Download NCLEX-PN Practice Questions for 2024-2025: Nursing Fundamentals and Patient Care and more Exams Nursing in PDF only on Docsity!
NCLEX PN- ACTUAL EXAM FOR 2024-
QUESTIONS & ANSWERS VERIFIED 100% CORRECT
"a student nurse provides care to an 18- year- old client. Which action maintains confidentiality? a) takes a picture of clients wound to use for classroom discussion b) prints a copy of the clients medical record for educational purpose c) encourages a parent to be present during the physical examination of client
d) discloses client status over the phone when caller provides correct code - CORRECT
ANSWER discloses client status over the phone when caller provides correct code"
"a lpn provides care to a group of clients. which client should be reassigned to the RN? Client who has a) a nasogastric tube and pH of the gastric aspirate of 3 b) asthma and prescribed oxygen via nonrebreather mask c) diabetes mellitus and a blood glucose level of 160 mg/ dL
d) a stage III pressure ulcer and requires a sterile dressing change - CORRECT ANSWER asthma
and prescribed oxygen via nonrebreather mask" "a charge nurse conducts an in-service on documentation. Which abbreviation is acceptable for use in client medication prescriptions? a)cc b)SQ c)D/C
d) mcg - CORRECT ANSWER mcg"
"a nurse plans to provide change of shift report for a client. Which action is appropriate? a) describe current status b) ask family to participate c) give report in the hallway
d) include past admission data - CORRECT ANSWER describe current status"
"A nurse plans care for an assigned group of clients. which intervention is the priority? a) administer insulin to a client who has hyperglycemia b) suction a tracheostomy for a client who has pneumonia c) provide emotional support to a client who has breast cancer
d) reinforce dietary teaching for a client who has a peptic ulcer - CORRECT ANSWER suction a
tracheostomy for a client who has pneumonia"
"a nurse participates in the process of informed consent with a client who is considering a surgical procedure. which ethical principal is being demonstrated? a) justice b) autonomy c) beneficence
d) nonmaleficence - CORRECT ANSWER autonomy"
"a nurse observes a staff member who falsifies client documentation. What is the appropriate action? a) discuss findings with the staff member b) continue to monitor the staff members action c) report the staff members action to the charge nurse
d) request the staff member to complete an incident report - CORRECT ANSWER report the
staff members action to the charge nurse" "a nurse provides care for a client who has type 2 diabetes mellitus. which members of the interdisciplinary team should be involved in promoting self- management for a foot ulcer? (select all that apply) a)case manager b) wound specialist c) Exercise therapist d) registered dietician
e) Speech language pathologist - CORRECT ANSWER case manager
wound specialist exercise specialist registered dietician" “A registered nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for the nursing assistant? (a) A client requiring colostomy irrigation (b) A client receiving continuous tube feedings (c) A client who requires stool specimen collections
(d) A client who has difficulty swallowing food and fluids - CORRECT ANSWER Correct answer:
(c) A client who requires stool specimen collections Rationale: This question addresses content related to delegation in the subcategory Management of Care in the Client Needs category of Safe and Effective Care Environment. Work
"The nurse uses the Internet to receive electrocardiogram results from a client living in a nursing home. The nurse knows this type of information technology is best described as which of the following? (a) Encryption (b) Telecommunications (c) Telehealth
(d) Nursing informatics - CORRECT ANSWER Correct answer: (c) Telehealth.
Rationale: Telehealth uses transmissions via telecommunications technology to transmit health information remotely. Encryption refers to the conversion of information to code during transmission to keep the information secure. Telecommunications refers to the electronic transmission of data over phone-based lines. Nursing informatics refers to a specialty of nursing that integrates nursing and computer science" "The nurse is caring for a client newly diagnosed with diabetes, and performs the following tasks. Place the tasks the nurse would perform in the appropriate order. All options must be used. (a) The nurse establishes a goal with the client to be able to self-administer insulin injections. (b) The nurse assesses the client's level of knowledge about how to administer insulin injections. (c) The nurse evaluates the client while self-administering insulin injections.
(d) The nurse establishes the diagnosis of knowledge deficit. - CORRECT ANSWER Correct
answer: (b) The nurse assesses the client's level of knowledge about how to administer insulin injections. (d) The nurse establishes the diagnosis of knowledge deficit. (a) The nurse establishes a goal with the client to be able to self-administer insulin injections. (c) The nurse evaluates the client while self-administering insulin injections. Rationale: Nursing process - assessment, diagnosis, establishing outcomes/planning, and evaluation." "A nursing team consists of an RN, an LPN/ LVN, and a nursing assistant. The nurse should assign which of the following patients to the LPN/LVN? (a) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer. (b) A 42-year-old patient with cancer of the bone complaining of pain. (c) A 55-year-old patient with terminal cancer being transferred to hospice home care.
