NGN NCLEX PN ACTUAL EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
An assistive personnel tells the charge nurse that her assignment is too
demanding. She angrily tells the nurse to reassign one of her tasks to
another AP. Which of the following actions should the nurse take to resolve
the conflict? - ANSWER Ask the AP to discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a
client who is on seizure precautions. Which of the following materials
should the AP place in the client's room? - ANSWER Oral Suction
Equipment
A charge nurse on a mental health unit is supervising a newly licensed
nurse. For which of the following actions by the newly licensed nurse
should the supervising nurse intervene? - ANSWER Tells a client he will
lose his phone privileges if he does not take his medication
A nurse is caring for a client who follows a kosher diet. Which of the
following menu items should the nurse include in the meal tray? - ANSWER
Roasted Salmon
A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates an
understanding of the information? - ANSWER "Advance directives include
a living will"
A nurse is collecting data from the caregiver of a client who has
Alzheimer's disease. The caregiver reports the client has difficulty sleeping
at night and wanders throughout the house. Which of the following
interventions should the nurse recommend? - ANSWER Encourage the
client to take frequent walks during the day
A nurse is assisting in the care of a client who is 8hr postpartum and has
uterine atony with increased bleeding. Which of the following actions
should the nurse take? (Select all that apply) - ANSWER Assist the client to
empty her bladder
,A nurse is reinforcing teaching with the support person of a client who is in
the first stage of labor. Which of the following instructions should the nurse
include regarding effleurage? - ANSWER "Gently stroke her abdomen
during contractions"
A nurse is caring for an older adult client who is postoperative following a
total hip arthroplasty. The client is incontinent of stool and urine. Which of
the following actions should the nurse take to prevent skin breakdown? -
ANSWER Use a moisture barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the
following actions should the nurse take to promote the client's autonomy? -
ANSWER Allow the client to choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings
is evidence of an obstetric complication? - ANSWER Appears greenish-
brown in color
A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the
nurse take? - ANSWER Inform the adolescent that he might experience a
headache
A nurse is reinforcing teaching about advance directives with a client who
has end-stage heart failure. Which of the following statements by the client
indicates an understanding of the teaching? - ANSWER "I should discuss
this document with my family after I sign it"
A nurse is caring for a client who has continuous bladder irrigation following
a transurethral resection of the prostate. The nurse notices clots and dark
red blood in the catheter collection bag. Which of the following actions
should the nurse take? - ANSWER Irrigate the bladder with 20 to 30 mL of
0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a client who has a history
of cardiac dysrhythmias. Which of the following actions should the nurse
plan to take? - ANSWER Instruct the client to remain as still as possible
during the recording
,A nurse is reinforcing teaching with a client who has genital herpes. Which
of the following information should the nurse include in the teaching? -
ANSWER "You should increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative client's closed-wound
drainage system. Which of the following actions should the nurse plan to
take? - ANSWER Compress the container before replacing the drainage
plug
A nurse is reinforcing teaching with the parents of a toddler who has a new
diagnosis of asthma and a prescription for montelukast. Which of the
following instructions should the nurse include in the teaching? - ANSWER
Administer the medication to the toddler each evening
A nurse in an acute mental health facility is caring for a newly admitted
client. Which of the following should occur during the orientation phase of
the nurse-client relationship? - ANSWER Defining responsibilities
A nurse is caring for a client who reports having a decrease in fetal
movement following an external cephalic version 6 hr ago. The nurse
identifies the fetus is in the right occiput anterior position. The nurse should
place the fetal heart monitor on which of the following sites to auscultate
the fetal heart rate? - ANSWER Lower left
A charge nurse is observing a newly licensed nurse perform suctioning for
a client who has a tracheostomy. For which of the following actions by the
newly licensed nurse should the charge nurse intervene? - ANSWER
Suction for 30 seconds
A nurse is reviewing the medication administration record of a client who
takes atenolol PO and supplies a nitroglycerin transdermal patch daily.
Which of the following interactions should the nurse monitor with this
client? - ANSWER Hypotension
A nurse in an acute care setting is preparing to administer medications to a
client. Which of the following actions should the nurse verify the client's
identity? - ANSWER Verify the client's identity using a photograph
A nurse in a provider's office is collecting data from a client who has
psoriasis. Which of the following statements made by the client should she
, report to the provider? - ANSWER "I try not to look at the scales on my
body"
A nurse is completing chart reviews in a long-term care facility in response
to an increase in falls. Which of the following responses in the chart should
the nurse use to determine the potential causes of falls? - ANSWER
Medication record
A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP? - ANSWER
Complete post mortem care for a client who has died
A nurse is reinforcing teaching with a client who is taking allopurinol about
the risk for developing Stevens-Johnsons syndrome. For which of the
following manifestations should the nurse instruct the client to monitor and
report? - ANSWER Skin rash with fever
A charge nurse in a long-term care facility is reinforcing teaching with a
group of nurses about fall precautions. Which of the following statements
made by the nurse indicates an understanding of the teaching? - ANSWER
"I will instruct the client to sit when putting on a pair of pants"
A nurse is recommending clients for discharge to allow for admission of
clients following a tornado disaster. Which of the following clients should
the nurse recommend for discharge? - ANSWER A client who has a
sodium level of 140 mEq/L after one episode of diarrhea
A nurse is assisting with the plan of care for a newly admitted client who
has anorexia nervosa. Which of the following interventions should the
nurse include in the plan? - ANSWER Administer liquid supplements
A charge nurse is reinforcing teaching with a newly licensed nurse about
floating to a different unit. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching? - ANSWER "I
will document in the medical record the support nurse who assists with
planning care for my clients"
A nurse is caring for a client who has dehydration due to diarrhea. Which of
the following findings should the nurse report to the provider? - ANSWER
Urine output 12 mL/hr
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