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2024 NCLEX PRACTICE EXAM WITH CORRECT ANSWERS
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2024 NCLEX PRACTICE EXAM WITH CORRECT ANSWERS
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2024 NCLEX PRACTICE EXAMWITH CORRECT ANSWERS
A nurse is caring for a client who has a depressed skull fracture of the bone
that makes up the larger part of the upper and side wall of the cranium. This
fracture is located on which of the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal - CORRECT ANSWERS-Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
What is the primary dietary alteration for a client who has heart failure? -
CORRECT ANSWERS-Sodium Restriction
ex: turkey sandwich with whole-wheat bread
A nurse is caring for a client who has acute pancreatitis. Which of the
following serum laboratory values should return to the expected reference
range within 72 hr of treatment beginning?
a. aldolase
b. lipase
c. amylase
d. lactic dehydrogenase - CORRECT ANSWERS-Amylase
pancreatitis is the most common diagnosis for marked elevations of serum
amylase. Amylase levels peak in 20-30 hours and returns to expected range
within 2-3 days.
- Aldolase caused by inflammation of muscle
- Lipase level in pancreatitis
- Lactic dehydrogenase increases in anemia, leukemia or liver damage
A nurse is conducting a risk assessment for clients who are prescribed
medications that can cause orthostatic hypotention. Which of the following
medications requires a follow-up by the nurse?
,a. phenelzine
b. escitalopram oxalate
c. galantamine
d. naltrexone - CORRECT ANSWERS-Phenelzine
-MAOI for depression and mental health = lightheaded, dizzy and orthostatic
hypotension are common side effects
- Escitalopram oxalate = SSRI for depression
- Galantamine = cholinergic for improved cognition, Alzheimer's
- Naltrexone = decrease alcohol craving
A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon beta-1a. The nurse should identify that which of the following
client statements indicates a potential adverse effect of the medication?
a. my body aches all over
b. i have abdominal cramping
c. my hair seems to be thinning
d. it hurts when i urinate - CORRECT ANSWERS-My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
A nurse is teaching a client with cystic fibrosis about daily chest
physiotherapy. Which of the following is the purpose of these treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex - CORRECT ANSWERS-To mobilize secretions
in the airways
- the purpose is to loosen and promote the drainage of secretions from the
lungs
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of
gestation. The client asks what the purpse of the test is/ Which of the
following responses should the nurse provide?
a. this test will determine if you are likely to deliver within the next week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature - CORRECT
ANSWERS-This test will help determine if your baby is healthy
, - This NST is used as a prenatal fetal assessment, it tracks fetal heart rate
patterns expected with fetal movement and can help identify fetal distress
A nurse cares for a client receiving chemotherapy. The latest blood work
shows:
platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
c. bleeding precautions
d. neutropenic precautions - CORRECT ANSWERS-Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less than
A nurse is teaching a female client who has pyelonephritis about the
disorder. Which of the following pieces of information should the nurse
include to help the client prevent a recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly - CORRECT ANSWERS-Wipe from front to
back after defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a
client who has had a subtotal thyroidectomy. Which of the following pieces of
equipment should the nurse have available at the bedside for this client?
a. cardiac monitor
b. defibrillator
c. thoracotomy tray
d. tracheostomy tray - CORRECT ANSWERS-Tracheostomy tray
-laryngeal edema is common after thyroidectomy, which can result in airway
obstruction and emergency intubation can be difficult due to the swelling so
a nurse should have this tray
-thoracotomy = for chest tube insertion
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