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 20-year-old male patient b. check the drainage for glucose content
is admitted with a head
injury after a collision while
playing football. After
noting that the patient has
developed clear nasal
drainage, which action
should the nurse take?
a. Have the patient gently
blow the nose.
b. Check the drainage for
glucose content.
c. Teach the patient that
rhinorrhea is expected after
a head injury.
d. Obtain a specimen of the
fluid to send for culture and
sensitivity.
,A 23-year-old patient who b. prepare the patient for craniotomy
is suspected of having an
epidural hematoma is
admitted to the emergency
department. Which action
will the nurse plan to take?
a. Administer IV furosemide
(Lasix).
b. Prepare the patient for
craniotomy.
c. Initiate high-dose
barbiturate therapy.
d. Type and crossmatch for
blood transfusion.
A 36 year old male patient The answers are: B, C, and D.
is diagnosed with acute
kidney injury. The patient is This patient is in the DIURESIS stage of AKI. The
voiding 4 L/day of urine. nephrons are now starting to filter out waste but cannot
What complication can concentrate the urine. There is now a high amount of
arise based on the stage of urea in the filtrate (because the nephrons can filter the
AKI this patient is in? Select urea out of the blood) and this causes osmotic diuresis.
all that apply: Urinary output will be excessive (3 to 6 L/day). Therefore,
the patient is at risk for hypotension, diluted urine (low
A. Water intoxication urine specific gravity), and hypokalemia (waste
B. Hypotension potassium in the urine). The patient is not at risk for water
C. Low urine specific gravity intoxication and will not have a normal GFR until the
D. Hypokalemia recovery stage.
E. Normal GFR
,A 41-year-old patient who is c. keep the head of the bed elevated to 30 degrees
unconscious has a nursing
diagnosis of ineffective
cerebral tissue perfusion
related to cerebral tissue
swelling. Which nursing
intervention will be
included in the plan of
care?
a. Encourage coughing and
deep breathing.
b. Position the patient with
knees and hips flexed.
c. Keep the head of the bed
elevated to 30 degrees.
d. Cluster nursing
interventions to provide
rest periods.
, A 50-year-old woman c. tobacco use and high blood pressure
weighs 95 kg and has a
history of tobacco use, high Significant risk factors for peripheral artery disease
blood pressure, high include tobacco use, hyperlipidemia, elevated levels of
sodium intake, and high-sensitivity C-reactive protein, diabetes mellitus, and
sedentary lifestyle. When uncontrolled hypertension; the most important is
developing an tobacco use. Other risk factors include family history,
individualized care plan for hypertriglyceridemia, hyperuricemia, increasing age,
her, the nurse determines obesity, sedentary lifestyle, and stress.
that the most important risk
factors for peripheral artery
disease (PAD) that need to
be modified are
a.weight and diet.
b.activity level and diet.
c.tobacco use and high
blood pressure.
d.sedentary lifestyle and
high blood pressure.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheAlphanurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
