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NCLEX-PN 2024 REAL EXAM PRACTICE QUESTIONS SET I TO V EACH HAVING 20 QUESTIONS AND CORRECT DETAILED ANSWERS KEYS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$15.49
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NCLEX-PN 2024 REAL EXAM PRACTICE QUESTIONS SET I TO V EACH HAVING 20 QUESTIONS AND CORRECT DETAILED ANSWERS KEYS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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Course
NCLEX-PN 2024
Institution
NCLEX-PN 2024
NCLEX-PN 2024 REAL EXAM PRACTICE QUESTIONS SET I TO V EACH HAVING 20 QUESTIONS AND CORRECT DETAILED ANSWERS KEYS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
NCLEX-PN 2024 REAL EXAM PRACTICE QUESTIONS SET I
TO V EACH HAVING 20 QUESTIONS AND CORRECT
DETAILED ANSWERS KEYS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. The nurse is caring for a client following an appendectomy. The client reports
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nausea and complains of surgical site pain at a 6 on a 0 to 10 scale. The client's
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employer is present in the room and states he is paying for the insurance and
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wants to know what pain medication has been prescribed by the physician. Which
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of the following is the appropriate nurse response?
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A. Answer any questions the employer may have as he pays for the insurance.
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B. Tell the employer his question is inappropriate and that the information is none of
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his business.
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C. Explain to the employer that you cannot release private information and ask the
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employer to step out while you conduct your assessment of the client.
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D. Ask the employer to leave and wait until the client returns home to visit.
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2. The nurse is caring for a client with a history of advanced chronic obstructive
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pulmonary disease (COPD). The client had conventional gallbladder surgery 2 days
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previously. Which intervention has priority for preventing respiratory
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complications?
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A. Incentive spirometry every 4 hours.
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B. Coughing and deep breathing four times daily.
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C. Getting the client out of bed 4 times daily as ordered by the physician.
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D. Giving oxygen at 4 L/minute according to the physician's order.
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3. A nurse is developing a care plan for a client with acute mania. Place the
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following behaviors in the order in which they occur as the client develops acute
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mania. Use all of the options.
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A. Delusions of grandeur.
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B. Relevant, calm speech patterns.
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C. Highly productive and competitive in work and leisure activities.
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D. Easily irritated.
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E. Poor judgment and impulse control.
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4. When educating a pregnant client about home safety, which of the following
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information is appropriate for the nurse to include in the teaching plan? Select all
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that apply.
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A. When taking a shower, place a non-skid mat on the floor of the tub or shower.
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B. Avoid climbing stairs.
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C. Avoid wearing high heels.
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D. Use non-slip rugs on the floors.
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5. A client had a C5 spinal cord contusion that resulted in quadriplegia. Two days
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after the injury occurred, the nurse sees his mother crying in the waiting room.
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The mother asks the nurse whether her son will ever play football again. Which of
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the following is the best initial response?
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A. "Given time and motivation, your son can return to normal function."
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B. "I'm not sure, but I'll call the physician to talk to you right away."
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C. "What do you know about your son's injury?"
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D. "Getting upset isn't in you son's best interest."
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6. The nurse is caring for a client who will undergo surgical repair of a detached
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retina. Which of the following is the most likely preoperative nursing diagnosis
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for this client?
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A. Anxiety related to loss of vision and potential failure to regain vision.
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B. Deficient knowledge (preoperative and postoperative activities) related to lack of
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information.
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C. Acute pain related to tissue injury and decreased circulation to the eye.
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D. Risk for infection related to the eye injury.
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7. When assessing a client with glaucoma, a nurse expects which of the following
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findings?
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A. Complaints of double vision.
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B. Complaints of halos around lights.
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C. Intraocular pressure of 15 mm Hg.
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D. Soft globe on palpation.
