NCLEX PN WITH NGN QUESTIONS FORMART NEWEST 2024
QUESTIONS BANK / NGN PN NCLEX ACTUAL COMPLETE 500
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) PASS GUARANTEED.
A nurse is caring for an infant with a diagnosis of tetralogy of
Fallot. The infant suddenly becomes cyanotic and
the oxygen saturation reading drops to 60%. Choose the
interventions that the nurse should perform. Select all
that apply. - ANSWER -Notify the registered nurse. Prepare to
administer morphine sulfate. Prepare to
administer intravenous fluids. Prepare to
administer 100% oxygen by face mask.
The nurse notes that the physical assessment findings for a client
with meningeal irritation indicate a positive
Brudzinski sign. The nurse understands that which observation
was made? - ANSWER -The client passively
flexes the hip and knee in response to neck flexion and
reports pain in the vertebral column.
Brudzinski's sign is tested with the client in the supine position.
The examiner flexes the client's head and there should be no
reports of pain or resistance to the neck flexion. A positive
,Brudzinski's sign is observed if the client passively flexes the hip
and knee in response to neck flexion and reports pain in the
vertebral column. Kernig's sign also tests for meningeal irritation
and is positive when the client flexes the legs at the hip and knee
and complains of pain along the vertebral column when the leg is
extended. Decerebrate posturing is abnormal extension and
occurs when the arms are fully extended, forearms pronated,
wrists and fingers flexed, jaws clenched, neck extended, and feet
plantar-flexed. Decorticate posturing is abnormal flexion and is
noted when the client's upper arms are flexed and held tightly to
the sides of the body and the legs are extended and internally
rotated.
Preterm newborns are at risk for developing respiratory distress
syndrome (RDS). The nurse monitors for the
clinical signs associated with RDS, knowing that these signs
include: - ANSWER -Tachypnea and retractions
The newborn infant with RDS may present with clinical signs of
cyanosis, tachypnea, apnea, nasal flaring, chest
wall retractions, or audible grunts. Acrocyanosis is a bluish
discoloration of the hands and feet that is associated
with immature peripheral circulation, and it is not uncommon
during the first few hours of life. Options 2, 3, and 4
do not indicate
clinical signs of RDS.
,Which data indicates to the nurse that a client may be experiencing
ineffective coping? - ANSWER -Constantly
neglects
personal
grooming
Coping mechanisms are behaviors that are used to decreased
stress and anxiety. In response to a death, ineffective coping is
manifested by an extreme behavior that in some instances may be
harmful to the individual, physically, psychologically, or both.
Option 1 is indicative of a behavior that identifies an ineffective
coping behavior as part of the grieving process. The remaining
options identify effective coping behaviors.
Which client is most likely at risk to become a victim of elder
abuse? - ANSWER -A 90-year-old woman with
advanced
Parkinson's
disease
Elder abuse is widespread and occurs among all subgroups of the
population. It includes physical and psychological abuse, the
misuse of property, and the violation of rights. The typical abuse
victim is a woman of advanced age with few social contacts and at
least one physical or mental impairment that limits her ability to
, perform activities of daily living. In addition, the client usually lives
alone or with the abuser and depends on the abuser for care.
Which of these clients are most likely to develop fluid (circulatory)
overload? Select all that apply. - ANSWER -A
premature infant,A 101-year-old man, A client on renal
dialysis, A client with congestive heart failure
Clients with cardiac, respiratory, renal, or liver diseases and
older and very young clients cannot tolerate an
excessive fluid volume. The risk of fluid
(circulatory) overload exists with these clients
After episiotomy and the delivery of a newborn, the nurse performs
a perineal check on the mother. The nurse notes a trickle of bright
red blood coming from the perineum. The nurse checks the fundus
and notes that it is firm. The nurse determines that: - ANSWER -
The bright red bleeding is abnormal and should be reported
Lochial flow should be distinguished from bleeding that originates
from a laceration or an episiotomy, which is usually brighter red
than lochia and presents as a continuous trickle of bleeding, even
though the fundus of the uterus is firm. This bright red bleeding is
abnormal and needs to be reported. Therefore, the other options
are incorrect interpretations.
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