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PN NCLEX EXAM LATEST 2024 QUESTIONS AND DETAILED ANSWERS GRADED A+
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PN NCLEX EXAM LATEST 2024 QUESTIONS AND DETAILED ANSWERS GRADED A+
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PN NCLEX EXAM LATEST 2024 QUESTIONS ANDDETAILED ANSWERS GRADED A+
A nurse is collecting data on a 58 year old client with blurred vision and
reduced visual fields. The nurse finds which clinical manifestation MOST
concerning?
A) Difficulty adjusting to dimmed lights
B) Extreme eye pain
C) Gradual loss of peripheral vision
D) Opaque appearance of lens - ✔✔ANSWER✔✔-B, glaucoma is
characterized by increased intraocular pressure (IOP) resulting in
compression of the optic nerve. When IOP increases rapidly sudden
onset of severe eye pain can occur.
,Gradual loss of vision and difficulty adjusting to lights are not
considered emergency situations. Opaque lenses are characteristics of
cataracts which is not a medical emergency.
The nurse is caring for a patient with diabetes mellitus. The client is
alert and oriented but appears shaky and pale. The client's capillary
blood glucose is 50 mg/dL (2.8 mmol/L). Which of the following actions
should the nurse take next?
A) Administer 1 mg glucagon IM to the patient
B) Give the patient 4 oz (120 mL of regular soda.
C) Prepare 50 mL of dextrose 50% in water IV push.
D) Repeat the capillary blood glucose level to verify accuracy. -
✔✔ANSWER✔✔-B, hypoglycemia occurs when blood glucose levels fall
below 70 mg/dL. Conscious clients should be given 15 g of a simple
carbohydrate (ex. 4 oz regular soda) to quickly increase the blood
glucose level.
IV dextrose and IM glucagon are given to patient who can not digest an
oral simple carbohydrate. The blood glucose should be rechecked 15
minutes after administration of a simple carbohydrate to check
effectiveness.
The nurse is reviewing medical histories with several clients during a
community health screening event. Which of the following client
statements indicate a risk factor for cervical cancer? SATA
,A) "I have had four sexual partners during my lifetime."
B) "I have smoked cigarettes for many years."
C) "I never use birth control pills because my partners wore condoms."
D) "I received treatment for chlamydia when I was younger."
E) "I tested positive for human papillomavirus a few years ago." -
✔✔ANSWER✔✔-A, B, D, E, the most important risk factor for cervical
cancer is persistent human papillomavirus (HPV) infection. Other risks
factors for cervical cancer include multiple sex partners (>1), smoking
tobacco, being infected with other STIs (chlamydia). As these all
increase the likelihood of HPV infection.
Condoms help prevent HPV, and not taking oral birth control is
associated with a decreased risk of cervical cancer.
The nurse in the emergency department is caring for a 66 year old
client.
GENERAL: The client comes to the ED with fatigue, SOB, dry cough, and
exertional dyspnea for 1 week; the client is homeless; medical history
includes chronic heart failure, uncontrolled hypertension, CAD, and type
2 DM
PULMONARY: VS: RR 22, SpO2 88% on RA; the client is dyspneic but can
speak in full sentences; lung auscultation reveals bilateral crackles; the
client reports smoking 1 pack of cigarettes per day for 35 years; the
client was hospitalized with pneumonia 6 months ago.
CARDIOVASCULAR: VS: T 99 F (37.2 C), P 90, BP 170/100; continuous
cardiac monitor shows sinus rhythm with occasional premature
, ventricular contractions; S1, S2, and S3 are heard on auscultation;
bilateral lower extremity pitting edema is noted.
Highlight below the 5 findings that are MOST concerning. -
✔✔ANSWER✔✔-SpO2 88% on RA (hypoxia), lung auscultation reveals
bilateral crackles (pulmonary edema), BP 170/100 (HTN), S3 are heard
on auscultation (abnormal heart sounds), bilateral lower extremity
pitting edema (peripheral edema).
Smoking and homelessness require follow-up to ensure the client
receives appropriate resources and support, but they do not require
immediate intervention.
Decreased O2, crackles, extra heart tones, HTN, peripheral edema
require further intervention due to concern of fluid overload and
impaired gas exchange characteristics of HF.
The nurse has reviewed the information from the Laboratory Results
and Diagnostic Results, the nurse suspects the client is experiencing
acute decompensated HF. Which of the following findings are consistent
with this condition? SATA
A) Crackles with auscultation
B) Decreased capillary oxygen saturation
C) Elevated b-type natriuretic peptide
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