record for medications 
C. Ask the client to recount one's health history 
D. Obtain the client's information from a c...
A nurse is preparing to teach a client how to take care of a newly created colostomy. 
The nurse should identify that which of the following factors can decrease the client's 
ability to learn? (Select all that apply.) 
-Impaired cognitive level 
-language barrier 
-discomfort 
-repetition of tea...
Preview 2 out of 7 pages
Add to cartA nurse is preparing to teach a client how to take care of a newly created colostomy. 
The nurse should identify that which of the following factors can decrease the client's 
ability to learn? (Select all that apply.) 
-Impaired cognitive level 
-language barrier 
-discomfort 
-repetition of tea...
Hazards associated with compressed gases include: 
a. Oxygen displacement 
b. Explosions 
c. Toxic gas exposures 
d. All of the above - CORRECT ANSWER d. All of the above 
Which of the following statements regarding the use of gloves is correct? 
a. You do not need to wash your hands before putting ...
Preview 2 out of 7 pages
Add to cartHazards associated with compressed gases include: 
a. Oxygen displacement 
b. Explosions 
c. Toxic gas exposures 
d. All of the above - CORRECT ANSWER d. All of the above 
Which of the following statements regarding the use of gloves is correct? 
a. You do not need to wash your hands before putting ...
Hazards associated with compressed gases include: 
a. Oxygen displacement 
b. Explosions 
c. Toxic gas exposures 
d. All of the above - CORRECT ANSWER d. All of the above 
Which of the following statements regarding the use of gloves is correct? 
a. You do not need to wash your hands before putting ...
Preview 2 out of 7 pages
Add to cartHazards associated with compressed gases include: 
a. Oxygen displacement 
b. Explosions 
c. Toxic gas exposures 
d. All of the above - CORRECT ANSWER d. All of the above 
Which of the following statements regarding the use of gloves is correct? 
a. You do not need to wash your hands before putting ...
You arrive on the scene to find CPR in progress. Nursing staff report the patient was 
recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been 
delivered, and an IV has been initiated. What do you administer now? 
A. atropine 0.5 mg IV 
B. epinephrine 1 mg IV 
C. endotra...
Preview 2 out of 5 pages
Add to cartYou arrive on the scene to find CPR in progress. Nursing staff report the patient was 
recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been 
delivered, and an IV has been initiated. What do you administer now? 
A. atropine 0.5 mg IV 
B. epinephrine 1 mg IV 
C. endotra...
a nurse at a long term care facility is contributing to a plan for an older adult client who 
has dementia. which of the following interventions should the nurse include in the plan? 
- CORRECT ANSWER use photographs as memory triggers 
a nurse is reinforcing teaching with an older adult client wh...
Preview 2 out of 8 pages
Add to carta nurse at a long term care facility is contributing to a plan for an older adult client who 
has dementia. which of the following interventions should the nurse include in the plan? 
- CORRECT ANSWER use photographs as memory triggers 
a nurse is reinforcing teaching with an older adult client wh...
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