NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM, Exams of Nursing

Download NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM and more Exams Nursing in PDF only on Docsity! NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 1 - Correct Answer The client has increased intracranial pressure with cerebral edema, and mannitol is administered. Which assessment should the nurse make to evaluate if a complication from the mannitol is occuring? #70666278 (20) 1. Auscultate breath sounds to assess for crackles 2. Monitor for >50 mL/hr urine output 3. Monitor Glasglow Coma Scale increasing from 8/15 to 9/15. 4. Press over the tibia to assess for pitting edema. Mannitol - Correct Answer is an osmotic diuretic used to treat cerebral edema and acute glaucoma. Normal kidney function and adequate urine output are crucial while administering this medication as _________ accumulation can result in significant volume expansion, dilutional hyponatremia and pulmonary edema. #70666278 (20) 1 - Correct Answer A client having an ishcemic stroke arrives at the emergency department. The health care provider prescribes TISSUE PLASMINOGEN ACTIVATOR (tPA). Which client statement would be MOST important to clarify before administering tPA? #70666278 (21) 1. "I can't believe this is happening right after my stomach surgery." 2. "I had a concussion after a car accident a year ago." 3. "I started noticing my right arm becoming weak approximately an hour ago." 4. "I stopped taking my warfarin 4 weeks ago." NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 1,3,5 - Correct Answer A 12 month old has a high blood lead level of 18 mcg/dL . The nurse educates the parents about lead poisoning. Which statements made by the parent indicate that teaching has been successful? SELECT ALL THAT APPLY. #70666278 (22) 1. "I should get our home inspected for the source of lead." 2. "I will vacuum out hard-surface floors daily." 3. "I will wash my child's hand often, especially before eating." 4. "We should use hot water from the tap for cooking." 5. " We will have to return for a follow-up lead level." 1,2,3,5 - Correct Answer The nurse will implement which nursing actions when caring for a client recently diagnosed with a hiatal hernia.? SELECT ALL THAT APPLY. #70666278 (23) 1. Elevate the head of the hospital bed. 2. Instruct the client to avoid tobacco and caffeine 3. Offer small, frequent, low fat meals 4. Provide a girdle to reduce the hernia 5. Teach the client to avoid lifting or straining. 1 - Correct Answer A nurse is planning to complete a physical exami-nation of a toddler. Which approach is an appro- priate intervention by the nurse? NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 2. Decrease the dosage 3. Discontinue the medication 4. Increase the dosage. 1 - Correct Answer Which infant is MOST LIKELY to require oral iron supplementation at this time? #70666278 (29) 1. 2 month old born at 34 weeks gestation who is bottle-fed with breast milk. 2. 4 month old born at term who is breast fed exclusively 3. 6 month old born at term who is formula fed 4. 7 month old who is breast fed and was re- cently started on solid foods. 1 - Correct Answer A client with schizophrenia that is resistant to other antipsychotiic medications is about to start on a course of CLOZAPINE. Which of these periodic measurements has the HIGHEST PRIORITY in this client? #70666278 (30) 1. Complete blood count (CBC) and absolute neutrophil count . 2. Electrocardiogram 3. Fasting blood sugar and fasting lipids 4. Height, weight, and waist circumference. NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 1 - Correct Answer A client had a thoracotomy 2 days ago to remove a lung mass and has a right chest tube attached to negative suction. Immediately after turning the client to the left side to assess the lungs, the nurse observes a rush of approximately 125 mL of dark bloody drainage into the drainage tubing and collection chamber. What is the appropriate nursing action? CLICK ON THE EXHIBIT BUTTON FOR ADDITIONAL INFORMATION . Laboratory and output values. #70666278 (31) Hemoglobin Chest drainage output Preoperative 15 g/dL Postoperative 12.5 g/dL 400 mL/24 hr Postoperative 13 g/dL 50 mL/12 hr 1. Document and continue to monitor chest drainage 2. Immediately clamp the chest tube 3. Notify the health care provider 4. Request repeat hematocrit and hemoglobin levels. 3 - Correct Answer A client receives an injection of botulinum toxin type A for facial and neck rejuvenation. What complications of this procedure should the nurse be aware of for monitoring and teaching? #70666278 (32) 1. Abdominal rigidity and diarrhea 2. Back pain and urge incontinence NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 3. Difficulty swallowing and breathing 4. Difficulty walking and hand tremor. 4 - Correct Answer The nurse is assessing a client who had an esopha- gogastroduodenoscopy(EGD) 2 hours ago. Which finding requires an IMMEDIATE report to the health care provider? #70666278 (33) 1. Blood pressure drop from 122/88 mm Hg to 106/72 mm Hg 2. Gag reflex has not returned 3. Sore throat when swallowing 4. Temperature spike to 101.2 F 3 - Correct Answer The nurse is counseling a pregnant client who is HIV POSITIVE. Which information is appropriate to discuss? #70666278 (34) 1. Infant should be exclusively breastfed for 6 months to receive maternal antibodies. 