NCLEX RN FUNDAMENTALS 2024 EXAM & STUDY GUIDE QUESTIONS AND ANSWERS WITH RATIONALES
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NCLEX RN FUNDAMENTALS 2024
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NCLEX RN FUNDAMENTALS 2024
NCLEX RN FUNDAMENTALS 2024 EXAM & STUDY GUIDE QUESTIONS AND ANSWERS WITH RATIONALES
Mineral oil has been prescribed for constipation, and the nurse teaches about administration of the mineral oil. Which statement by the mother indicates that teaching was effective?
1.
"I will administer the m...
NCLEX RN FUNDAMENTALS 2024
EXAM & STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALES
Mineral oil has been prescribed for constipation, and the nurse teaches about
administration of the mineral oil. Which statement by the mother indicates that
teaching was effective?
1.
"I will administer the mineral oil before each meal."
2.
"I will administer the mineral oil followed by a glass of warm water."
3.
"I will mix the mineral oil with a chilled drink before administration."
4.
"I will mix the mineral oil with 8 ounces of warm juice before administration."
3. I will mix the mineral oil with a chilled drink before administration
Mineral oil is best tolerated when it is given chilled or mixed with cold drinks. Mixing the
oil with chocolate milk, blending it with ice cubes and fruit juice, or chilling it helps to
disguise the taste. Administering mineral oil before meals would affect appetite
A client has been taking glucocorticoids to control rheumatoid arthritis. Which
laboratory abnormality is the client at risk for as a result of taking this
medication?
1.
Increased serum glucose
2.
Decreased serum sodium
3.
Elevated serum potassium
4.
Increased white blood cells
1. Increased serum glucose
Glucocorticoids have 3 primary uses: replacement therapy for adrenal insufficiency,
immunosuppressive therapy, and antiinflammatory therapy. Exogenous glucocorticoids
cause the same effects on cellular activity as those of the naturally produced
,glucocorticoids; however, exogenous glucocorticoids also may have undesired effects.
The glucocorticoids stimulate appetite and increase caloric intake. They also increase
the availability of glucose for energy. These combined effects cause the blood glucose
levels to rise, making the client prone to hyperglycemia. Glucocorticoids can also lead to
hypokalemia. The remaining options are not expected effects of the use of
glucocorticoids.
What is the priority nursing action when admitting a client who has just attempted
suicide?
1.
Ensure constant observation of the client at all times.
2.
Conduct a thorough mental health assessment of the client.
3.
Determine whether the client has ever attempted suicide previously.
4.
Remove all potentially dangerous articles from among the client's belongings.
1. Ensure constant observation of the client at all times
The plan of care for a client with a serious suicide attempt must reflect action that will
promote the client's safety. Constant observation status (one-on-one by the nurse) and
never being less than an arm's length away are the best interventions. While the
remaining options are appropriate, none have the priority at the time of admission.
A patient is brought to the emergency department (ED) by a friend. The patient is
unresponsive and respirations are slow and shallow. Which of the following is the
priority intervention?
Choose 1 answer:
A
Check the patient's blood glucose level
B
Ask the friend if they were using illicit drugs
C
Administer naloxone, per protocol
D
Administer 100% oxygen per nasal cannula
D
patient is admitted to the emergency department (ED) after ingesting MDMA
(ecstasy). Which of the following symptoms would the healthcare provider
anticipate?
,Choose all answers that apply:
A
Chest pain
B
Flaccid extremities
C
Hypertension
D
Seizures
E
Hypothermia
F
Agitation
A, C, D, F
A patient who overdosed on oxycodone is given naloxone. When assessing the
patient, the healthcare provider would anticipate which of these clinical
manifestations of opioid withdrawal?
Choose 1 answer:
A
Depressed respirations and somnolence
B
Bradycardia and hyporthermia
C
Hyperthermia and euphoria
D
Irritability and nausea
D
A patient is brought to the emergency department by a family member. The
patient has been agitated for the past several hours and has alternated between
grandiosity and expressing a desire to commit suicide. Upon examination, the
patient is diaphoretic, hypertensive, and tachycardic. Intoxication with which of
the following substances would contribute to these symptoms?
Choose 1 answer:
A
Benzodiazepine
, B
Alcohol
C
Methamphetamine
D
Marijuana
C
A patient reports smoking 10 cigarettes per day for 40 years. How will the
healthcare provider document this patient's smoking habit in terms of pack
years?
Choose 1 answer:
A
10 pack years
B
5 pack years
C
4 pack years
D
20 pack years
D
Emergency medical personnel bring an unconscious patient to the emergency
department. The patient's pupils are pinpoint and respirations are depressed.
Intoxication of which of the following substances could contribute to these
clinical signs?
Choose 1 answer:
A
Ecstasy
B
Cocaine
C
Methadone
D
Methamphetamine
C
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