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8. A client had a Caesarean delivery and is postpartum day 1. She asks for pain
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medication when the nurse enters the room to do her shift assessment. The client
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states that her pain level is an 8 on a scale of 1 to 10. What should be the nurse's
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priority of care?
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A. Give the pain medication and return in an hour for further assessment to allow
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time for the medication to work.
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B. Complete the postpartum assessment and then give the client pain medication.
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C. Give the pain medication first, do a quick assessment while administering the
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medication to ensure the pain is not caused by a complication, and return for the full
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assessment after the client's pain has subsided.
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D. Instruct the patient to do relaxation exercises to relieve her discomfort.
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9. The nurse is preparing to teach a client about the effects of isoniazid (INH).
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Which information is important for the client to understand?
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A. Isoniazid should be taken on an empty stomach.
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B. Prolonged use of isoniazid produces poorly concentrated urine.
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C. Taking aluminum hydroxide (Maalox)® with isoniazid minimizes gastrointestinal
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upset.
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D. Drinking alcohol daily can increase the incidence of drug-induced hepatitis.
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10. A one-month old infant in the neonatal intensive care unit is dying. The
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parents request that the nurse administer an opioid analgesic to their infant, who
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is crying weakly. The infant's heart rate is 68 beats per minute and the respiratory
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rate is 18 breaths per minute. The infant is on room air and the oxygen saturation
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is 92%. The nurse's response is based on which of the following principles?
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A. Providing analgesia during the last days and hours is an ethically-appropriate
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nursing action.
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B. Withholding the opioid analgesia during the last days and hours is an ethical duty
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because administering it would represent assisted suicide.
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C. Administering analgesia during the last days and hours is the parent's ethical
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decision.
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D. Withholding the opioid analgesia is clinically appropriate because it will hasten the
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infant's death.
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11. While undergoing hemodialysis, the client becomes restless and tells the nurse
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he has a headache and feels nauseous. Which of the following complications does
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the nurse suspect?
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A. Infection.
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B. Disequilibrium syndrome.
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C. Air embolus.
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D. Acute hemolysis.
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12. An elderly couple is speaking to the nurse about their ambivalence related to
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sending the client, their adult, dual-diagnosed (bipolar and drug addict) son, into
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residential placement. They tell the nurse that neither keeping their son at home
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nor sending him to a facility is a satisfactory solution for them. What information
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should the nurse keep in mind when discussing this dilemma with the family?
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Select all that apply.
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A. Implement what is best for the couple.
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B. Suggest another psychiatric evaluation for the son.
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C. Look for all potential options for care.
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D. Review the client's treatment history.
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E. Consult legal authorities for information.
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13. The nurse is caring for a 44-year-old client diagnosed with
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hypoparathyroidism. Which electrolyte imbalance is closely associated with
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hypoparathyroidism?
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A. Hypocalcemia.
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B. Hyponatremia.
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C. Hyperkalemia.
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D. Hypophosphatemia.
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14. The nurse is caring for a client diagnosed with end-stage liver disease. The
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client has completed an advance directive and a do-not-resuscitate (DNR)
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document and wishes to receive palliative care. Which of the following would
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correspond to the client's wish for comfort care?
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A. Positioning frequently to prevent skin breakdown and providing pain management
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and other comfort measures.
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B. Carrying out vigorous resuscitation efforts if the client were to stop breathing, but
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no resuscitation if the heart stops beating.
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C. Providing intravenous fluids when the client becomes dehydrated.
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D. Providing total parenteral nutrition (TPN) if the client is not able to eat.
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15. The nurse is caring for a client receiving warfarin therapy (Coumadin®)
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following a stroke. The client's PT/INR was completed at 7:00 A.M. prior to the
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morning meal with an INR reading of 4.0. Which of the following is the nurse's
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first priority?
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A. Call the physician to request an increase in the Coumadin® dose.
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B. Administer a vitamin K injection IM and notify the physician of the results.
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C. Assess the client for bleeding around the gums or in the stool and notify the
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4
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