NCLEX RN PRACTICE WITH NGN EXAM 1 NEW UPDATE 2024, 132 QUESTIONS & ANSWER KEY AT THE END

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NCLEX RN PRACTICE WITH NGN EXAM 1 NEW UPDATE 2024, 132 QUESTIONS & ANSWER KEY AT THE END 1. A client diagnosed with pneumonia states difficulty in producing a productive cough. The nurse should instr... uct the client to complete which of the following to maintain airway clearance? A. decrease fluid intake B. pursed-lip breathing technique splint the chest when coughing D. deliver oxygen via nasal cannula 2. A client requiring prolonged mechanical ventilation has the following arterial blood gas (ABG) results: pH: 7.49; PaO2: 85 mm Hg; PaCO2: 30 mm Hg; HCO3: 25 mEq/L. The nurse interprets these results as A. metabolic acidosis. B. metabolic alkalosis. respiratory acidosis. D. respiratory alkalosis. 3. A client is diagnosed with angina pectoris. The nurse has instructed the client on the proper use of a nitroglycerin sublingual. The nurse also informs the client that which of the following adverse effects may be caused by this medication? A. flushing, dizziness, headache, and pedal edema B. headache, hypotension, dizziness, and flushing nausea, vomiting, depression, fatigue, and impotence D. sedation, nausea, vomiting, and constipation A nurse is teaching a client how to administer Proventil to the client’s child using a metered dose inhaler with a chamber. The nurse explains that the medication should be administered just prior to the child’s inhaling. B. as the child is inhaling. as the child is exhaling. D. just after the child exhales. 5. A nurse is working in an alcohol rehabilitation facility. A client she is caring for asks for a referral to a support group in the community that can help him maintain his sobriety. How should the nurse respond? "Here are the phone numbers and meeting locations for Alcoholics Anonymous and SMART Recovery." B. "I will help you enlist support from your loved ones." "I will refer you to a primary care physician knowledgeable in caring for alcoholics." D. "You will need to have your friends’ support." 6. A nurse is caring for a client who is scheduled for heart surgery the following week. The client wishes to appoint her spouse to make medical decisions for her in the event that something happens during the surgery. Which document should the nurse suggest to the client? Living will B. Health care proxy Do not resuscitate order D. Power of attorney 7. A nurse is observing a student perform care for a client with hearing aids in both ears. Which student action should be corrected by the nurse? Exaggerating mouth movements when speaking to the client B. Standing directly in front of the client when speaking with the client Keeping hands away from the face while speaking with the client D. Making sure that the room light is on before administering care 8. A nurse is caring for an elderly client who lives alone. Upon assessment, the nurse notes that the client has poor hygiene. Which is the most appropriate referral for this client? Adult protective services B. Primary care physician Social worker D. Psychologist 9. A client is admitted to the orthopedic unit with a diagnosis of acute osteomyelitis. The osteomyelitis developed after an open fracture of the left femur. Which of the following nursing measures should the nurse anticipate completing in the treatment of this client? administering large dosages of IV (intravenous) antibiotics B. ambulating the client up and down the hallway twice daily maintaining the client’s NPO (nothing by mouth) status D. providing the client with oral antibiotics four times daily A client has just returned to the nursing unit following a left below-knee amputation as a result of arterial insufficiency. Which of the following actions should the nurse include in the postoperative care plan? Apply heat to the stump every four hours for 20 minutes. B. Elevate the stump for the first 24 hours postoperatively. Maintain the client on complete bed rest. D. Remove the stump’s pressure dressing 12 hours postoperatively. A nurse is performing a fundal assessment on a client two days after delivery. Where in the abdomen would the nurse expect the fundal height to be located? A nurse is caring for a client with free-floating anxiety. Which of the following symptoms would the nurse expect the client to exhibit? chronic worry or fear B. fear about what will happen next repetitive behavior D. sense of impending doom The nurse is caring for a client with a central venous access device. Which action should the nurse include in the client’s care plan? Change the catheter every three days. B. Flush each lumen with heparin solution daily. Change the occlusive transparent dressing once each day. D. Use aseptic techniques when caring for the device. The nurse manager is made aware of conflict between two nurses. After speaking with the two nurses, the manager notes that there are no acceptable options to either person. Which stage of conflict is occurring? Avoidance-Avoidance B. Approach-Approach Approach-Avoidance D. Resolution [Show More]

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