NGN NCLEX PN ACTUAL EXAM WITH NGN /PN NCLEX
ACTUAL EXAM (NEXT GENERATION) COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+.
A nurse is caring for a client who is scheduled for surgery and is
experiencing anxiety. Which of the following interventions should the
nurse identify as the priority? - ANSWER >>>Determine the client's
understanding of the procedure.
A nurse is contributing to the plan of care for a client who has
peripheral arterial disease of the lower extremities. Which of the
following interventions should the nurse include? - ANSWER
>>>Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent
left hemispheric stroke. Which of the following actions should the
nurse include in the plan? - ANSWER >>>Use simple verbal cues
when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is
terminally ill about manifestations of impending death. Which of the
following manifestations should the nurse include? - ANSWER
>>>Incontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the risk for
aspiration? - ANSWER >>>Pinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV
infusion of cefazolin. Ten minutes after beginning the infusion, the
client reports intense itching. Which of the following actions should the
nurse take first? - ANSWER >>>Stop the medication infusion.
,A nurse is reinforcing discharge teaching with a client who has
cirrhosis. Which of the following instructions should the nurse include?
- ANSWER >>>"Consume foods that are low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a
guaiac fecal occult blood test. Which of the following instructions
should the nurse include in the teaching? - ANSWER >>>Avoid
eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously
to a client who has an INR of 4. Available is phytonadione 10 mg/mL.
How many mL should the nurse administer? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.) - ANSWER >>>0.7 mL
A nurse is reinforcing teaching with a client who is taking insulin
glargine. Which of the following information should the nurse include
in the teaching? - ANSWER >>>"This type of insulin should be given
at the same time every day."
A nurse is caring for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infection in a surgical wound. Which
of the following information should the nurse plan to share with
visitors? - ANSWER >>>Visitors must don a gown and gloves prior to
entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports
vaginal dryness and hot flashes. The client is interested in trying
hormone replacement therapy (HRT). Which of the following should
the nurse recognize as a contraindication to HRT? - ANSWER
>>>History of treatment for blood clots
A nurse is reinforcing teaching about management of constipation with
a client who has hypothyroidism. Which of the following instructions
should the nurse include in the teaching? - ANSWER >>>Increase
intake of fiber-rich foods.
,A nurse is reinforcing teaching with a client who has multiple sclerosis
and a new prescription for baclofen. Which of the following instructions
should the nurse include in the teaching? - ANSWER >>>Avoid
stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential
breakdown over the sacrum. Which of the following actions should the
nurse take? - ANSWER >>>Minimize the time the head of the bed is
elevated.
A nurse is assisting with the care of a client who is receiving 0.9%
sodium chloride by continuous IV infusion. The client reports pain and
swelling at the IV site. In which order should the nurse perform the
following steps? (Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.) - ANSWER
>>>Check IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following
sentence.
During the emergent phase of burn care, the client is at risk for
developing____________ and _____________. - ANSWER
>>>Hypovolemia
Respiratory failure
A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching? - ANSWER
>>>Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is contributing to the plan of care for a client who is
postoperative following a total knee arthroplasty. The client is using a
continuous passive motion (CPM) machine. Which of the following
interventions should the nurse recommend for the plan of care? -
, ANSWER >>>Keep a sheepskin pad between the client's extremity
and the CPM machine.
A nurse is reinforcing teaching about joint protection with a client who
has an acute exacerbation of rheumatoid arthritis. Which of the
following information should the nurse include in the teaching? -
ANSWER >>>Apply cold packs to the inflamed joints.
A nurse is caring for a client who has difficulty swallowing. Which of
the following actions should the nurse implement to prevent
aspiration? - ANSWER >>>Give the client liquids with increased
viscosity.
A nurse is discussing health screening guidelines with an older adult
client. Which of the following statements should the nurse include? -
ANSWER >>>"You should have a pneumococcal immunization every
10 years."
A nurse is planning to implement droplet precautions for a client who
has manifestations of pertussis. Which of the following interventions
should the nurse include when contributing to the plan of care? -
ANSWER >>>Apply a mask on the client if transport is needed.
A nurse is contributing to the plan of care for a client who was
admitted to the neurological unit following a stroke 3 hr ago. Which of
the following interventions should the nurse identify as the priority? -
ANSWER >>>Keep the client in a side-lying position.
A nurse is caring for a client who has a compound fracture of the
femur and was placed in balanced suspension skeletal traction 4 days
ago. Which of the following actions should the nurse take? -
ANSWER >>>Perform pin site care daily.
A nurse is reinforcing discharge teaching about wound care with the
caregiver of a client who is postoperative. Which of the following
instructions should the nurse include in the teaching? - ANSWER
>>>Report purulent drainage to the provider.
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