2. Infant will not require treatment for HIV after birth 3. Prescribed antiretroviral therapy should be continued during pregnancy. 4. Tetanus-diphtheria-vaccine should be avoided until after birth. 3 - Correct Answer A child with attention-deficit hyperactivity disorder (ADHD) has been taking methylphenidate for a year. What are the PRIORITY nursing assessments when the client comes for a well-child visit? NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 3. Give more morphine per protocol 4. Open the airway with head tilt-chin lift. 2,3,4 - Correct Answer A registered nurse is making pre-procedure phone calls to clients scheduled for cardiac pharmacologic nuclear stress testing the following day. Which instructions should the nurse give the clients? SELECT ALL THAT APPLY #70666278 (40) 1. Decaffeinated coffee or tea can be consumed 2. Do not consume caffeine for 24 hours before the test. 3. Do not smoke on the day of the test. 4. Do not take beta blockers on the day of the test. 5. Take diabetic medications as usual before the test. 4 - Correct Answer The charge nurse is preparing for the admission of an elderly client with delirium and agitation associated with urinary tract infection. To promote client safety, which intervention is MOST IMPOR-TANT for the charge nurse to implement? #70666278 (41) 1. A bed near the nursing station 2. Four-point leather restraints 3. Minimizing environmental stimuli 4. One on one supervison from a sitter. NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 3 - Correct Answer When performing developmental screenings in the well-child clinic, the registered nurse understands that which child is at HIGHEST risk of developing autism spectrum disorder? #70666278 (42) 1. 2 year old who has a vocabulary of 10 words 2. 3 year old who received measles, mumps, and rubella immunization at age 1 year 3. 4 year old whose 10 year old sibling has the disorder 4. 5 year old whose parents were age 42 at the time of birth. 1 - Correct Answer The nurse is reviewing new prescriptions for assigned clients. Which prescription would require further clarification from the health care provider? #70666278 (43) 1. Alteplase for an ischemic stroke in a client with a blood pressure of 192/112 mm Hg 2. Amoxicillin for a respiratory infection in a client who is 20 weeks pregnant 3. Fentanyl for moderate to severe pain in a client who post appendectomy with an allergy to codeine 4. Sodium chloride 3% infusion for a client with syndrome of inappropriate antidiuretic hormone. 1 - Correct Answer A male client has terminal metastatic disease. He arrives at the emergency department with respira-tions of 6/min and an advance directive indicating to withhold resuscitative efforts. What should the nurse's response be? #70666278 (44) 1. Apply oxygen at 2 L by nasal cannula NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 2. Ask the client if he wants to change his mind. 3. Ask the spouse what she wants done 4. Determine who has medical power of attorney. 2,3,5,6 - Correct Answer The student nurse is reviewing the medical record of a 4 year old diagnosed with FAILURE TO THRIVE (FTT) .The nurse correctly identifies which clinical and psychosocial factors that have likely contribu-ted to the child's condition? SELECT ALL THAT APPLY #70666278 (45) 1. Child has 3 older siblings 2. Child is bottle fed 4 times a day and at bedtime 3. Child's parent is incarcerated for spousal abuse 4. Parent works part time as a teacher's aide 5. Parent worries about having enough money to buy food 6. The children eat at various times of the day in front of the television 2 - Correct Answer A postoperative client who is receiving continuous enteral feedings via a nasoenteric tube becomes dyspneic with a productive cough, and the nurse auscultates crackles and diminished breath sounds in lung bases. Which action is appropriate at this time? #70666278 (46) 1. Administer an inhaled bronchodilator 2. Check marked insertion depth of the tube. 3. Request a prescription for a diuretic NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 1. Aripiprazole 2. Calcium carbonate 3. Donepezil 4. Furosemide 5. Lisinopril 2,5,6 - Correct Answer A sexually active female client has had 3 urinary tract infections (UTIs) in 12 months. Which instruc-tions should the nurse include in teaching the client how to prevent UTI recurrence. SELECT ALL THAT APPLY #70666278 (52) 1. Douche with a water and vinegar solution after intercourse 2. Increase daily intake of fluids 3. Use a spermicidal contraceptive jelly 4. Use fragrance free perineal deodorant products 5. Void immediately after intercourse 6. Wear underwear with a cotton crotch. 4 - Correct Answer The nurse prepares a client for discharge following a vasectomy. The client asks "When can I have sexual intercourse with my wife without using a condom? " What is the BEST response by the nurse? #70666278 (53) 1. "Discontinue alternative birth control after at least 5 ejaculations" 2. "There is no need to use alternative birth control following today's procedure." NCLEX RN #40 A+ RATED 2023-2024 WITH CERTIFIED SOLUTIONS 100% ACCURATE ANSWERS BEST EXAM SOLUTION FOR A+ STUDENTS 3. "Use alternative birth control for 6 months following today's procedure." 4. "Use alternative birth control until cleared by the health care provider."