{"id":117746,"date":"2023-09-01T09:25:12","date_gmt":"2023-09-01T09:25:12","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117746"},"modified":"2023-09-01T09:25:14","modified_gmt":"2023-09-01T09:25:14","slug":"nclex-pn-final-2023-actual-exam-version-b-real-exam-with-205-questions-and-correct-answers-verified-answers-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/01\/nclex-pn-final-2023-actual-exam-version-b-real-exam-with-205-questions-and-correct-answers-verified-answers-already-graded-a\/","title":{"rendered":"NCLEX-PN FINAL 2023 ACTUAL EXAM (VERSION B) REAL EXAM WITH 205 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+"},"content":{"rendered":"\n<p>NCLEX-PN FINAL 2023 ACTUAL EXAM<br>(VERSION B) REAL EXAM WITH 205 QUESTIONS<br>AND CORRECT ANSWERS (VERIFIED ANSWERS)<br>|ALREADY GRADED A+<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse is caring for a client scheduled for removal of a pituitary tumor using the<br>transsphenoidal approach. The nurse should be particularly alert for:<br>A. Nasal congestion<br>B. Abdominal tenderness<br>C. Muscle tetany<br>D. Oliguria<br>Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach,<br>through the nose. Nasal congestion further interferes with the airway. Answers B, C, and D are<br>not correct because they are not directly associated with the pituitary gland.<\/li>\n\n\n\n<li>A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,<br>WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the<br>client is experiencing which of the following?<br>A. Hypernatremia<br>B. Hypokalemia<br>C. Myelosuppression<br>D. Leukocytosis<br>Answer B: Hypokalemia is evident from the lab values listed. The other laboratory findings are<br>within normal limits, making answers A, C, and D<br>incorrect.<\/li>\n\n\n\n<li>A 24-year-old female client is scheduled for surgery in the morning. Which of the<br>following is the primary responsibility of the nurse?<br>A. Taking the vital signs<br>B. Obtaining the permit<br>C. Explaining the procedure<br>D. Checking the lab work<br>Answer A: The primary responsibility of the nurse is to take the vital signs before any surgery.<br>The actions in answers B, C, and D are the responsibility of the doctor and, therefore, are<br>incorrect for this question.<\/li>\n\n\n\n<li>The nurse is working in the emergency room when a client arrives with severe burns of<br>the left arm, hands, face, and neck. Which action should receive priority?<br>A. Starting an IV<br>B. Applying oxygen<br>C. Obtaining blood gases<br>D. Medicating the client for pain<br>Answer B: The client with burns to the neck needs airway assessment and supplemental oxygen,<br>so applying oxygen is the priority. The next action should be to start an IV and medicate for pain,<br>making answers A and C incorrect. Answer D, obtaining blood gases, is ordered by the doctor.<\/li>\n\n\n\n<li>The nurse is visiting a home health client with osteoporosis. The client has a new<br>prescription for alendronate (Fosamax). Which instruction should be given to the client?<br>A. Rest in bed after taking the medication for at least 30 minutes<br>B. Avoid rapid movements after taking the medication<br>C. Take the medication with water only<\/li>\n<\/ol>\n\n\n\n<p>D. Allow at least 1 hour between taking the medicine and taking other medications<br>Answer B: The client with burns to the neck needs airway assessment and supplemental oxygen,<br>so applying oxygen is the priority. The next action should be to start an IV and medicate for pain,<br>making answers A and C incorrect. Answer D, obtaining blood gases, is ordered by the doctor.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.<br>Which equipment should be kept at the bedside?<br>A. A pair of forceps<br>B. A torque wrench<br>C. A pair of wire cutters<br>D. A screwdriver<br>Answer B: A torque wrench is kept at the bedside to tighten and loosen the screws of crutchfield<br>tongs. This wrench controls the amount of pressure that is placed on the screws. A pair of<br>forceps, wire cutters, and a screwdriver, in answers A, C, and D, would not be used and, thus, are<br>incorrect.<\/li>\n\n\n\n<li>An infant weighs 7 pounds at birth. The expected weight by 1 year should<br>be:<br>A. 10 pounds<br>B. 12 pounds<br>C. 18 pounds<br>D. 21 pounds<\/li>\n<\/ol>\n\n\n\n<p>Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth<br>weight. Answers A, B, and C therefore are incorrect.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>A client is admitted with a Ewing\u2019s sarcoma. Which symptoms would be expected due to<br>this tumor\u2019s location?<br>A. Hemiplegia<br>B. Aphasia<br>C. Nausea<br>D. Bone pain<br>Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers<br>A, B, and C are not specific to this type of cancer and are incorrect.<\/li>\n\n\n\n<li>The nurse is caring for a client with epilepsy who is being treated with carbamazepine<br>(Tegretol). Which laboratory value might indicate a serious side effect of this drug?<br>A. Uric acid of 5mg\/dL<br>B. Hematocrit of 33%<br>C. WBC 2,000 per cubic millimeter<br>D. Platelets 150,000 per cubic millimeter<br>Answer C: Tegretol can suppress the bone marrow and decrease the white blood cell count; thus,<br>a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug. Answers A and<br>D are within normal limits, and answer B is a lower limit of normal; therefore, answers A, B, and<br>D are incorrect.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>NCLEX-PN FINAL 2023 ACTUAL EXAM(VERSION B) REAL EXAM WITH 205 QUESTIONSAND CORRECT ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED A+ D. Allow at least 1 hour between taking the medicine and taking other medicationsAnswer B: The client with burns to the neck needs airway assessment and supplemental oxygen,so applying oxygen is the priority. The next action should be [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117746","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117746","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117746"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117746\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}