(d) A 23-year-old patient with a fracture of the right leg who asks to use the urinal. - CORRECT
ANSWER Correct answer: (a) A 72-year-old patient with diabetes who requires a dressing
change for a stasis ulcer. Rationale: LPN/LVNs assist with implementation of care; performs procedures; differentiates normal from abnormal; cares for stable patients with predictable conditions; has knowledge of asepsis and dressing changes; administers medications. Patient (a) is stable with an expected outcome. Patients (b) and (c) require assessment and nursing judgement; and Patient (d) involves a standard unchanging procedure that can be assigned to the nursing assistant." "After receiving report at the start of the evening shift, which of the following clients should the nurse attend to first? (a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L. (b) A 21-year-old woman with sickle cell anemia with pain of 6 on a scale of 1-10. (c) A 55-year-old woman with ovarian cancer waiting to be discharged. (d) A 72-year-old man with chronic obstructive pulmonary disease (COPD) and a pulse oximetry of
96% on room air. - CORRECT ANSWER Correct answer: (a) A 34-year-old man undergoing
treatment for non-Hodgkin lymphoma with a potassium level of 7.5 mEq/L. Rationale: Hyperkalemia is a potentially serious condition that, in a client undergoing treatment for non-Hodgkin lymphoma, could indicate tumour lysis syndrome. Patient (b) should be attended to, but her condition is not as urgent. Patients (c) and (d) do not require immediate attention." “A newly hired nurse prepares to insert an indwelling urinary catheter for the first time. Which action is appropriate? a) review policy and procedure manual b) read and follow instructions provided c) ask preceptor to observe the procedure
d) request another nurse to complete the skill - CORRECT ANSWER review policy and
procedure manual" "a nurse recognizes an increase in client fall sin a long- term care facility. Which step should the nurse use to begin the quality improvement process?
"A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing treatment with carbamazepine (Tegretol) is being transferred in stable condition from the intensive care unit to the medical unit. There are 4 beds available. The nurse knows the best choice of roommates for this client is which of the following? (a) A 40-year-old man with methicillin-resistant Staphylococcus aureus (MRSA). (b) A 28-year-old woman diagnosed with diarrhea. (c) A 72-year-old man with fever of unknown origin.
(d) A 68-year-old woman with atrial fibrillation. - CORRECT ANSWER Correct answer: (d) A 68-
year-old woman with atrial fibrillation. Rationale: A client with Stevens-Johnson syndrome is likely to have severe skin integrity issues, including blistering and skin shedding, which can place the client at high risk for infection. Atrial fibrillation is not an infectious process. All other patients may be an infection risk for an individual with altered skin integrity." "A pregnant woman at 15 weeks' gestation is scheduled for an amniocentesis. As the client is being prepped for the procedure, it becomes clear to the nurse that the client doesn't fully understand the risks and benefits associated with the procedure. Which of the following describe the nurse's role in obtaining informed consent? Select all that apply. (a) Explain the risks and benefits associated with the procedure. (b) Describe alternatives to the procedure. (c) Witness the client's signature on the consent form.
(d) Advocate for the client by ensuring she is making an informed decision. - CORRECT
ANSWER Correct answer: (c) Witness the client's signature on the consent form; and
(d) Advocate for the client by ensuring she is making an informed decision. Rationale: Some of the nurse's roles in the informed consent process are to witness the signature on the consent form, and to advocate for the client by ensuring she has been provided the necessary information to make an informed decision. It is the physician's duty to provide information to the client-related risks and benefits, and to provide alternatives." "The nurse is learning how to use the hospital's new electronic medication administration record (eMAR). The nurse knows this tool has the potential to do which of the following? Select all that apply. (a) Reduce medication administration errors. (b) Improve access to information at the point of care. (c) Eliminate the need for the nurse to document medication administration.
(d) Eliminate the need for the nurse to verify dose calculations. - CORRECT ANSWER Correct
answer: (a) Reduce medication administration errors; and
(b) Improve access to information at the point of care. Rationale: eMARs have the potential to reduce medication administration errors and to improve access to client information at the point of care. It is always the nurse's responsibility to document medication administration and to verify doses of drugs being administered." "The nurse in a maternity unit is caring for a client who has just delivered twins. The client voices concern about her ability to manage when she gets home. Which of the following statements best illustrates quality care delivery by the nurse? Select all that apply. (a) "Just focus on how lucky you are to have two healthy babies." (b) "We can arrange for follow-up visits with a home health nurse." (c) "Here is some information on support groups for parents of multiples."
(d) "You will find it easier to formula-feed your babies at home." - CORRECT ANSWER Correct
answer: (b) "We can arrange for follow-up visits with a home health nurse."; and (c) "Here is some information on support groups for parents of multiples." Rationale: A referral to home health care provides the client with opportunities for support and assistance during this transition; and a referral to support groups provides the client with opportunities for support and assistance during this transition. The other options are not appropriate for a new mother expressing concerns about her ability to cope."
