NCLEX-PN FINAL 2024 ACTUAL EXAM (VERSION
A) REAL EXAM WITH 205 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Terms in this set (335)
A nurse is caring for a client Answer: A, D
with systemic lupus
erythematosus (SLE). The The nurse teaches the client to live a normal life with a
client begins to cry and tells few extra precautions. There is a relationship between
the nurse that she is afraid sun exposure and infection, so the client is taught to use
that her skin will be sunscreen with an SPF of at least 15 and to avoid the sun
disfigured with lesions. between 10:00 a.m. and 3:00 p.m. The client may swim
Which intervention does the but should reapply sunscreen after swimming. The client
nurse plan to teach this does not need to stay indoors on sunny days or to
client to minimize skin decrease sun exposure between 3:00 p.m. and 5:00 p.m.
infections associated with
SLE?
Select all that apply.
A) Use sunscreen with an
SPF of 15 or greater.
B) Remain indoors on sunny
days.
C) Avoid swimming in a
pool or the ocean.
D) Avoid sun exposure
between 10:00 a.m. and 3:00
p.m.
E) Decrease sun exposure
between 3:00 p.m. and 5:00
p.m.
,A patient on a medical unit a. Dysrhythmias may occur with an elevated potassium
has a potassium level of 6.8 level and are potentially lethal. Monitor the rhythm while
mEq/L. What is the priority contacting physician or calling the rapid response team.
action that the nurse should
take?
a. Place the patient on a
cardiac monitor.
b. Check the patient's BP.
c. Instruct the patient to
avoid high-potassium
foods.
d. Call the lab and request a
redraw of the lab to verify
results.
A patient is admitted to the A. Progressive irreversible destruction of the kidneys
hospital with CKD. You
understand that this CKD involves progressive, irreversible loss of kidney
condition is characterized function.
by
A. Progressive irreversible
destruction of the kidneys
B. A rapid decrease in
urinary output with an
elevated BUN level
C. Increasing creatinine
clearance with a decrease
in urinary output
D. Prostration, somnolence,
and confusion with coma
and imminent death
, C. decreased fluid intake and protein intake; increased
carbohydrate intake.
Water and any other fluids are not routinely restricted in
the pre-end-stage renal disease (ESRD) stages. Patients
Measures indicated in the on hemodialysis have a more restricted diet than
conservative therapy of patients receiving peritoneal dialysis. For those receiving
CKD include hemodialysis, as their urinary output diminishes, fluid
restrictions are enhanced. Intake depends on the daily
A. decreased fluid intake, urine output. Generally, 600 mL (from insensible loss)
carbohydrate intake, and plus an amount equal to the previous day's urine output
protein intake. is allowed for a patient receiving hemodialysis. Patients
B. increased fluid intake; are advised to limit fluid intake so that weight gains are
decreased carbohydrate no more than 1 to 3 kg between dialyses (interdialytic
intake and protein intake. weight gain). For the patient who is undergoing dialysis,
C. decreased fluid intake protein is not routinely restricted. The beneficial role of
and protein intake; protein restriction in CKD stages 1 through 4 as a means
increased carbohydrate to reduce the decline in kidney function is being studied.
intake. Historically, dietary counseling often encouraged
D. decreased fluid intake restriction of protein for CKD patients. Although there is
and carbohydrate intake; some evidence that protein restriction has benefits,
increased protein intake. many patients find these diets difficult to adhere to. For
CKD stages 1 through 4, many clinicians encourage a
diet with normal protein intake. However, you should
teach patients to avoid high-protein diets and
supplements because they may overstress the diseased
kidneys.
, Nurses need to educate A. Older African Americans
patients at risk for CKD. B. Individuals older than 60 years
Which individuals are D. Those with a history of hypertension
considered to be at E. Those with a history of type 2 diabetes
increased risk (select all that
apply)? Risk factors for CKD include diabetes mellitus,
hypertension, age older than 60 years, cardiovascular
A. Older African Americans disease, family history of CKD, exposure to nephrotoxic
B. Individuals older than 60 drugs, and ethnic minorities (e.g., African American,
years Native American).
C. Those with a history of
pancreatitis
D. Those with a history of
hypertension
E. Those with a history of
type 2 diabetes
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