NCLEXRN RE NCLEX-PN Final 2023 Solved Questions, Exams of Nursing

Download NCLEXRN RE NCLEX-PN Final 2023 Solved Questions and more Exams Nursing in PDF only on Docsity! NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 1. A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. Taking the vital signs B. Obtaining the permit C. Explaining the procedure D. Checking the lab work 2. The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? A. Starting an IV B. Applying oxygen C. Obtaining blood gases D. Medicating the client for pain 3. The nurse is visiting a home health client with osteoporosis. The client has a NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED new prescription for alendronate (Fosamax). Which instruction should be given to the client? A. Rest in bed after taking the medication for at least 30 minutes B. Avoid rapid movements after taking the medication C. Take the medication with water only D. Allow at least 1 hour between taking the medicine and taking other medications NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Hematocrit of 33% C. WBC 2,000 per cubic millimeter D. Platelets 150,000 per cubic millimeter 8. A 6-month-old client is admitted with possible intussuception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis? A. “Tell me about his pain.” B. “What does his vomit look like?” C. “Describe his usual diet.” D. “Have you noticed changes in his abdominal size?” 9. The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided? A. Bran B. Fresh peaches C. Cucumber salad D. Yeast rolls 10. A client has rectal cancer and is scheduled for an abdominal perineal resection. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED What should be the priority nursing care during the post-op period? A. Teaching how to irrigate the illeostomy B. Stopping electrolyte loss in the incisional area C. Encouraging a high-fiber diet D. Facilitating perineal wound drainage NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 11. The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet? A. Roasted chicken B. Noodles C. Cooked broccoli D. Custard 12. A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for: A. Trendelenburg position B. Ice to the entire extremity C. Buck’s traction D. An abduction pillow 13. A client with cancer is to undergo an intravenous pyelogram. The nurse should: A. Force fluids 24 hours before the procedure B. Ask the client to void immediately before the study C. Hold medication that affects the central nervous system for 12 hours pre- and post-test NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Call the surgeon and ask him or her to see the client to clarify the information B. Explain the procedure and complications to the client C. Check in the physician’s progress notes to see if understanding has been documented D. Check with the client’s family to see if they understand the procedure fully NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 18. The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge? A. “I live by myself.” B. “I have trouble seeing.” C. “I have a cat in the house with me.” D. “I usually drive myself to the doctor.” 19. The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN? A. Hemoglobin B. Creatinine C. Blood glucose D. White blood cell count 20. The client with a myocardial infarction comes to the nurse’s station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Rationalization B. Denial C. Projection D. Conversion reaction NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Atropine sulfate B. Furosemide C. Prostigmin D. Promethazine 25. The client is scheduled for a pericentesis. Which instruction should be given to the client before the exam? A. “You will need to lay flat during the exam.” B. “You need to empty your bladder before the procedure.” C. “You will be asleep during the procedure.” D. “The doctor will inject a medication to treat your illness during the procedure.” 26. To ensure safety while administering a nitroglycerine patch, the nurse should: A. Wear gloves B. Shave the area where the patch will be applied C. Wash the area thoroughly with soap and rinse with hot water D. Apply the patch to the buttocks NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 27. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause: A. Hypertension B. Hyperthermia C. Melanoma D. Urinary retention NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 28. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient’s mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy? A. “She is very irritable lately.” B. “She sleeps quite a bit of the time.” C. “Her gums look too big for her teeth.” D. “She has gained about 10 pounds in the last 6 months.” 29. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery? A. Decreased appetite B. A low-grade fever C. Chest congestion D. Constant swallowing 30. A 6-year-old with cerebral palsy functions at the level of an 18-month- old. Which finding would support that assessment? