PN NCLEX EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

PN NCLEX EXAM LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
A client in active labor is admitted to the labor suite. An hour later,
the client experiences spontaneous rupture of membranes. The
nurse observes a glistening white umbilical cord protruding from
the vagina. Which of the following actions should the nurse take
first?
A. Return to the nurses' station and call the primary health care
provider.
B. Administer oxygen by mask at 10-12 L/minute and assess vital
signs
C. Place a clean towel over the umbilical cord and wet it with
normal saline solution
D. Apply manual pressure to the presenting part and have the
client assume a knee-chest position. - ANSWER-D. Apply manual
pressure to the presenting part and have the client assume a
knee-chest position.
Umbilical cord prolapse is an emergency situation. The nurse
must relieve pressure on the umbilical cord to prevent fetal anoxia
A client comes to the nurses' station and inquires about going to
the cafeteria to get something to eat. The client becomes verbally
abusive when told that personal privileges do not include going to
the cafeteria. Which of the following approaches by the nurse
would be the most effective?
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A. Tell the client to speak softly to avoid disturbing the other
clients
B. Ask what the client wants from the cafeteria and have it
delivered to the client's room
C. Calmly but firmly escort the client back to the client's room
D. Assign the assistive personnel (AP) to accompany the client to
the cafeteria - ANSWER-C. Calmly but firmly escort the client
back to the client's room
The nurse should not reinforce abusive behavior. Clients need
consistent and clearly defined expectations and limits
The primary health care provider applies a cast to an infant client
for the treatment of talipes equinovarus (TEV) Which of the
following instructions is most essential for the nurse to give to the
client's parents regarding care?
A. Offer age-appropriate toys
B. Visit clinic frequently for cast adjustments
C. Give an analgesic if needed
D. Check circulation in the casted extremity - ANSWER-D. Check
circulation in the casted extremity
Impaired circulation can result from cast application.
Which of the following assignments by the RN would be
appropriate for an LPN / LVN?
A. A client with low back pain scheduled for a myelogram
B. A client in traction for treatment of a fractured femur
C. A client newly diagnosed with type 1 diabetes
D. A client with emphysema scheduled for discharge - ANSWERB. A client in traction for treatment of a fractured femur
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this client is in stable condition and can be cared for by an
LPN/LVN with supervision of an RN
After receiving a handoff of care report from the nurse on the prior
shift, which of the following clients should the nurse see first?
A. A client refusing to take sucralfate before mealtime
B. A client with left-sided weakness asking for assistance to the
commode.
C. A client reporting chills who is scheduled for a cholecystectomy
D. A client with a nasogastric tube who has had a bowel resection
yesterday - ANSWER-C. A client reporting chills who is scheduled
for a cholecystectomy
The primary health care provider prescribes tobramycin sulfate 3
mg/kg IV q8h for a 3 year old client. the nurse enters the clients
room to administer the medication and discovers that the client
does not have an identification bracelet. Which of the following
actions should the nurse take?
A. Ask the parents to state their child's name
B. Ask the child to state the first and last name.
C. Have a coworker identify the child before giving the medication
D. Hold the medication until an identification bracelet can be
obtained - ANSWER-A. Ask the parents to state their child's name