PN NCLEX EXAM LATEST 2024 WITH UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
an adolescent is brought to the emergency department (ED) for a
left femur fracture sustained in a sledding accident. The primary
health care provider reduces the fracture and applies a cast. The
client is taught how to use crutches for ambulating without bearing
weight on the left leg. The nurse would expect the client to learn
which of the following crutch walking gaits?
Two-point gait
Three-point gait
Four-point gait
Swing through gait - ANSWER-B. Three-point gait
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The nurse is caring for a client diagnosed with a right-sided stroke
with dysphagia. Which of the following actions by the nurse reflects
appropriate care for the client?
The nurse assesses the client's ability to swallow
The nurse positions the client with the head of bed elevated 25
degrees
The nurse offers the client scrambled eggs
The nurse instructs the client to place food on the left side of the
mouth
The nurse turns off the client's television - ANSWER-A. The nurse
assesses the client's ability to swallow
C. The nurse offers the client scrambled eggs
E. The nurse turns off the client's television
The nurse is caring for a client receiving hourly peritoneal dialysis
exchanges. During a one-hour exchange, the nurse infuses 2,000
mL of dialysate and 1,900 L of outflow returns. During the
exchange the client drinks 8 oz of apple juice, 2 cups of water, and
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voids 150 mL of urine. Calculate and record the client's intake in
milliliters (mL). - ANSWER-820 mL
The nurse is preparing to insert an indwelling urinary catheter in a
female client. Arrange the following steps in the order the nurse
should perform them. All options must be used.
Open the sterile pack between the client's legs
Wipe the urinary meatus with a cotton ball saturated with a
cleansing solution
Inflate the balloon of the catheter to check for leaks
Place the client supine with knees flexed
Lubricate the tip of the catheter
Put on the sterile gloves - ANSWER-D. Place the client supine with
knees flexed
A. Open the sterile pack between the client's legs.
F. Put on the sterile gloves
C. Inflate the balloon of the catheter to check for leaks
E. Lubricate the tip of the catheter
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B. Wipe the urinary meatus with a cotton ball saturated with a
cleansing solution
The nurse is planning care of a 4 year old client who has been
sexually abused by the father. Play therapy is scheduled. The
nurse knows that the primary goal of play therapy for a 4 year old
client is which of the following?
Provide the opportunity to express anger and hostility by playing
with dolls
Promote communication because the client may lack capacity to
verbally express perceptions
Assess whether the client functions at an age-appropriate
developmental level
Reveal the type of abuse experienced through direct observation of
the client at play - ANSWER-B. Promote communication because
the client may lack capacity to verbally express perceptions
Play is the universal language of children. The purpose of play
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