PN NCLEX EXAM NEWEST 2024-2025 COMPLETE 200
REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH EXPLANATIONS (LATEST UPDATED
VERSION) |GUARANTEED PASS A+ (BRAND NEW!!)
FULL REVISED EXAM
The nurse is conducting a health screening at a local health fair. Which
of the following should the nurse recognize as a risk factor for
developing testicular cancer? Select all that apply.
A. Cryptorchidism
B. Human immunodeficiency virus (HIV)
C. Vasectomy
D. Family history
E. Herpes simplex virus (HSV) - Answer-Choices A, B, and D are correct.
Risk factors for testicular cancer include cryptorchidism, human
immunodeficiency virus (HIV), and family history. Cryptorchidism (
Choice A) refers to undescended testicle where the testicle fails to
descend to its normal position in the scrotum. Undescended testicles
are associated with decreased fertility, testicular torsion, inguinal
hernias, and increased risk of testicular germ cell tumors. HIV-positive (
Choice B) men have an increased risk of developing testicular cancer,
according to a study. Family history ( Choice D) of testicular cancer is
another risk factor, with an 8-10 times increased risk if the man has a
sibling with testicular cancer.
,The nurse is caring for a patient with a percutaneous endoscopic
gastrostomy tube in a long-term care setting. Prior to starting the
scheduled bolus feeding, the nurse is unable to auscultate the patient's
bowel sounds and notes 80 cc gastric residual volume. Of the following,
which action would be the nurse's first priority?
A. Notify the physician
B. Hold bolus and recheck residual volume in 1 hour
C. Check for abdominal distension
D. Reposition the patient in semi-Fowler's position - Answer-Choice C is
correct.
If no bowel sounds are present, the nurse should then assess the
patient's abdomen for changes from baseline, such as tenderness or
distension. If no changes from baseline, this bolus may be administered
as ordered.
This nurse is caring for a patient who is receiving prescribed
methylergonovine. Which of the following findings would indicate a
therapeutic response?
A. Increased blood pressure
B. Decreased postpartum bleeding
C. Decreased uterine tone
,D. Increased urinary output - Answer-Choice B is correct.
Methylergonovine is an alkaloid medication used in the management of
postpartum hemorrhage (PPH). This medication causes
vasoconstriction, therefore, decreasing postpartum bleeding.
A diabetic patient receives ten units of Regular insulin and 20 units of
NPH insulin each day after breakfast. After following the usual
preparation steps for administering insulin, what should the nurse do
next?
A. Draw up NPH insulin first because it is clear.
B. Either insulin can be drawn first as long as 30 units are given.
C. Draw up Regular insulin first because it is clear.
D. Administer each type of insulin separately for accuracy. - Answer-
Choice C is correct.
Regular (short-acting) insulin is clear. NPH (intermediate-acting) is
cloudy. Giving one injection is more efficient and comfortable for the
patient. REMEMBER: ALWAYS CLEAR BEFORE CLOUDY or remember the
mnemonic: RN = Regular to NPH.
The nurse is caring for a patient receiving lactulose. Which of the
following finding would indicate a therapeutic response?
A. Increased liver enzymes
B. Increased level of consciousness
, C. Decreased urinary calcium
D. Increased gastric pH - Answer-Choice B is correct.
Lactulose is indicated for patients with hyperammonemia secondary to
cirrhosis of the liver. Increased ammonia levels cause a patient to
develop altered mental status (hepatic encephalopathy). A patient
receiving this medication will have increased bowel movements as that
is the primary way of excreting the excess ammonia.
**Acid Reflux (GERD)**
Primary Symptom
Test to confirm
Client teaching - Answer-*Primary symptom: Heartburn (Pyrosis)
**Test: Barium Swallow Fluoroscopy
*Client Teaching:
Low-fat, High protein diet, take antacids, avoid lying flat after meals
**Acquired Immunodeficiency Syndrome (AIDS)**
Virus that causes AIDS
Transmitted by
Symptoms
How to confirm AIDS
Medications
Precautions for HIV - Answer-HIV causes aids
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