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Warm the solution C. Continue the infusion and document the finding D. Discontinue the medication 34. The client is diagnosed with multiple myoloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. “Walk about a mile a day to prevent calcium loss.” B. “Increase the fiber in your diet.” C. “Report nausea to the doctor immediately.” D. “Drink at least eight large glasses of water a day.” 35. The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication? A. Telling the client that the medication will need to be taken with juice B. Telling the client that the medication will change the color of the urine C. Telling the client to take the medication before going to bed at night D. Telling the client to take the medication if night sweats occur 36. The client is taking prednisone 7.5mg po each morning to treat his systemic lupus errythymatosis. Which statement best explains the reason for taking the prednisone in the morning? A. There is less chance of forgetting the medication if taken in the morning. B. There will be less fluid retention if taken in the morning. C. Prednisone is absorbed best with the breakfast meal. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED D. Morning administration mimics the body’s natural secretion of corticosteroid. 37. A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan? A. The oral contraceptives will decrease the effectiveness of the tetracycline. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 41. The client with an ileostomy is being discharged. Which teaching should be included in the plan of care? A. Use Karaya powder to seal the bag. B. Irrigate the ileostomy daily. C. Stomahesive is the best skin protector. D. Neosporin ointment can be used to protect the skin. 42. The client has an order for FeSo4 liquid. Which method of administration would be best? A. Administer the medication with milk B. Administer the medication with a meal C. Administer the medication with orange juice D. Administer the medication undiluted 43. The client arrives in the emergency room with a hyphema. Which action by the nurse would be best? A. Elevate the head of the bed and apply ice to the eye B. Place the client in a supine position and apply heat to the knee NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. Insert a Foley catheter and measure the intake and output D. Perform a vaginal exam and check for a discharge 44. The nurse is making assignments for the day. Which client should be assigned to the nursing assistant? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. The 18-year-old with a fracture to two cervical vertebrae B. The infant with meningitis C. The elderly client with a thyroidectomy 4 days ago D. The client with a thoracotomy 2 days ago 45. The client arrives in the emergency room with a “bull’s eye” rash. Which question would be most appropriate for the nurse to ask the client? A. “Have you found any ticks on your body?” B. “Have you had any nausea in the last 24 hours?” C. “Have you been outside the country in the last 6 months?” D. “Have you had any fever for the past few days?” 46. Which of the following is the best indicator of the diagnosis of HIV? A. White blood cell count B. ELISA C. Western Blot D. Complete blood count NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. The doctor washes his hands before examining the client. D. The nurse wears gloves to take the client’s vital signs. 51. The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. The client loses consciousness. B. The client vomits. C. The client’s ECG indicates tachycardia. D. The client has a grand mal seizure. 52. A 5-year-old is being tested for pinworms. To collect a specimen for assessment of pinworms, the nurse should teach the mother to: A. Examine the perianal area with a flashlight 2–3 hours after the child is asleep and to collect any eggs on a clear tape B. Scrape the skin with a piece of cardboard and bring it to the clinic C. Obtain a stool specimen in the afternoon D. Bring a hair sample to the clinic for evaluation 53. Which instruction should be given regarding the medication used to treat enterobiasis (pinworms)? A. Treatment is not recommended for children less than 10 years of age. B. The entire family should be treated. C. Medication therapy will continue for 1 year. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED D. Intravenous antibiotic therapy will be ordered. 54. Which client should be assigned to the pregnant licensed practical nurse? A. The client who just returned after receiving linear accelerator radiation therapy for lung cancer B. The client with a radium implant for cervical cancer NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 58. A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when: A. Estrogen levels are low. B. Lutenizing hormone is high. C. The endometrial lining is thin. D. The progesterone level is low. 59. A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the: A. Age of the client B. Frequency of intercourse C. Regularity of the menses D. Range of the client’s temperature 60. A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes? A. Intrauterine device B. Oral contraceptives NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. Diaphragm D. Contraceptive sponge 61. The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy? A. Painless vaginal bleeding NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Abdominal cramping C. Throbbing pain in the upper quadrant D. Sudden, stabbing pain in the lower quadrant 62. The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client? A. Hamburger pattie, green beans, French fries, and iced tea B. Roast beef sandwich, potato chips, baked beans, and cola C. Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea D. Fish sandwich, gelatin with fruit, and coffee 63. The client with hyperemesis gravidarum is at risk for developing: A. Respiratory alkalosis without dehydration B. Metabolic acidosis with dehydration C. Respiratory acidosis without dehydration D. Metabolic alkalosis with dehydration 64. A client with a fractured hip has been placed in traction. Which statement is NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Bleeding on the dressing is 2cm in diameter. B. The client has a low-grade temperature. C. The client’s hemoglobin is 6g/dL. D. The client voids after surgery. 68. The nurse is caring for the client with a 5-year-old diagnosed with plumbism. Which information in the health history is most likely related to the development of plumbism? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. The client has traveled out of the country in the last 6 months. B. The client’s parents are skilled stained-glass artists. C. The client lives in a house built in 1990. D. The client has several brothers and sisters. 69. A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with prevention of dislocation of the prosthesis? A. An abduction pillow B. A straight chair C. A pair of crutches D. A soft mattress 70. The client with a joint replacement is scheduled to receive Lovenox (enoxaparin). Which lab value should be reported to the doctor? A. PT of 20 seconds B. PTT of 300 seconds NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. Protime of 30 seconds D. INR 3 71. The nurse is responsible for performing a neonatal assessment on a full- term infant. At 1 minute, the nurse could expect to find: A. An apical pulse of 100 B. Absence of tonus NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 75. A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test: A. Determines the lung maturity of the fetus B. Measures the activity of the fetus C. Shows the effect of contractions on the fetal heart rate D. Measures the neurological well-being of the fetus 76. A full-term male has hypospadias. Which statement describes hypospadias? A. The urethral opening is absent. B. The urethra opens on the dorsal side of the penis. C. The penis is shorter than usual. D. The urethra opens on the ventral side of the penis. 77. A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated withcomplete effacement. The priority nursing diagnosis at this time is: A. Alteration in coping related to pain NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Potential for injury related to precipitate delivery C. Alteration in elimination related to anesthesia D. Potential for fluid volume deficit related to NPO status 78. The client with varicella will most likely have an order for which category of medication? A. Antibiotics NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Antipyretics C. Antivirals D. Anticoagulants 79. A client is admitted with complaints of chest pain. Which of the following drug orders should the nurse question? A. Nitroglycerin B. Ampicillin C. Propranolol D. Verapamil 80. Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis? A. Avoid exercise because it fatigues the joints. B. Take prescribed anti-inflammatory medications with meals. C. Alternate hot and cold packs to affected joints. D. Avoid weight-bearing activity. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Administering an antibiotic B. Contacting the physician for an order for immune globulin C. Administering an antiviral D. Telling the client that he should remain in isolation for 2 weeks 85. A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. The client should be placed in a room with negative pressure. B. Infection requires close contact; therefore, the door may remain open. C. Transmission is highly likely, so the client should wear a mask at all times. D. Infection requires skin-to-skin contact and is prevented by handwashing, gloves, and a gown. 86. A client with an above-the-knee amputation is being taught methods to prevent hip- flexion deformities. Which instruction should be given to the client? A. “Lie supine with the head elevated on two pillows.” B. “Lie prone every 4 hours during the day for 30 minutes.” C. “Lie on your side with your head elevated.” D. “Lie flat during the day.” 87. A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that, during the Whipple procedure, the doctor will remove the: A. Head of the pancreas B. Proximal third section of the small intestines NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. Stomach and duodenum D. Esophagus and jejunum 88. The physician has ordered a minimal bacteria diet for a client with neutropenia. The client should be taught to avoid eating: A. Fruits NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED D. A history of alcohol abuse 92. The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: A. Using oil- or cream-based soaps B. Flossing between the teeth C. The intake of salt D. Using an electric razor 93. A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: A. Expressing feelings of low self-worth B. Discussing remorse and guilt for actions C. Displaying dependence on others D. Expressing anger toward others 94. A client receiving HydroDIURIL (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Pear B. Apple C. Orange D. Banana 95. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows B. Encourage the client to turn her head side to side, to promote drainage of oral secretions C. Maintain the client in a supine position with sandbags placed on either side of the head and neck D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position 96. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? A. Dairy products B. Carbonated beverages C. Refined sugars D. Luncheon meats 97. