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NCLEX-RN Exam Pack Set 3 with(75 Questions & Answers Latest Updated 2024)
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NCLEX-RN Exam Pack Set 3 with(75 Questions & Answers Latest Updated 2024)
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NCLEX-RN Exam Pack Set3 with(75 Questions &
Answers Latest Updated
2024)
1. 1. Question
A patient with Parkinson’s disease has a nursing
diagnosis of Impaired Physical Mobility related to
neuromuscular impairment. You observe a nursing
assistant performing all of these actions. For which action
must you intervene?
o A. The NA assists the patient to ambulate
to the bathroom and back to bed.
o B. The NA reminds the patient not to look at
his feet when he is walking.
o C. The NA performs the patient’s
complete bath and oral care.
o D. The NA sets up the patient’s tray and
encourages the patient to feed himself.
Correct Answer: C. The NA performs the patient’s
complete bath and oral care.
The nursing assistant should assist the patient with morning
care as needed, but the goal is to keep this patient as
independent and mobile as possible.
Option A: Assisting the patient to ambulate prevents
incidences of fall and injury.
Option B: Reminding the patient not to look at his feet
while walking maintains the client’s independence while
keeping him safe.
Option D: Encouraging the patient to feed himself is an
appropriate goal of maintaining independence.
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, • 2. Question
The nurse is preparing to discharge a patient with chronic
low back pain. Which statement by the patient indicates
that additional teaching is necessary?
o A. “I will avoid exercise because the
pain gets worse.”
o B. “I will use heat or ice to help control the pain.”
o C. “I will not wear high-heeled shoes at home or
work.”
o D. “I will purchase a firm mattress to replace
my old one.”
Correct Answer: A. “I will avoid exercise
because the pain gets worse.”
Exercises are used to strengthen the back, relieve pressure
on compressed nerves and protect the back from re-injury.
Doing exercises to strengthen the lower back can help
alleviate and prevent lower back pain. It can also strengthen
the core, leg, and arm muscles. According to researchers,
exercise also increases blood flow to the lower back area,
which may reduce stiffness and speed up the healing
process.
o Option B: Ice and heat application are
appropriate interventions for back pain. Applying
ice or a reusable gel pack constricts blood
vessels and reduces swelling around the injury.
This is particularly useful for conditions, like a
sprained ankle, that cause significant swelling.
Heat has the opposite effect, increasing blood
flow to the area. This relaxes muscle fibers,
which can help when the client experiences
spasms or stiffness.
o Option C: People with chronic back pain should
avoid wearing high-heeled shoes at all times.
The normal s- curve of the spine acts as a
cushion or spring, reducing stress on the
vertebrae. When wearing high heels, the shape
of the spine is altered and the client doesn’t get
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, that same shock absorption as she walks,
which, over time, can lead to uneven wear on
the cartilage discs, joints and ligaments of the
back.
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, o Option D: A firm mattress prevents lower back
pain. Sleeping on a mattress that is too firm
can cause aches and pains on pressure points.
A medium-firm mattress may be more
comfortable because it allows the shoulder and
hips to sink in slightly. Patients who want a
firmer mattress for back support can get one
• 3. Question
A patient with a spinal cord injury (SCI) complains about a
severe throbbing headache that suddenly started a short
time ago.
Assessment of the patient reveals increased blood
pressure (168/94) and decreased heart rate (48/minute),
diaphoresis, and flushing of the face and neck. What action
should you take first?
o A. Administer the ordered acetaminophen (Tylenol).
o B. Check the Foley tubing for kinks or
obstruction.
o C. Adjust the temperature in the patient’s room.
o D. Notify the physician about the change in status.
Correct Answer: B. Check the Foley tubing for kinks or obstruction
These signs and symptoms are characteristic of autonomic dysreflexia, a n
Option C: Adjusting the room temperature may be helpful, since
Option A: Tylenol will not decrease the autonomic dysreflexia tha
Option D: Notification of the physician may be necessary if nursin
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