20222023 nclex pn test prep questions and answers with explanations v5 practice exam 2 study mode
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2022/2023 NCLEX-PN
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2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
A client is 4 hours post-operative left brain cerebral
aneurysm clipping. Which assessment finding would cause the
nurse the most concern?
A.Temperature 99.4°F, heart rate 110, respiratory rate 24
B.Drowsiness, urinary output of 50mL in the past hour, 1cm
blood drainage noted on surgical dressing
C.BP 120/60, lethargic, right-sided weakness
D.Alert and oriented, BP 168/96, heart rate 70
Answer C: The assessment finding that causes the most concern
is the finding that could indicate a possible stroke. The right-sided
weakness would mean there is a loss of muscular functioning on
the side opposite the surgical procedure. Answers A, B, and D
might indicate a need for reassessments but not a cause for
immediate concern or intervention, so they are incorrect.
A client with pancreatic cancer has just been given a negative
prognosis by the oncologist. The nurse hears the client state, “I
don’t believe the doctor, and I think he has me confused with
another patient.” This is an example of which of Kubler-Ross’
stages of dying?
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
,2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
A.Denial
B.Anger
C.Depression
D.Bargaining
Answer A: Kubler Ross identified five stages of dying as the ways
that people cope with death: denial, anger, bargaining,
depression, and acceptance. Answer A is the first stage of denial
that can be used as a buffer and a way to adapt. Other examples
of statements made by the client in this stage are “This can’t be
true” and “I want another opinion.” When dealing with these
clients, the nurse needs to use open-ended statements, such as
“Tell me more.” Answers B, C, and D are a few of the other stages
of dying and, thus, are incorrect.
The nurse is discussing staff assignments. Which client
assignment should be given to the nurse’s assistant?
A.Emergency exploratory laparotomy with a colon resection
the previous shift
B.Client with a stroke scheduled for discharge to rehabilitation
C.A client with terminal cancer in severe pain
D.New admission with diverticulitis
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
,2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
Answer B: The client with the stroke is the most stable client of
the ones listed. The client in answer A would need extensive
assessment. Answer C involves a client with a need for
psychosocial support and nursing
interventions. The client in answer D is a new admission with an
infected diverticulum and would be less stable, with more
unknowns.
A client is being discharged on warfarin (Coumadin) after
hospitalization for atrial fibrillation. The nurse recognizes that
which of the following foods would be restricted while the client
is on this medication? A. Cabbage
B. Apples
C. Potatoes
D. Macaroni
Answer A: Vitamin K would decrease the effects of Coumadin;
therefore the client should be taught to restrict green, leafy
vegetables, such as broccoli, cabbage, turnip greens, and lettuce.
Answers B, C, and D are food choices that are low in vitamin K,
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
, 2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
so they are incorrect.
Which post-operative assessment finding on a client with
a femoral popliteal graft of the right leg would require
immediate charge nurse notification?
A.Edema of the right extremity and pain at the incision site
B.A temperature of 99.6°F and redness of the incision
C.Serous drainage noted at the surgical area
D.A loss of posterior tibial and dorsalis pedis pulses on the right leg
Answer D: A loss of pulses could indicate an occlusion in the
graft, requiring surgical intervention. Answers A and C are
expected post-operative occurrences with this surgical
procedure, which makes them incorrect.
Answer B is not classified as hyperthermia, so it is incorrect.
The nurse is caring for a client with nausea and vomiting.
Laboratory results reveal a potassium level of 2.9mEq. Which
ECG finding would the nurse expect to find due to the client’s
potassium results?
A.Depressed ST segments
B.Elevated T waves
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 2
(STUDY MODE)
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