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse could expect to find: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. She can build a tower of eight blocks. D. She can broad-jump. 101. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible? A. Wire cutters NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Oral airway C. Pliers D. Tracheostomy set 102. The nurse is to administer digoxin (Lanoxin) elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should: A. Record the heart rate and call the physician B. Record the heart rate and administer the medication C. Administer the medication and recheck the heart rate in 15 minutes D. Hold the medication and recheck the heart rate in 30 minutes 103. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated with: A. Gastric lavage B. Chelating agents C. Antiemetics D. Activated charcoal NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 104. An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are: A. Elbow restraints B. Full arm restraints C. Wrist restraints NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Thoroughly cooking all foods B. Offering yogurt and buttermilk between meals C. Forcing fluids D. Providing small, frequent meals 109. The treatment protocol for a client with acute lymphocytic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to: A. Decrease the secretion of pancreatic enzymes B. Enhance the effectiveness of methotrexate C. Promote peristalsis D. Prevent a common side effect of prednisone 110. Which of the following meal choices is suitable for a 6-month-old infant? A. Egg white, formula, and orange juice B. Apple juice, carrots, whole milk C. Rice cereal, apple juice, formula NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED D. Melba toast, egg yolk, whole milk 111. The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the: A. Rectus femoris muscle B. Vastus lateralis muscle NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. Deltoid muscle D. Dorsogluteal muscle 112. The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should: A. Encourage the client to drink extra fluids B. Request a low-protein diet for the client C. Bathe the client using only mild soap and water D. Provide additional warmth for swollen, inflamed joints 113. The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal? A. Antabuse (disulfiram) B. Romazicon (flumazenil) C. Dolophine (methodone) D. Ativan (lorazepam) 114. A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Obeying adults is seen as correct behavior. B. Showing respect for parents is seen as important. C. Pleasing others is viewed as good behavior. D. Behavior is determined by consequences. 118. A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Determine whether the ear infection has affected her hearing B. Make sure that she has taken all the antibiotic C. Document that the infection has completely cleared D. Obtain a new prescription in case the infection recurs 119. Before administering a client’s morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 54. The appropriate nursing intervention is to: A. Record the pulse rate and administer the medication B. Administer the medication and monitor the heart rate C. Withhold the medication and notify the doctor D. Withhold the medication until the heart rate increases 120. What information should the nurse give a new mother regarding the introduction of solid foods for her infant? A. Solid foods should not be given until the extrusion reflex disappears, at 8– 10 months of age. B. Solid foods should be introduced one at a time, with 4- to 7-day intervals. C. Solid foods can be mixed in a bottle or infant feeder to make feeding easier. D. Solid foods should begin with fruits and vegetables. NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 121. A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to: A. Withholding all morning medications B. Ordering a CBC and CPK NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 125. The nurse is caring for a client with a history of diverticulitis. The client complains of abdominal pain, fever, and diarrhea. Which food was responsible for the client’s symptoms? A. Mashed potatoes B. Steamed carrots C. Baked fish D. Whole-grain cereal 126. The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client’s cancer is located in: A. The tail of the pancreas B. The head of the pancreas C. The body of the pancreas D. The entire pancreas 127. A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Weight gain B. Hair loss C. Sore throat D. Brittle nails 128. The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Prevent addiction B. Alleviate pain C. Facilitate mobility D. Prevent nausea 129. Which finding is the best indication that a client with ineffective airway clearance needs suctioning? A. Oxygen saturation B. Respiratory rate C. Breath sounds D. Arterial blood gases 130. An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to: A. Keep crackers at the bedside for eating before she arises B. Drink a glass of whole milk before going to sleep at night C. Skip breakfast but eat a larger lunch and dinner D. Drink a glass of orange juice after adding a couple of teaspoons of sugar NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED is indicated for the client with acute pancreatitis? A. Demerol (meperidine) B. Toradol (ketorolac) C. Morphine (morphine sulfate) D. Codeine (codeine) NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 135. A client with a hiatal hernia has been taking magnesium hydroxide for relief of heartburn. Overuse of magnesium-based antacids can cause the client to have: A. Constipation B. Weight gain C. Anorexia D. Diarrhea 136. When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn? A. The head and chest circumference are the same. B. The head is 2cm larger than the chest. C. The head is 3cm smaller than the chest. D. The head is 4cm larger than the chest. 