(NGN) NCLEX PN LATEST 2024 -2025 TEST BANK
COMPLETE 450 ACTUAL EXAM QUSTIONS WITH
100% CORRECT VERIFIED ANSWERS/ RATED A+
A client has returned to the nursing unit following abdominal
hysterectomy. To gather data on the client's postoperative bleeding,
the nurse should implement which interventions? Select all that
apply.
1. Observing perineal pad drainage
2. Observing the abdominal dressing
3. Rolling the client to one side to view bedding
4. Monitoring output from the Jackson-Pratt drain
5. Auscultation of bowel sounds, especially lower quadrants
6. Observing for abdominal distention and presence of ecchymosis -
Correct Answer - 1, 2, 3, 4
The nurse is administering a medication intramuscularly to an
assigned client. The nurse should include which actions in
administering the medication? Select all that apply.
1. Massage the site after injection.
2. Use a Z-track method for administration.
3. Wear sterile gloves to administer the medication.
4. Hold the syringe as if it is a dart to insert the needle.
5. Select an appropriate injection site such as the ventral gluteus.
6. Cleanse the injection site using a back-and-forth motion with an
antiseptic pad. - Correct Answer - 2, 4,
pg. 1
,Fludrocortisone is prescribed for a client with Addison's disease. The
primary health care provider needs to be notified if the client
experiences which conditions? Select all that apply.
1. Edema
2. Chest pain
3. Weight loss
4. Muscle cramps
5. Abnormal lung sounds - Correct Answer - 1, 2, 4
A client with diabetes mellitus decides to exercise an extra 30
minutes. The client is now experiencing hypoglycemia. Hypoglycemia
is supported by which noted data? Select all that apply.
1. Hunger
2. Shakiness
3. Cool, clammy skin
4. Fruity breath odor
5. Rapid, deep breathing - Correct Answer - 1, 2, 3
A nursing student is asked to identify the layers of tissue found within
the uterus. Which student responses are correct with regard to the
tissue layers of the uterus? Select all that apply.
1. Ectometrium
2. Myometrium
3. Perimetrium
4. Endometrium
5. Transmetrium - Correct Answer - 2, 3, 4
pg. 2
,The nurse is collecting data on a client with chronic sinusitis. Which
are signs and symptoms of chronic sinusitis? Select all that apply.
1. Loss of smell
2. Chronic cough
3. Nasal stuffiness
4. Clear nasal discharge
5. Severe evening headache - Correct Answer - 1, 2, 3
The nurse working in an obstetrical-gynecological primary health care
provider's office is instructing a small group of premenopausal female
clients about breast self-examination (BSE). Which instruction should
the nurse reinforce as the first step to begin the BSE?
1. BSE begins with palpation of the axilla with arm slightly raised.
2. BSE begins with inspection of the breast standing before a mirror.
3. BSE begins with a vertical pattern palpation of the breasts and axillary
area.
4. BSE begins in a lying position with palpation of the breasts and axillary
area with the arm raised above the head. - Correct Answer - 2
The nurse is caring for a client with a fractured tibia and fibula. Eight
hours after a long leg cast was applied, the client began to report an
increase in pain level even after administration of the prescribed dose
of opioid analgesic. Which is the initial nursing action?
1. Elevate the casted leg.
2. Contact the primary health care provider.
3. Administer another dose of pain medication.
4. Check the neurovascular status of the toes on the casted leg. - Correct
Answer - 4
pg. 3
, A client is receiving anticonvulsant therapy with phenytoin. The nurse
plans to monitor the results of which laboratory tests closely? Select
all that apply.
1. Urinalysis
2. Serum sodium
3. Serum calcium
4. Alkaline phosphatase
5. Complete blood cell count - Correct Answer - 1, 3, 4, 5
The nurse documents that the client has a stage 2 pressure injury on
the decubitus area. Which describes a stage 2 pressure injury?
1. The area has a deep crater-like appearance.
2. There is tissue necrosis with damage to the muscle.
3. The ulcer is superficial and characterizes an abrasion.
4. The area is red and does not blanch with external pressure. - Correct
Answer - 3
The nurse admitting a client to the hospital is reviewing the client's
history and medications taken at home. Which condition in the
client's history is being treated with tamoxifen citrate?
