NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2024 RATED A+

NCLEX RN Exam BEST EXAM SOLUTION WITH A 100% CORRECTLY/VERIFIED ANSWERS LATEST UPDATE 2024 RATED A+



























You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant inspect skin integrity for this patient?

a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours - CORRECT ANSWER-a. Every 30 minutes

You are working in the emergency department and find out that a tornado has hit the local area. Numerous casualties are being sent to the emergency department. What action should you take at this time?

a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff. - CORRECT ANSWER-c. Activate the agency disaster plan.

You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15 drops per 1 mL. You prepare to set the flow rate at how many drops per minute?

a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute - CORRECT ANSWER-c. 21 drops a minute

You are preparing to administer an intravenous dose of 400,000 units of penicillin G benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000 units per mL. You prepare to administer how much of the medication?

a. 1.3 ml
b. 1.5 ml
c. 10 ml
d. 13 ml - CORRECT ANSWER-a. 1.3 ml

You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to administer the correct dose?

a. 10 ml
b. 15 ml
c. 20 ml
d. 50 ml - CORRECT ANSWER-b. 15 ml

You enter a patients room and find the patient not breathing, no pulse, and unresponsive. You have called for help. What is the next step?

a. Bag mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway - CORRECT ANSWER-b. Chest compressions

The correct hand placement for chest compressions is the:

a. Lower third of sternum
b. Upper half of the sternum
c. Upper third of the sternum
d. Lower half of the sternum - CORRECT ANSWER-d. Lower half of the sternum

What is the proper technique for opening the airway on a trauma patient?

a. Head tilt-chin lift
b. Flexed position
c. Modified head tilt-chin lift
d. Jaw thrust maneuver - CORRECT ANSWER-d. Jaw thrust maneuver

The most appropriate place to check the pulse on a 1-month-old infant is:

a. Brachial
b. Carotid
c. Popliteal
d. Radial - CORRECT ANSWER-a. Brachial

You are encouraging your postoperative patient to cough and take deep breaths. The patient questions why it is so important to do this. Your response would include the understanding that retaining pulmonary secretions can lead to:

a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d.Pneumonia - CORRECT ANSWER-d.Pneumonia

Which of the following would you want to include in an education session to the staff on HIV and AIDS?

a. Newborn infants of HIV positive mothers usually test positive

b. The hematological system is usually attacked by HIV.

c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.

d. T lymphocytes are destroyed because the virus attacks the immune system. - CORRECT ANSWER-d. T lymphocytes are destroyed because the virus attacks the immune system.

You are conducting a teaching session for mothers at a local school on rubeola (measles). Which of the following would you not want to include in this education?

a. Profuse runny nose, coughing and fever occur before the rash develops.

b. The child may develop small, blue-white spots with a red base in the mouth

c. Ears usually develop a rash first, which then spreads toward the feet.

d. The communicable period usually ranges from 10 to 15 days after the rash appears. - CORRECT ANSWER-d. The communicable period usually ranges from 10 to 15 days after the rash appears.

The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears. The incubation period is 10-15 days. The blue-white spots found in the mouth during Rubeola are called Koplik's spots.