137. A client with a history of clots is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? A. Calcium gluconate NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Aquamephyton C. Methergine D. Protamine sulfate 138. The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span? NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED D. Request an abdominal x-ray 142. The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching? A. Zovirax (acyclovir) B. Varivax (varicella vaccine) C. VZIG (varicella-zoster immune globulin) D. Periactin (cyproheptadine) 143. Which of the following clients is most likely to be a victim of elder abuse? A. A 62-year-old female with diverticulitis B. A 76-year-old female with right-sided hemiplegia C. A 65-year-old male with a hip replacement D. A 72-year-old male with diabetes mellitus 144. A hospitalized client with severe anemia is to receive a unit of blood. Which facet of NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED care is most appropriate for the newly licensed practical nurse? A. Initiating the IV of normal saline B. Monitoring the client’s vital signs C. Initiating the blood transfusion D. Notifying the physician of a reaction NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 145. To reduce the possibility of having a baby with a neural tube defect, the client should be told to increase her intake of folic acid. Dietary sources of folic acid include: A. Meat, liver, eggs B. Pork, fish, chicken C. Oranges, cabbage, cantaloupe D. Dried beans, sweet potatoes, Brussels sprouts 146. A client is admitted for suspected bladder cancer. Which one of the following factors is most significant in the client’s diagnosis? A. Smoking a pack of cigarettes a day for 30 years B. Taking hormone-replacement therapy C. Eating foods with preservatives D. Past employment involving asbestos 147. The physician has prescribed nitroglycerin buccal tablets as needed for a client with angina. The nurse should tell the client to take the tablets: A. After engaging in strenuous activity B. Every 4 hours to prevent chest pain NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Sun exposure B. Drinking beer C. Eating cheese D. Taking aspirin NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 152. The nurse is instructing a post-operative client on the use of an incentive spirometer. The nurse knows that the correct use of the incentive spirometer is directly related to: A. Promoting the client’s circulation B. Preparing the client for amubulation C. Strengthening the client’s muscles D. Increasing the client’s respiratory effort 153. The nurse is assisting the physician with the insertion of an esophageal tamponade. Before insertion, the nurse should: A. Inflate and deflate the gastric and esophageal balloons B. Measure from the tip of the client’s nose to the xiphoid process C. Explain to the client that the tube will remain in place for 5–7 days D. Insert a nasogastric tube for gastric suction 154. The physician has ordered Cephulac (lactulose) for a client with increased serum ammonia. The nurse knows the medication is having its desired effect if the client experiences: NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED A. Increased urination B. Diarrhea C. Increased appetite D. Decreased weight 155. The nurse is assessing a client immediately following delivery. The nurse notes that the client’s fundus is boggy. The nurse’s next action should be to: A. Assess for bladder distention NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED 159. During a well-baby visit, the mother asks the nurse when the “soft spot” on the front of her baby’s head will close. The nurse should tell the mother that the anterior fontanel normally closes by the time the baby is: A. 4–6 months of age B. 7–9 months of age C. 10–12 months of age D. 12–18 months of age 160. An elderly client with anemia has a positive Schilling test. The nurse knows that the client’s anemia is due to: A. Chronically low iron store B. Abnormal shape of the red blood cells C. Lack of intrinsic factor D. Shortened lifespan of the red blood cells 161. A client has returned from having an arteriogram. The nurse should give priority to: A. Checking the radial pulse B. Assessing the site for bleeding NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED C. Offering fluids D. Administering pain medication 162. The physician has ordered Dolophine (methadone) for a client withdrawing from opiates. Which finding is associated with acute methodone toxicity? A. Fever NCLEXRN RE NCLEX-PN FINAL 2023 SOLVED QUESTIONS WELL VERIFIED B. Oliguria C. Nasal congestion D. Respiratory depression 163. A client scheduled for surgery has a preoperative order for atropine on call. The nurse should tell the client that the medication will: A. Make him drowsy B. Make his mouth dry C. Help him to relax D. Prevent infection 164. The nurse is assessing a primgravida 12 hours after a Caesarean section. The nurse notes that the client’s fundus is at the umbilicus and is firm. The nurse should: A. Prepare to catheterize the client B. Obtain an order for an oxytocic C. Chart the finding D. Tell the client to remain in bed