1. Diabetes mellitus
2. Positive tuberculin test
3. Metastatic breast cancer
4. History of cholecystectomy - Correct Answer - 3
The nurse is caring for a client who begins to experience seizure
activity while in bed. Which actions by the nurse would be
contraindicated? Select all that apply.
pg. 4
COMPLETE 450 ACTUAL EXAM QUSTIONS WITH
100% CORRECT VERIFIED ANSWERS/ RATED A+
A client has returned to the nursing unit following abdominal
hysterectomy. To gather data on the client's postoperative bleeding,
the nurse should implement which interventions? Select all that
apply.
1. Observing perineal pad drainage
2. Observing the abdominal dressing
3. Rolling the client to one side to view bedding
4. Monitoring output from the Jackson-Pratt drain
5. Auscultation of bowel sounds, especially lower quadrants
6. Observing for abdominal distention and presence of ecchymosis -
Correct Answer - 1, 2, 3, 4
The nurse is administering a medication intramuscularly to an
assigned client. The nurse should include which actions in
administering the medication? Select all that apply.
1. Massage the site after injection.
2. Use a Z-track method for administration.
3. Wear sterile gloves to administer the medication.
4. Hold the syringe as if it is a dart to insert the needle.
5. Select an appropriate injection site such as the ventral gluteus.
6. Cleanse the injection site using a back-and-forth motion with an
antiseptic pad. - Correct Answer - 2, 4,
pg. 1
,Fludrocortisone is prescribed for a client with Addison's disease. The
primary health care provider needs to be notified if the client
experiences which conditions? Select all that apply.
1. Edema
2. Chest pain
3. Weight loss
4. Muscle cramps
5. Abnormal lung sounds - Correct Answer - 1, 2, 4
A client with diabetes mellitus decides to exercise an extra 30
minutes. The client is now experiencing hypoglycemia. Hypoglycemia
is supported by which noted data? Select all that apply.
1. Hunger
2. Shakiness
3. Cool, clammy skin
4. Fruity breath odor
5. Rapid, deep breathing - Correct Answer - 1, 2, 3
A nursing student is asked to identify the layers of tissue found within
the uterus. Which student responses are correct with regard to the
tissue layers of the uterus? Select all that apply.
1. Ectometrium
2. Myometrium
3. Perimetrium
4. Endometrium
5. Transmetrium - Correct Answer - 2, 3, 4
pg. 2
,The nurse is collecting data on a client with chronic sinusitis. Which
are signs and symptoms of chronic sinusitis? Select all that apply.
1. Loss of smell
2. Chronic cough
3. Nasal stuffiness
4. Clear nasal discharge
5. Severe evening headache - Correct Answer - 1, 2, 3
The nurse working in an obstetrical-gynecological primary health care
provider's office is instructing a small group of premenopausal female
clients about breast self-examination (BSE). Which instruction should
the nurse reinforce as the first step to begin the BSE?
1. BSE begins with palpation of the axilla with arm slightly raised.
2. BSE begins with inspection of the breast standing before a mirror.
3. BSE begins with a vertical pattern palpation of the breasts and axillary
area.
4. BSE begins in a lying position with palpation of the breasts and axillary
area with the arm raised above the head. - Correct Answer - 2
The nurse is caring for a client with a fractured tibia and fibula. Eight
hours after a long leg cast was applied, the client began to report an
increase in pain level even after administration of the prescribed dose
of opioid analgesic. Which is the initial nursing action?
1. Elevate the casted leg.
2. Contact the primary health care provider.
3. Administer another dose of pain medication.
4. Check the neurovascular status of the toes on the casted leg. - Correct
Answer - 4
pg. 3
, A client is receiving anticonvulsant therapy with phenytoin. The nurse
plans to monitor the results of which laboratory tests closely? Select
all that apply.
1. Urinalysis
2. Serum sodium
3. Serum calcium
4. Alkaline phosphatase
5. Complete blood cell count - Correct Answer - 1, 3, 4, 5
The nurse documents that the client has a stage 2 pressure injury on
the decubitus area. Which describes a stage 2 pressure injury?
1. The area has a deep crater-like appearance.
2. There is tissue necrosis with damage to the muscle.
3. The ulcer is superficial and characterizes an abrasion.
4. The area is red and does not blanch with external pressure. - Correct
Answer - 3
The nurse admitting a client to the hospital is reviewing the client's
history and medications taken at home. Which condition in the
client's history is being treated with tamoxifen citrate?
1. Diabetes mellitus
2. Positive tuberculin test
3. Metastatic breast cancer
4. History of cholecystectomy - Correct Answer - 3
The nurse is caring for a client who begins to experience seizure
activity while in bed. Which actions by the nurse would be
contraindicated? Select all that apply.
pg. 4
