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NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!$23.49
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NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!
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Course
NCLEX RN NEWEST 2024, 2023 AND 2022
Institution
NCLEX RN NEWEST 2024, 2023 AND 2022
NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!
NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS ...
NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!
What is the overarching nursing concern when caring for patients being treated with splints, casts, or
traction?
1. To assess for and prevent neurovascular complications or dysfunction
2. To ensure adequate nutrition during the healing process
3. To provide patient education for maintenance of splints, casts, or traction in the community.
4. To treat acute pain - ans1. To assess for and prevent neurovascular complications or dysfunction
Correct - This is the priority nursing diagnosis for patients with extremity fractures.
2. To ensure adequate nutrition during the healing process
Incorrect - While this is a nursing concern, it is not the first priority
3. To provide patient education for maintenance of splints, casts, or traction in the community.
Incorrect - While this is a nursing concern, it is not the first priority
4. To treat acute pain
Incorrect - While this is a serious nursing concern, it is not the first priority.
What nursing action demonstrates the nurse understands the priority nursing diagnosis when caring for
patients being treated with splints, casts, or traction?
1. The nurse assesses extremity pulse, temperature, color, pain, and feeling every hour.
2. The nurse orders meals with adequate protein and calcium for the patient.
3. The nurse teaches the patient never to insert objects under a cast to scratch an itch.
4. The nurse administers oral painkillers as ordered - ans1. The nurse assesses extremity pulse,
temperature, color, pain, and feeling every hour.
Correct - The priority nursing diagnosis would be Risk for Peripheral Neurovascular Dysfunction related
to fractures, which is demonstrated by this action.
,NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!
2. The nurse orders meals with adequate protein and calcium for the patient.
Incorrect - This intervention relates to the diagnosis Imbalanced Nutrition: Less than Body
Requirements. It is not the priority diagnosis.
3. The nurse teaches the patient never to insert objects under a cast to scratch an itch.
Incorrect - This intervention relates to the diagnosis Insufficient Knowledge related to Traumatic Injury.
It is not the priority diagnosis
4. The nurse administers oral painkillers as ordered
Incorrect - This intervention relates to the diagnosis Acute Pain related to Traumatic Injury. It is not the
priority diagnosis.
What nursing intervention demonstrates that the nurse understands the priority nursing diagnosis when
caring for oral cancer patients with extensive tumor involvement and/or a high amount of secretions?
1. The nurse uses a pen pad to communicate with the patient
2. The nurse provides oral care every 2 hours
3. The nurse listens for bowel sounds every 4 hours.
4. The nurse suctions as needed and elevates the head of the bed - ans1. The nurse uses a pen pad to
communicate with the patient
Incorrect - This intervention is in response to impaired verbal communication, which is not the priority
nursing diagnosis.
2. The nurse provides oral care every 2 hours
Incorrect - This intervention is in response to impaired oral mucous membrane, which is not the priority
nursing diagnosis.
3. The nurse listens for bowel sounds every 4 hours.
Incorrect - This assessment is not relevant to the patient's condition
4. The nurse suctions as needed and elevates the head of the bed
,NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!
Correct - This intervention is in response to Ineffective Airway Clearance, which is the priority nursing
diagnosis.
Which of the following statements made by a client during an individual therapy session would the
nurse most identify as reflecting schizoaffective disorder?
1. "I just want to stab myself with this pen."
2. "What's the point in life anyways?"
3. "My thoughts are racing because of the conspiracies against me."
4. "I hear voices every day and sometimes see old friends that don't exist." - ans1. "I just want to stab
myself with this pen."
Incorrect - This is a suicidal ideation, but not a classic symptom of schizoaffective disorder
2. "What's the point in life anyways?"
Incorrect - This is a verbalization of hopelessness, which can manifest in depression, bipolar disorder, or
schizoaffective disorder.
3. "My thoughts are racing because of the conspiracies against me."
Correct - Schizoaffective disorder is characterized by the mania and depression of bipolar disorder with
the delusions/disturbed thought process of schizophrenia. Racing thought are a classic symptom of a
manic episode, while conspiracies indicate paranoia.
4. "I hear voices every day and sometimes see old friends that don't exist."
Incorrect - While visual and auditory hallucinations can manifest in schizoaffective disorder, there is no
indication of bipolar symptoms (mania or depression)
Which of these clients is likely to receive sublingual morphine?
1. A 75-year-old woman in a hospice program
2. A 40-year-old man who just had throat surgery
3. A 20-year-old woman with trigeminal neuralgia
, NCLEX RN NEWEST 2024, 2023 AND 2022 (3-LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|GRADED A+|BRAND NEW!!
4. A 60-year-old man who has a painful incision - ans1. A 75-year-old woman in a hospice program
Correct - Sublingual morphine is often used in hospice because the patients are unable to swallow, and
intravenous access can be painful and not conducive to palliative care.
2. A 40-year-old man who just had throat surgery
Incorrect - Patients who have surgery most likely have an Intravenous line
3. A 20-year-old woman with trigeminal neuralgia
Incorrect - Morphine would not be the first choice for nerve pain
4. A 60-year-old man who has a painful incision
Incorrect - Although Morphine would be an appropriate medications, there is no indication that it
should be administered sublingually
Which of these patients would the nurse suspect as having the greatest risk of contracting Hepatitis B?
1. A sexually active 45-year old man who has Type 1 Diabetes
2. A 75-year old woman who lives in a crowded nursing home
3. A child who lives in a country with poor sanitation and hygiene standards
4. A sexually active 23-year old man who works in a hospital - ans1. A sexually active 45-year old man
who has Type 1 Diabetes
Incorrect - This person is sexually active, but it is not specified with how many partners. Having Type 1
Diabetes is not a risk factor for Hepatitis.
2. A 75-year old woman who lives in a crowded nursing home
Incorrect - Age is not a risk factor for Hepatitis B, and close living accommodations is a stronger risk
factor for Hepatitis A and E, which are oral-fecal transmissions.
3. A child who lives in a country with poor sanitation and hygiene standards
Incorrect - This is a relevant risk factor for Hepatitis A and E
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