NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023, Exams of Nursing

Download NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023 and more Exams Nursing in PDF only on Docsity! NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN EXAM 2021 update  Which of the following clients is at a higher risk of developing oral health problems? a. A pregnant client b. A client with diabetes c. A client receiving chemotherapy d. Both b and c  Which nursing intervention is most appropriate to reduce environmental stimuli that may cause discomfort for a client? a. Loosen pressure dressings on wounds NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. Use assistance to pull a client up in bed c. Check temperature of water used in a sponge bath d. Position the client prone  A client has developed a vitamin C deficiency. Which of the following symptoms might the nurse most likely see with this condition? a. Cracks at the corners of the mouth b. Altered mental status c. Bleeding gums and loose teeth d. Anorexia and diarrhea  Which of the following interventions should a nurse perform for a female client who is incontinent with impaired skin integrity? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. The nurse discusses the client's health history  A nurse asks her coworker to administer Mr. J's 12pm medication because she is running behind. Which of the following information must the nurse verify with Mr. J before giving him his medication? a. His name and address b. His name and hospital identification number c. His name and room number d. His name and diagnosis  Which of the following is more likely to occur with aging as a complication of medication administration? a. Increased renal function b. Increased gastrointestinal absorption NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. Increased visual acuity d. Increased ratio of fat compared to lean body mass  Which of the following interventions should the nurse consider when giving an oral medication to a child? a. Mix the medication with milk to mask the taste b. Dilute the medication in a glass of water c. Refeed the medication if the child pushes it out with his tongue d. Mix the medication in a food the child enjoys  Which of the following solutions is compatible with administration of packed red blood cells? a. Lactated Ringer's NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. 0.9% Normal Saline c. D5 ½ Normal Saline d. Normosol-R  Which of the following is an example of a colloid solution? a. 5% Dextrose in water (D5W) b. Albumin c. Lactated Ringer's d. Normal Saline  Which of the following best describes the cognitive development of an 18- month old child? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. All of the above  Your patient has had a very full and rewarding life. She has had a lot of success in her personal and professional life. She has achieved all of her goals and she has maximized her potential. This patient can be best described as a person who has achieved Maslow's . a. self actualization b. exploration c. closeness d. protection ANSWER A: This person has moved along Maslow's hierarchy and is now  At the end of life, many people have a fear of . NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. insects b. rejection c. acceptance d. being alone  Which of the following screening tools have been found to have a high diagnostic accuracy for screening for intimate partner violence? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Hurt, Insult, Threaten and Scream (HITS) b. Humiliation, Afraid, Rape, and Kick (HARK) c. Slapped, Threatened and Thrown (STaT) d. All the above  What is the relationship between HIPPA and technological advances? a. Technology helps to foster HIPPA confidentiality. b. Computers help us to share information with others. c. Computer screens are not visible to others in the area. d. Technology places us at risk for HIPPA violations.  Which technological advance is MOST likely to place you at risk for HIPPA NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A physician is explaining a procedure to a patient that may cure her recurring Staph infection. The doctor explains how the procedure is done, what to expect, the odds of the procedure curing the infection, and possible side effects and risks. The physician is: a. Preparing the patient to give informed consent. b. Protecting HIPAA by listing all of the steps of the procedure with the risks involved. c. Not required to inform the patient of any alternative therapies. d. None of the above.  Teresa is an 84-year-old with stage 4 ovarian cancer who has been admitted for a bowel obstruction. She recently stated that she has decided that she doesn't want any further aggressive care and is requesting to be placed under hospice care. Her husband and daughter are supportive of her decision. She spoke with her oncologist about it, and he stated that he did not NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. agree, and wrote orders on her chart for chemotherapy. What would be the best first response to this situation? a. Give the patient a list of other oncologists b. Tell the family to report the doctor to the state quality board c. Notify the doctor that the patient refuses the chemotherapy d. Give the patient hospice information  Upon entering an elderly patient's room, you find a research assistant with a clipboard, obtaining consent to participate in a new study. After signing the form, the patient begins to ask questions about the study. The assistant smiles and says, "Don't worry about all that, we'll take good care of you. Now enjoy the chocolate I brought." What should your first response be? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Ignore the patient's questions b. Stop the assistant and question the consent c. Notify the nurse manager d. Notify the research department NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. They have been through too much already." d. You can contact administration with your concerns."  You have noticed that the last several patients you have cared for have had questionable blood pressure readings from their arterial lines. When checked against cuff pressures, a discrepancy has been noted, and further investigation has revealed faulty transducers. This is not the first product issue with this company. What positive step could you take to help resolve this situation? