Exam (elaborations)
2024 (JANUARY) NCLEX PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
2024 (JANUARY) NCLEX PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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4. Exam (elaborations) - Ngn/nclex prep questions/rationales with complete solutions
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2024 (JANUARY) NCLEX PRACTICE
QUESTIONS WITH COMPLETE
SOLUTIONS
Asnursesisscaringsforsasclientswhoshassasdepressedsskullsfracturesofsthesbonesthatsmakessups
theslargerspartsofsthesuppersandssideswallsofsthescranium.sThissfracturesisslocatedsonswhichso
fsthesfollowingsbones?
a.ssphenoid
b.soccipital
c.sparietal
d.sfrontals-sans✔✔Parietal
-sphenoidsformsspartsofsface
-occipitalsissthesbacksofsthesskull
-frontalsissthesfrontsofsthesskull
Whatsissthesprimarysdietarysalterationsforsasclientswhoshassheartsfailure?s-
sans✔✔SodiumsRestriction
ex:sturkeyssandwichswithswhole-wheatsbread
Asnursesisscaringsforsasclinetswhoshassmultiplessclerosissandsissreceivingsinterferonsbeta-
1a.sThesnursesshouldsidentifysthatswhichsofsthesfollowingsclientsstatementssindicatessaspote
ntialsadverseseffectsofsthesmedication?s
a.smysbodysachessallsover
b.sishavesabdominalscramping
c.smyshairsseemsstosbesthinning
d.sitshurtsswhensisurinates-sans✔✔Mysbodysachessallsover
-adverseseffectssofsinterferonsbeta-1asincludesflu-likessymptoms
Asnursesissteachingsasclientswithscysticsfibrosissaboutsdailyschestsphysiotherapy.sWhichsofst
hesfollowingsissthespurposesofsthesestreatments?
a.stosencouragesdeepsbreaths
b.stosmobilizessecretionssinsthesairways
c.stosdilatesthesbronchioles
d.stosstimulatesthescoughsreflexs-sans✔✔Tosmobilizessecretionssinsthesairwayss
-sthespurposesisstosloosensandspromotesthesdrainagesofssecretionssfromstheslungs
,Asnursesissperformingsasnonstressstests(NST)sonsasclientswhosissats41sweekssofsgestation.sT
hesclientsasksswhatsthespurpsesofsthestestsis/sWhichsofsthesfollowingsresponsessshouldsthesn
ursesprovide?
a.sthisstestswillsdeterminesifsyousareslikelystosdeliverswithinsthesnextsweek
b.sthisstestswillshelpsdeterminesifsyoursbabysisshealthy
c.sthisstestscansseeshowsyousbabysrespondsswhensyoushavescontractions
d.sthisstestswillsdeterminesifsyou'resbaby'sslungssaresmatures-
sans✔✔Thisstestswillshelpsdeterminesifsyoursbabysisshealthys
-
sThissNSTsissusedsassasprenatalsfetalsassessment,sitstrackssfetalsheartsratespatternssexpect
edswithsfetalsmovementsandscanshelpsidentifysfetalsdistress
Asnursescaressforsasclientsreceivingschemotherapy.sTheslatestsbloodsworksshows:
plateletscounts18,000/mm3
WBCscountsofs5,000/mm3
Whichsinterventionsdoessthesnursesimplement?
a.srespiratorystransmissionsprecautions
b.scontactstransmissionsprecautions
c.sbleedingsprecautions
d.sneutropenicsprecautionss-sans✔✔Bleedingsprecautions
-normalsplateletscountsiss150,000-400,000/mm3
bleedingsprecautionssshouldsbesimplementedswithsasplateletscountslesssthan
Asnursesissteachingsasfemalesclientswhoshasspyelonephritissaboutsthesdisorder.sWhichsofsth
esfollowingspiecessofsinformationsshouldsthesnursesincludestoshelpsthesclientspreventsasrecur
rence?
a.sdouchesaftersvaginalsintercourse
b.swipesfromsfrontstosbacksaftersdefecation
c.savoidsfoodssthatsareshighsinsphosphate
d.saddsyogurtstosyoursdietsregularlys-sans✔✔Wipesfromsfrontstosbacksaftersdefecation
-pyelonephritiss(renalsinfection)
-phosphatescanshelpskidneysstones
-yogurtshelpsswithsgenitalstractsinfections
Asnursesissacceptingsastransfersfromsthespostanesthesiascaresunits(PACU)sofsasclientswhosh
asshadsassubtotalsthyroidectomy.sWhichsofsthesfollowingspiecessofsequipmentsshouldsthesnu
rseshavesavailablesatsthesbedsidesforsthissclient?s
a.scardiacsmonitor
, b.sdefibrillator
c.sthoracotomystray
d.stracheostomystrays-sans✔✔Tracheostomystray
-
laryngealsedemasisscommonsaftersthyroidectomy,swhichscansresultsinsairwaysobstructionsan
dsemergencysintubationscansbesdifficultsduestosthesswellingssosasnursesshouldshavesthisstray
-thoracotomys=sforscheststubesinsertion
Asnursesissplanningsdietarysteachingsforsasclientswhoshassdiabetessmellitus.sWhichsofsthesfol
lowingsactionssshouldsthesnursesplanstostakesfirst?s
a.sobtainssamplesmenussfromsthesdietitianstosgivestosthesclient
b.sasksthesclientstosidentifysthestypessofsfoodsshesprefers
c.sidentifysthesrecommendedsrangesofsthesclient'ssbloodsglucoseslevel
d.sdiscussslong-termscomplicationssthatscansresultsfromsnon-
adherencestosthesdietarysplans-
sans✔✔Asksthesclientstosidentifysthestypessofsfoodsshesprefers
-Nursingsprocess:sassess,sdiagnosis,splanning,simplementationsandsevaluation
Asnursesissprovidingsdietarysteachingstosasclientswhoshasslate-
stageschronicskidneysdiseases(CKD).sWhichsofsthesfollowingsnutrientssshouldsthesnursesinst
ructsthesclientstosincreaseshersdiet?s
a.scalcium
b.sphosphorus
c.spotassium
d.ssodiums-sans✔✔Calciums
-
CKDscanscauseshypocalcemiasduestosreducedsproductionsofsvitaminsDswhichsissneededsfors
calciumsabsorption
-ClientsswithsCKDscansdevelopshyperphosphatemia,shyperkalemiasandshypernatremia
Thesnursesassessessasclientswhoshassnewsonsetsatrialsfibrillation.sThesventricularsratesiss14
5sbeats/min.sWhatsdoessthesnursesexpectstosobserve?
a.sheadsandsneckspain
b.sbilateralslowersextremitysswelling
c.sdistendedsjugularsveins
d.sdizzinesssandsdyspneas-sans✔✔Dizzinesssandsdyspneas
-
uncontrolledsatrialsfibrillationscansresultsinsacutesdropsinscardiacsoutput.ss/ssaresdizzinesssa
ndsshortnesssofsbreaths