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NGN NCLEX RN QUESTIONS ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH EXPLANATIONS (A NEW UPDATED VERSION) LATEST |GUARANTEED PASS A+ (MOST TESTED NCLEX RN QUESTIONS)$20.49
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NGN NCLEX RN QUESTIONS ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH EXPLANATIONS (A NEW UPDATED VERSION) LATEST |GUARANTEED PASS A+ (MOST TESTED NCLEX RN QUESTIONS)
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Course
NGN NCLEX RN
Institution
NGN NCLEX RN
NGN NCLEX RN QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH EXPLANATIONS (A NEW UPDATED VERSION)
LATEST |GUARANTEED PASS A+ (MOST
TESTED NCLEX RN QUESTIONS)
NGN NCLEX RN QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH EXPLANATIONS (A NEW UPDATED VE...
NGN NCLEX RN QUESTIONS ACTUAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH EXPLANATIONS (A NEW UPDATED VERSION)
LATEST 2024-2025 |GUARANTEED PASS A+ (MOST
TESTED NCLEX RN QUESTIONS)
A nurse is preparing to perform a physical examination on a postpartum client. The client asks the nurse
why gloves are necessary for the examination. What is the nurse's best response?
"Gloves help protect you against infectious organisms."
"Gloves guard you against my cold hands."
"Gloves may protect me against infectious organisms."
"Gloves are required for standard precautions." - CORRECT ANSWER-Wearing gloves whenever exposure
to blood or body fluids is anticipated is a standard precaution recommended by the Centers for Disease
Control and Prevention. Although gloves protect both the client and the nurse from infectious organisms
and guard against the nurse's cold hands, the nurse wears them primarily to maintain standard
precautions, which is required by the Occupational Safety and Health Administration.
Which situations should a supervisor consider in making assignments for nurses in the neonatal unit?
A pregnant nurse shouldn't care for a neonate whose mother was positive for human immunodeficiency
virus (HIV).
A nurse with young children shouldn't care for a neonate whose mother has gonorrhea.
A nurse with young children shouldn't care for a neonate with erythema toxicum.
A pregnant nurse shouldn't care for a neonate with cytomegalovirus (CMV). - CORRECT ANSWER-CMV
exposure can affect the fetus; women who are pregnant should avoid contact with CMV-positive clients.
HIV is transmitted via blood and body fluids; all staff should take contact precautions. When a mother
has gonorrhea, a nurse should administer eye prophylaxis to the neonate to prevent neonatal
ophthalmic infection. It isn't a concern for staff. Erythema toxicum is a common rash in infancy;
communicability isn't a concern.
The nurse is developing a care plan for a client with an episiotomy. Which interventions would be
included for the nursing diagnosis acute pain related to perineal sutures? Select all that apply.
Apply an ice pack intermittently to the perineal area for 3 days.
Avoid the application of topical pain gels.
Administer sitz baths three to four times per day.
,Encourage the client to do Kegel exercises.
Limit the number of times the perineal pad is changed. - CORRECT ANSWER-Sitz baths help decrease
inflammation and tension in the perineal area. Kegel exercises improve circulation to the area and help
reduce edema. Ice packs should be applied to the perineum for only the first 24 hours; after that time,
heat should be used. Topical pain gels should be applied to the suture area to reduce discomfort, as
ordered. The perineal pad should be changed frequently to prevent irritation caused by the discharge.
A nurse meets a neighbor and new baby at the local market. The neighbor states that she received
outstanding nursing care from one of the nurse's colleagues during her labor and childbirth. What is the
best way for the nurse to recognize her nursing colleague's professional efforts?
Post accolades to the nurse at the nurses' station.
Send the colleague an anonymous card.
Share the feedback with the nursing colleague directly.
It is a breach of confidentiality to share this information with the colleague. - CORRECT ANSWER-It is not
a breach of confidentiality for the nurse to share the feedback with the colleague, and by doing so the
nurse will recognize the value of the colleague's professional efforts and accomplishments. It is not
appropriate to place an announcement at the nurses' station or to send an anonymous card. It is crucial
that nurses uphold the standards for professional practice and consider the American Nurses
Association (Canadian Nurses' Association) Code of Ethics, in particular surrounding the principles of
preserving dignity and maintaining privacy and confidentiality.
The nurse is caring for a neonate diagnosed with early onset sepsis and is being treated with intravenous
antibiotics. Which instructions will the nurse include in the parents' teaching plan?
Wear protective gear near the isolation incubator.
Visit but do not touch the neonate.
Wash hands thoroughly before touching the neonate.
Wear a mask when holding the neonate. - CORRECT ANSWER-The parents of a neonate with an infection
should be allowed to participate in daily care as long as they use good handwashing technique. This
includes touching and holding the neonate. It is not necessary for parents to wear protective gear near
the isolation incubator. Restricting parental visits has not been shown to have any effect on the
infection rate and may have detrimental effects on the neonate's psychological development. Normally,
the neonate does not need to be isolated. The baby will not spread sepsis via respiratory droplets to
parents, so it is not necessary for the parents to wear a mask.
, After suction and evacuation of a complete hydatidiform mole, the 28-year-old multigravid client asks
the nurse when she can become pregnant again. The nurse would advise the client not to become
pregnant again for at least how long?
6 months
12 months
18 months
24 months - CORRECT ANSWER-A client who has experienced a molar pregnancy is at risk for
development of choriocarcinoma and requires close monitoring of human chorionic gonadotropin (hCG)
levels. Pregnancy would interfere with monitoring these levels. High hCG titers are common for up to 7
weeks after the evacuation of the mole, but then these levels gradually begin to decline. Clients should
have a pelvic examination and a blood test for hCG titers every month for 6 months and then every 2
months for 1 year. Gradually declining hCG levels suggest no complications. Increasing levels are
indicative of a malignancy and should be treated with methotrexate. If after 1 year the hCG levels are
negative, the client is theoretically free of the risk of a malignancy developing and could plan another
pregnancy.
When performing an initial assessment of a postterm male neonate weighing 4,000 g (8 lb, 13 oz) who
was admitted to the observation nursery after a vaginal birth with low forceps, the nurse detects
Ortolani's sign. Which action should the nurse take next?
Determine the length of the mother's labor.
Notify the health care provider (HCP) immediately.
Keep the neonate under the radiant warmer for 2 hours.
Obtain a blood sample to check for hypoglycemia. - CORRECT ANSWER-Ortolani maneuver involves
flexing the neonate's knees and hips at right angles and bringing the sides of the knees down to the
surface of the examining table. A characteristic click or "clunk," felt or heard, represents a positive
Ortolani sign, suggesting a possible hip dislocation. The nurse should notify the HCP promptly because
treatment is needed, while maintaining the dislocated hip in a position of flexion and abduction. It
should be noted that many institutions now limit performing the Ortolani's maneuver to APNs or HCPs.
Determining the length of the mother's labor provides no useful information related to the nurse's
finding. Keeping the infant under the radiant warmer is necessary only if the neonate's temperature is
low or unstable. Checking for hypoglycemia is not indicated at this time, unless the neonate is exhibiting
jitteriness.
The nurse is caring for a newborn of a primiparous woman with insulin-dependent diabetes. When the
mother visits the neonate at 1 hour after birth, the nurse explains to the mother that the neonate is
being closely monitored for symptoms of hypoglycemia because of which reason?
increased use of glucose stores during a difficult labor and birth process
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