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Use the old stock from a previous company b. Verify the cuff pressures every hour to ensure accuracy c. Notify the risk manager d. Form a peer workgroup to evaluate new products  A nurse is caring for a client who died approximately one hour ago. The nurse notes that the client's temperature has decreased in the last hour since his death. Which of the following processes explains this phenomenon? a. Rigor mortis b. Postmortem decomposition c. Algor mortis d. Livor mortis NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A nurse is calculating a client's intake and output. During the last shift, the client has had ½ cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client has urinated 250 cc and has had 2 bowel movements. What is this client's intake and output for this shift? a. 420 cc intake, 250 cc output b. 300 cc intake, 250 cc output c. 550 cc intake, 550 cc output d. 300 cc intake, 550 cc output  A nurse is caring for a client with ariboflavinosis. Which of the following foods should the nurse serve this client? a. Citrus fruits NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. Decreased work of breathing d. Decreased gastric motility  You have taken the vital signs for your patient. They are normal for the patient. What should you do next? a. Report the vital signs to the doctor b. Write the vital signs on a scrap paper c. Call the family members d. Document them on the graphic VS form  Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. A physical therapist b. A speech therapist NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. A social worker d. An occupational therapist  Which of the following is an example of emotional abuse? a. A slap to the person's hand b. Threatening the person c. Ignoring and isolating a person d. Leaving a patient soiled for hours  Which of the following is an example of emotional neglect? a. A slap to the person's hand NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. I'll ask the physician if he can prescribe a medication that is more affordable." c. You should apply for Medicare to see if they can help you." d. This medication is essential for her care and should be given priority over all others that she is taking."  The discharge planning team is discussing plans for the dismissal of a 16- year old admitted for complications associated with asthma. The client's mother has not participated in any of the discharge planning process, but has stated that she wants to be involved. Which of the following reasons might prohibit this mother from participating in discharge planning? a. The client is an emancipated minor b. The mother has to work and is unavailable c. The client has a job and a driver's license NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. The mother does not speak English  A nurse enters a client's room and finds her lying on the floor near the bathroom door. As the nurse provides assistance, the client states, "I thought I could get up on my own." What information must the nurse document in this situation? a. A statement explaining the condition the client was found in, quoting the client's words about the situation b. An explanation of how the fall happened and when the physician was notified c. An account of the conditions of the room that contributed to the client's fall d. A description of the client's condition and the reasons why she should have had assistance to the bathroom NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  Which of the following may be a cultural barrier that impacts a nurse's ability to provide care or education to the client? a. A nurse offers educational materials to a client that are written at an 8th grade reading level b. A Vietnamese woman wants to use steaming in addition to her prescription antibiotics NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  Which of the following is an example of the intervention phase of the individualized nursing care plan for a client who receives a colostomy after a bowel resection? a. Taking a health history and performing a physical exam prior to the procedure b. Instructing the client about how to care for his colostomy stoma c. Developing goals that state the client will ambulate three times a day d. Determining that the client may need more support at home after dismissal  Which method best describes the use of evidence-based practice? a. Reading and analyzing research reports to see how they can be implemented into nursing practice NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. Collecting data to determine how efficiently nursing practice is contributing to quality care c. Monitoring unit practices to determine compliance with Joint Commission standards d. Using the most effective, current, and applicable information available to guide nursing care for the best of the clients.  A public health nurse discovers that many of the children in the neighborhood where she works are developing lead toxicity. She implements a program to screen for lead exposures among clients in the community. This is an example of: a. Social justice b. Policy resources c. Autonomy d. Moral justification NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  Which of the following is an example of whistle blowing? a. A nurse contacts administration about a colleague who takes supplies to use for a mission trip b. A client sues a nurse because she failed to call the physician about his wound infection NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Teach the daughter instead b. Teach both and ask the daughter to translate for you NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. Contact a home health agency to provide care d. Provide a pamphlet with detailed instructions  What is a key principle of patient teaching that must take place to ensure patient safety? a. Family members should be present b. Teaching must be documented c. Understanding must be confirmed d. Teaching should be provided by multiple staff members  A client with adrenal insufficiency has a potassium level of 7.2 mEq/L. Which of the following signs or symptoms might the client exhibit with this result? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Peaked T waves on the ECG b. Muscle spasms c. Constipation d. A prominent U wave on the ECG  A client is having difficulties reading an educational pamphlet. He cannot find his glasses. In order to read the words, he must hold the pamphlet at arm's length, which allows him to read the information. Which vision deficit does this client most likely suffer from? a. Cataracts b. Glaucoma c. Astigmatism d. Presbyopia NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  Which of the following signs or symptoms indicates a possible nutritional deficiency? a. Subcutaneous fat at the waist and abdomen b. Presence of papillae on the surface of the tongue c. Straight arms and legs d. Pale conjunctiva  A nurse is preparing to insert a small-bore nasogastric feeding tube for a client's enteral feedings. In which method does the nurse measure the correct length of the tube? a. From the tip of the nose to the xiphoid process b. From the tip of the nose to the earlobe to the xiphoid process NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. From the earlobe to the xiphoid process d. From the tip of the nose to the earlobe to the umbilicus NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  One major difference between long term care and respite centers is the fact that long term care facilities: a. provide only physical care and respite centers give both physical and emotional care. b. provide care for residents on a long term basis and respite centers offer only outpatient services. c. provide care for residents on a long term basis and respite centers offer only temporary services. d. There is no difference. Long term care and respite care are the same.  A nurse is assisting Mrs. K, a client who is undergoing a lumbar puncture. Which of the following elements should the nurse use to instruct Mrs. K about this procedure? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Palpating the temperature of both feet b. Evaluating pulses bilaterally c. Turning the client to a side-lying position d. Relieving heel pressure by placing a pillow under the foot  A client is preparing to undergo a cystoscopy for stones. Which of the following statements indicates that the client understands the procedure? a. I better drink a lot of fluid now because I won't be able to after the test." b. I will probably see a little blood when I urinate." c. I will be able to go home after 3 days in the hospital." d. I won't need any pain medicine; this probably will not hurt."  Which of the following conditions may warrant a serum creatinine level? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Rhabdomyolysis b. Digitalis toxicity c. Glomerulonephritis d. All answers are correct  Which nursing intervention is most appropriate to maintain the patency of a client's nasogastric tube? a. Maintain constant connection to low-intermittent suction b. Irrigate the tube as per physician order c. Suction the mouth and nose every shift d. Perform a daily fecal occult blood sample NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A nurse is caring for a client who is having blood tests and who has an elevated lymphocyte level. Based on knowledge of cellular components, the nurse knows that these cells: a. Contain histamine and provide protection during allergic reactions b. Are involved in phagocytosis c. Provide protection and immunity against foreign substances d. Carry hemoglobin and oxygen to body tissues  Mrs. F has been diagnosed with hyperparathyroidism. Which of the following complications is Mrs. F at highest risk of developing? a. Hyponatremia b. Hypocalcemia NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. Apnea d. Lack of mobility  Select the age group that is coupled with an infectious disease that is most common in this age group. a. Infants: High billirubin b. Pre-School and School Age Children: Shingles c. Young Adults and Teenagers: Sexually transmitted diseases d. The Elderly: Malaria  A complication of osteoporosis is . a. rheumatoid arthritis NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. gouty arthritis c. dorsal flexion d. joint deformity  One of the complications of complete bed rest and immobility is which of the following? a. Plantar flexion. b. Dorsal flexion c. Extension contractures d. Adduction contractures  A nurse finds one of her clients unresponsive in his room. He is not breathing and does not have a pulse. After calling for help, what is the next action of the nurse? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Administer 2 ventilations NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. My baby will need two shots soon after his birth." c. I will not be able to breastfeed." d. My baby's father does not need testing; I know I am the one with hepatitis." NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A nurse is educating a client who was recently diagnosed with diverticulosis. What types of foods should the nurse recommend for this client? a. Whole grain cereal b. Eggs c. Cottage cheese d. Fish  A client is in need of hemodialysis for end-stage renal failure. The physician has inserted an AV fistula. Which of the following nursing interventions are appropriate when caring for this access site? a. Assess for clotting in fistula tubing NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. Apply a dressing over the fistula site c. Assess for a bruit or thrill at the site of the fistula d. Assess circulation proximal to the fistula site  A client is brought into the emergency room where the physician suspects that he has cardiac tamponade. Based on this diagnosis, the nurse would expect to see which of the following signs or symptoms in this client? a. Fever, fatigue, malaise b. Hypotension and distended neck veins c. Cough and hemoptysis d. Numbness and tingling in the extremities  Based on Mr. W's diagnosis of MAC, which of the following information should be provided to this client? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. The patient's cells are indicative of necrosis. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A patient with Bell's Palsy would have which of the following complaints? a. Paralysis of the right or left arm b. Malfunction of a certain cranial nerve c. A sub-condition of Cerebral Palsy d. A side effect of a stroke  A pathologic condition described as, "Increased intraocular pressure of the eye," is: a. Detached Retina b. Fovea Centralis c. Presbyopia d. Glaucoma NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A physician believes that a patient may be experiencing pancreatitis. Which of the following tests would be best to diagnose this condition? a. CK and Troponin b. BUN and Creatinine c. Amylase and Lipase d. HDL and LDL Cholesterol Levels  Which of the following is an example of client handling equipment? a. Wheelchair b. Height-adjustable bed c. Shower chair NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. Understaffing of nursing personnel  Which of the following actions of the nurse is most appropriate to reduce the risk of infection during the post-operative period? a. Flush the central line with heparin at least every four hours b. Administer narcotic analgesics prn c. Remove the urinary catheter as soon as the client is ambulatory d. Order a high-protein diet for the client  A nurse is assessing a client who is post-op day #1 after a hemilaminectomy. The nurse removes the dressing as ordered and notes that the incision appears slightly red, with a small amount of serous drainage coming from the site. The edges of the incision are approximated. What is the next action of the NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. nurse? a. Assist the client to shower as ordered and monitor the site for further changes b. Instruct the client to lie prone to allow the site to dry NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. c. Place antibiotic ointment and a sterile dressing over the site d. Notify the physician for an antibiotic order  A nurse is preparing to administer a dose of platelets to a client. Which of the following actions must the nurse perform before giving the platelets? a. Start an IV of ½ Normal Saline to administer with the platelets b. Ensure the container with the platelets is intact and not damaged c. Verify the client's name and address d. Check the client's chart to ensure he is not taking any antibiotics  Which of the following is an example of an environmental hazard that may put the nurse at risk of injury? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. HCV b. HPV c. HIV d. HBV  The NFPA diamond has four colors. The blue diamond: a. indicates hazards to health. b. designates that it is safe to use water to put out this type of fire. c. indicates that ice is necessary to treat an injury with this type of chemical. d. indicates that the chemical may be incinerated upon disposal.  Which would be the first step when a patient passes out at the front desk? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Call 911. b. Initiate CPR. c. Shake the patient and ask if he is ok. d. Check for a pulse.  When performing CPR, at what rate should chest compressions be applied? a. 100 per minute b. 60 per minute c. As quickly as possible. d. 200 per minute NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  Which acronym would BEST describe the procedure for assessing a patient that appears unconscious? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. Both b and c NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.  A term used to describe members of the same group based on physiological characteristics, such as skin color or body structure is known as: a. Ethnicity b. Culture c. Race d. Minority  Which of the following is an example of non-reversible dementia? a. Pick's disease b. Syphilis c. Encephalopathy NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. Hyperthyroidism  Which is a true statement regarding stress related disorders? a. Stress related disorders are only caused by stress b. Symptoms of stress related disorders would not exist if the client was not experiencing stress c. Stress related disorders are also called psychophysiologic disorders d. None of the above  Which of the following nursing outcomes is most appropriate during the crisis stage of caring for a victim of domestic violence? a. The client will verbalize community resources from which to seek shelter NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Denial b. Anger c. Idealization d. Shock  Of the following, which would NOT be helpful to include when developing Jerry's plan of care? a. Limiting choices b. Providing structure c. Encouraging patient input d. Ensuring availability of prn medications  Patients have a right to . NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. only enough information so they can comply with care NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. ALL of their health related information c. small amounts of information so they do not get nervous d. moderate amounts of information unless they are old  Your patient ate an 8 ounce cup of Italian ice. How much will you record on the patient's Intake and Output form in terms of this patient's fluid intake? a. 240 cc b. 120 cc c. 8 cc d. 0 cc because Italian ice is not a fluid.  You are getting the patient ready to eat. The patient is on complete bed NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. Medulla Oblongata  The anatomic structure located in the middle of the heart which separates the right and left ventricles is the: a. Septum b. Sputum c. Separatator d. None of the above.  Which of the following boney landmarks is described by, "large, blunt, irregularly shaped process, such as that found on the lateral aspect of the proximal femur"? NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. a. Tubercle b. Tuberosity c. Condyle NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. Trochanter  The Atlas and the Axis: a. are found in the vertebrae. b. can be described as being cervical. c. are the first two bones that form the column for the spine on the superior aspect. d. All of the above.  The body system that functions to maintain fluid balance, support immunity and contains the spleen is the: a. Lymphatic System NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. b. Meperidine c. Ziprasidone d. Haloperidol  Which of the following is an appropriate tension-reduction intervention for the patient who may be escalating toward aggressive behavior? a. Asking to speak to someone b. Asking to be alone c. Listening to music d. All of the above  Causes which contribute to delirium are often remembered as an acronym of the same name. What cause does the E in DELIRIUM NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. represent? a. EEG b. EKG c. Electrolytes d. Echocardiogram  A nurse is preparing to administer a rectal suppository to a client. After applying gloves, checking the client's identification band, and closing the door, what is the next step of the nurse? a. Assist the client to lie in the Trendelenburg position b. Unwrap the suppository and lubricate the end c. Remove gloves and wash hands NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+. d. Record the date, time, and amount of suppository to give NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2023/2024 RATED A+.