NCLEX RN (NEXT GENERATION FORMAT) ACTUAL EXAM TEST BANK OF REAL QUESTIONS & CORRECT DETAILED ANSWERS WITH RATIONALES NCLEX
9 views 0 purchase
Course
Nclex
Institution
Nclex
NCLEX RN (NEXT GENERATION FORMAT) ACTUAL EXAM TEST BANK OF REAL QUESTIONS & CORRECT DETAILED ANSWERS WITH RATIONALES NCLEX NCLEX RN (NEXT GENERATION FORMAT) ACTUAL EXAM TEST BANK OF REAL QUESTIONS & CORRECT DETAILED ANSWERS WITH RATIONALES NCLEX NCLEX RN (NEXT GENERATION FORMAT) ACTUAL EXAM TEST ...
NCLEX PRACTICE EXAMS WITH
VERIFIED QUESTIONS AND ANSWERS
A charge nurse is observing a newly licensed nurse irrigate a client's ear, which is
impacted with cerumen. Which of the following actions requires the charge nurse to
intervene?
a. visualizing the eardrum before irrigating
b. instilling 50 mL of fluid with each irrigation
c. using frim, continuous pressure while irrigating
d. warming the irrigation fluid to at least 37 C (98 F)
- ANSWER-Instilling 50 mL of fluid with each irrigation
- should use no more than 5 to 10 mL of irrigating fluid at a time to decrease the chance
of stimulating the vestibular nerve of the inner ear
A client with emphysema is short of breath. The nurse assists the client into which
position?
a. supine with pillows under the legs
b. lying to the left side
c. leaning back in a recliner
d. sitting upright and leaning forward
- ANSWER-Sitting upright and leaning forward
-emphysema is a lung disease that causes breathlessness (usually caused by cigarette
smoking, no cure)
A home health nurse is talking with the partner of a client who has dementia. Which of
the following statements by the partner indicates that the client is displaying signs of
apraxia?
a. yesterday, my partner put on a jacket upside down
b. my partner has trouble reading the newspaper
c. my partner often repeats words
d. last week, my partner did not recognize the sound of the alarm clock
- ANSWER-Yesterday, my partner put on a jacket upside down
,(apraxia - lack of ability to accomplish once known tasks)
- agraphia = decrease ability to read or write
- perseveration - repetition of word or phrase
- agnosia - loss of the ability to recognize objects, this loss can be auditory, visual or
tactile
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit.
Which of the following findings should the nurse report to the provider?
a. head lagging when the infant is pulled from a lying to a sitting position
b. absence of startle and crawl reflexes
c. inability to pick up a rattle after dropping it
d. rolling from back to side
- ANSWER-Head lagging when the infant is pulled from a lying to a sitting position
- at 5 months = infant should hav eno head lag
- startle reflex disappears by the age of 4 months
- the crawl reflex disappears around 6 weeks
- at 5 months the infant can follow a dropped object but can't pick it up until 6 months
- at 4 months the infant should be able to roll form back to side
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
- ANSWER-Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less than
A nurse cares for an adult client who is on the organ transplant waiting list. Which factor
is most important for selecting a donor-recipient match?
a. age of client
b. tissue compatibility
c. immediate need
d. gender
- ANSWER-Tissue compatibility
, - compatible tissue and blood types are the most important factors when matching a
donor to a recipient
A nurse in a provider's office is assessing a client who is crying and states "It's my
child's first day of school." The nurse should recognize that the child is experiencing
which of the following types of loss?
a. actual loss
b. maturational loss
c. perceived loss
d. situational loss
- ANSWER-Maturational loss
- loss is tied to normal, expected life change
- situational loss is sudden and unpredictable (losing job)
- perceived loss is less obvious to those around an individual (being shunned by a
friend)
A nurse in an emergency department is assessing a school-aged child who is
experiencing an acute asthma exacerbation. Which of the following findings is the
priority for the nurse to report to the provider?
a. excessively prolonged expiration
b. increased diaphoresis
c. increased production of frothy sputum
d. sudden decrease in wheezing
- ANSWER-Sudden decrease in wheezing
- indicates child is experiencing decreased air movement and
A nurse in an emergency department is caring for a 4 year old who has burns to the
neck and face following a house fire. Which action should the nurse take first?
a. cover the child's wounds with a clean, dry cloth
b. establish IV access with a large-bore catheter
c. provide reassurance to the child's parents
d. determine the child's breathing pattern
- ANSWER-Determine the child's breathing pattern
(ABCs)
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?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Lectwiseman. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
