Nclex

NCLEX PN ACTUAL EXAM 2024 QUESTIONS AND ANSWERS WITH RATIONALE.

The charge nurse has received a change-of-shift report on the following clients in labor. The charge nurse should ask a staff member to first see the client in the 1. first stage of labor who has an oral temperature of 99.7° F (37.6° C) 2. first stage of labor whose contractions are occurring every 30 seconds 3. second stage of labor who has respirations of 26 4. second stage of labor whose contractions are lasting for 60 seconds - correct answer 2. first stage of labor whose contracti...

75 Free NCLEX Questions And Answers 2024/2025

STROKE- NCLEX EXAM QUESTIONS AND CORRECT ANSWER WITH RATIONALE, WITH COMPLETE SOLUTION 2024/2025. The nurse is caring for a patient with a history of transient ischemic attacks (TIAs) and moderate carotid stenosis who has undergone a carotid endarterectomy. Which of the following postoperative findings would cause the nurse the most concern? a) Blood pressure (BP): 128/86 mm Hg b) Neck pain: 3/10 (0 to 10 pain scale) c) Mild neck edema d) Difficulty swallowing Difficulty swallo...

Gastroesophageal Reflux (GERD) NCLEX Questions and Correct Answers 2024/2025 Solved 100% The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask? 1. "How much weight have you gained recently?" 2. "What have you done to alleviate the heartburn?" 3. "Do you consume many milk and dairy products?" 4. "Have you been around anyone with a stomach virus?" ANSWER: 2. Most clients with GERD have been ...

The Nurse is assessing a client who has a low-pitches murmur. What is the most appropriate way for the nurse to position the client to auscultate this murmur On the left lateral side using the bell of the stethoscope. During a cardiovascular assessment the nurse finds a bluish tinge on the clients lips, fingers, and toes. what is the appropriate documentation for this finding? Central and peripheral cyanosis When evaluating a client's circulation the nurse should include which assessments?...

The nurse is preparing the client for a cardiac catheterization with angiography. Which teaching should the nurse give the patient prior to the test? A) "You will need to fast for about 2 hours before the test" B) "It's important for you to know that you will be lying flat on a table for about 5 hours during this process. It could be painful" C) "You may feel the need to void when the dye is injected, but this sensation should diminish in a minute" D) "If you have an allergy to sh...

The nurse is assessing a pt w/ chronic heart failure. Which abnormal chest sound would the nurse most likely auscultate? 1. expiratory wheezes 2. friction rub 3. harsh vesicular 4. crackles Answer: 4 Rationale 1, 2, 3: Expiratory wheezes, friction rub, & harsh vesicular sounds are not associated w/ chronic heart failure. Rationale 4: Fluid accumulates in the alveolar spaces w/ left-sided heart failure. This fluid causes the sound of crackles at the end of inspiration. When caring for a...

The nurse is preparing to teach the pt newly diagnosed with angina pectoris how to selfadminister nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply A. stop all activities immediately and sit down if chest pain occurs B. if the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber right away C. After discharge, keep NTG tablets on your bedside table day and night D. immediately after chest pain begins, notify your...

A nurse is assisting a client who will wear a Holter monitor for continuous cardiac monitoring over the next 24 hours. The nurse takes which of the following actions to assist this client? Gives the client a device holder to wear around the waist A client is admitted to the hospital with a diagnosis of pericarditis. The nurse reviews the client's record for which manifestation that differentiates pericarditis from other cardiopulmonary problems? Pericardial friction rub A client diagnosed...

1) A client is scheduled for a cardiac catherization using a radiopaque dye. Which of the following assessments is most critical before the procedure? 1.Intake and output 2.Baseline peripheral pulse rates 3.Height and weight 4.Allergy to iodine or shellfish 4. Allergy to iodine or shellfish This procedure requires an informed consent because it involves injection of a radiopaque dye into the blood vessel. The risk of allergic reaction and possible anaphylaxis is serious and must be asses...

The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4+ pitting edema of feet. 2. Thick white sputum and crackles that clear with cough. 3. The client sleeping with no pillow and eupnea. 4. Radial pulse rate of 90 and capillary refill time <3 seconds. 1 The nurse is developing a nursing care plan for a client diagno...