NCLEX PN COMPREHENSIVE 2023 FORM B ACTUAL EXAM CONTAINS 160 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

NCLEX PN COMPREHENSIVE 2023 FORM B
ACTUAL EXAM CONTAINS 160 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
NCLEX PN COMPREHENSIVE FORM B
The nurse is assisting with caring for a client who is receiving a unit of packed red
blood cells (PRBCs). The nurse would tell the client that it is most important to
report which signs immediately?

1. Sore throat or earache
2. Chills, itching, or rash
3. Unusual sleepiness or fatigue
4. Mild discomfort at the catheter site – ANSWER- 2. Chills, itching, or rash
   The nurse is helping perform a focused data collection process on a client who is
   complaining of symptoms of a cold, a cough, and lung congestion. Which would
   the nurse include for this type of data collection? Select all that apply.
5. Listening to lung sounds
6. Obtaining the client’s temperature
7. Checking the strength of peripheral pulses
8. Obtaining information about the client’s respirations
9. Performing a musculoskeletal and neurological examination
10. Asking the client about a family history of any illness or disease – ANSWER- 1.
    Listening to lung sounds
11. Obtaining the client’s temperature
12. Obtaining information about the client’s respirations
    The nurse is reviewing the client’s health record and notes that the client elicited a
    positive Romberg sign. Based on this finding, the nurse would institute which
    interventions? Select all that apply.
13. Collect data to determine factors for fall risk.
14. Close the blinds and turn off the overhead light.
15. Instruct the client to ask for assistance when getting up to walk.
16. Teach the client to lift legs high while walking, as if walking over planks.
17. Ensure the client is upright when eating and swallows twice after each bite. –
    ANSWER- 1. Collect data to determine factors for fall risk.
18. Instruct the client to ask for assistance when getting up to walk.
    The nurse learns in report that a client is exhibiting Cheyne-Stokes respirations.
    Based on this data, which action is most appropriate for the nurse to take initially?
19. Listen to the client’s heart sounds.
20. Determine whether the client has a pulse deficit.
21. Instruct the client to use an incentive spirometer.
22. Determine the client’s ability to follow verbal commands. – ANSWER- 4.
    Determine the client’s ability to follow verbal commands.

The nurse notes documentation that a client has conductive hearing loss. The nurse
plans care knowing that this kind of hearing loss can be caused by which
circumstances? Select all that apply.

1. A defect in the cochlea
2. Acute otitis media with effusion
3. A defect in the 8th cranial nerve
4. A defect in the sensory fibers that lead to the cerebral cortex
5. A physical obstruction to the transmission of sound waves – ANSWER- 2. Acute
   otitis media with effusion
6. A physical obstruction to the transmission of sound waves
   The nurse is preparing to assist the primary health care provider to test the
   extraocular movements in a client and muscle weakness in the eyes. The nurse
   anticipates that which physical assessment technique will be done?
7. Testing using the Ishihara chart
8. Testing using a Snellen eye chart
9. Testing the corneal light reflexes
10. Testing the six cardinal positions of gaze – ANSWER- 4. Testing the six cardinal
    positions of gaze
    The nurse is reinforcing instructions for a client on how to perform a testicular
    self-examination (TSE). Which instructions would the nurse include? Select all
    that apply.
11. Perform TSE after a shower or bath.
12. Perform TSE after emptying the bladder.
13. Perform TSE on the same day each month.
14. Observe for urethral discharge after performing TSE.
15. Perform TSE by rolling each testicle between the thumb and fingers. –
    ANSWER- 1. Perform TSE after a shower or bath.
16. Perform TSE on the same day each month.
17. Perform TSE by rolling each testicle between the thumb and fingers.
    The nurse notes the physical assessment findings for a client with a diagnosis of
    possible meningitis. Which findings would the nurse expect to observe because of
    meningeal irritation? Select all that apply.
18. Pupils are unequal and react slowly to light.
19. The client reports stiffness and soreness in the neck area.
20. The client reports pain in the vertebral column and passively flexes the hip and
    knee in response to neck flexion.
21. The client flexes a leg at the hip and knee and reports pain in the vertebral
    column when the leg is extended.
22. The client’s upper arms are flexed and held tightly to the sides of the body, and
    the legs are extended and internally rotated. – ANSWER- 2. The client reports
    stiffness and soreness in the neck area.
23. The client reports pain in the vertebral column and passively flexes the hip and
    knee in response to neck flexion.
24. The client flexes a leg at the hip and knee and reports pain in the vertebral
    column when the leg is extended.
    The nurse is caring for a client with a health care associated infection caused by
    methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for
    the client. The nurse prepares to irrigate the wound and apply a new dressing.
    Which protective interventions would the nurse use to perform this procedure?
    Select all that apply.