{"id":121227,"date":"2023-10-16T02:09:51","date_gmt":"2023-10-16T02:09:51","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=121227"},"modified":"2023-10-16T02:09:52","modified_gmt":"2023-10-16T02:09:52","slug":"nclex-pn-comprehensive-2023-form-c-actual-exam","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/16\/nclex-pn-comprehensive-2023-form-c-actual-exam\/","title":{"rendered":"NCLEX PN COMPREHENSIVE 2023 FORM C ACTUAL EXAM"},"content":{"rendered":"\n

NCLEX PN COMPREHENSIVE FORM C
The nurse is collecting data on a client with a diagnosis of right-sided heart failure.
The nurse should expect to note which specific characteristic of this condition?<\/p>\n\n\n\n

    \n
  1. Dyspnea<\/li>\n\n\n\n
  2. Hacking cough<\/li>\n\n\n\n
  3. Dependent edema<\/li>\n\n\n\n
  4. Crackles on lung auscultation<\/li>\n\n\n\n
  5. Dependent edema
    Rationale:
    Right-sided heart failure is characterized by signs of systemic congestion that
    occur as a result of right ventricular failure, fluid retention, and pressure buildup in
    the venous system. Edema develops in the lower legs and ascends to the thighs and
    abdominal wall. Other characteristics include jugular (neck vein) congestion,
    enlarged liver and spleen, anorexia and nausea, distended abdomen, swollen hands
    and fingers, polyuria at night, and weight gain. Left-sided heart failure produces
    pulmonary signs. These include dyspnea, crackles on lung auscultation, and a
    hacking cough<\/li>\n<\/ol>\n\n\n\n

    The nurse is checking the neurovascular status of a client who returned to the
    surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The
    affected leg is warm, and the nurse notes redness and edema. The pedal pulse is
    palpable and unchanged from admission. The nurse interprets that the
    neurovascular status is which?<\/p>\n\n\n\n

      \n
    1. Moderately impaired, and the surgeon should be called<\/li>\n\n\n\n
    2. Normal, caused by increased blood flow through the leg<\/li>\n\n\n\n
    3. Slightly deteriorating, and should be monitored for another hour<\/li>\n\n\n\n
    4. Adequate from an arterial approach, but venous complications are arising<\/li>\n\n\n\n
    5. Normal, caused by increased blood flow through the leg
      Rationale:
      An expected outcome of surgery is warmth, redness, and edema in the surgical
      extremity caused by increased blood flow. Options 1, 3, and 4 are incorrect.
      A client with a diagnosis of rapid rate atrial fibrillation asks the nurse why the
      health care provider is going to perform carotid massage. The nurse responds that
      this procedure may stimulate which?<\/li>\n\n\n\n
    6. Vagus nerve to slow the heart rate<\/li>\n\n\n\n
    7. Vagus nerve to increase the heart rate<\/li>\n\n\n\n
    8. Diaphragmatic nerve to slow the heart rate
      <\/li>\n\n\n\n
    9. Diaphragmatic nerve to increase the heart rate<\/li>\n\n\n\n
    10. Vagus nerve to slow the heart rate
      Rationale:
      Carotid sinus massage is one maneuver used for vagal stimulation to decrease a
      rapid heart rate and possibly terminate a tachydysrhythmia. The other maneuvers
      are the Valsalva maneuver of inducing the gag reflex and asking the client to strain
      or bear down. Medication therapy is often needed as an adjunct to keep the rate
      down or maintain the normal rhythm.
      A client is admitted to the hospital with possible rheumatic endocarditis. The nurse
      should check for a history of which type of infection?<\/li>\n\n\n\n
    11. Viral infection<\/li>\n\n\n\n
    12. Yeast infection<\/li>\n\n\n\n
    13. Streptococcal infection<\/li>\n\n\n\n
    14. Staphylococcal infection<\/li>\n\n\n\n
    15. Streptococcal infection
      Rationale:
      Rheumatic endocarditis, also called rheumatic carditis, is a major indicator of
      rheumatic fever, which is a complication of infection with group A \u03b2-hemolytic
      streptococcal infections. It is frequently triggered by streptococcal pharyngitis.
      Options 1, 2, and 4 are incorrect.

      A client has an Unna boot applied for treatment of a venous stasis leg ulcer. The
      nurse notes that the client’s toes are mottled, and cool and the client verbalizes
      some numbness and tingling of the foot. Which interpretation should the nurse
      make of these findings?<\/li>\n\n\n\n
    16. The boot has not yet dried.<\/li>\n\n\n\n
    17. The boot is controlling leg edema.<\/li>\n\n\n\n
    18. The boot is impairing venous return.<\/li>\n\n\n\n
    19. The boot has been applied too tightly.<\/li>\n\n\n\n
    20. The boot has been applied too tightly.
      Rationale:
      An Unna boot that is applied too tightly can cause signs of arterial occlusion. The
      nurse assesses the circulation in the foot and teaches the client to do the same. The
      other options are incorrect interpretations.
      A client with angina complains that the anginal pain is prolonged and severe and
      occurs at the same time each day, most often in the morning. On further data
      collection, the nurse notes that the pain occurs in the absence of precipitating
      factors. How should the nurse best describe this type of anginal pain?<\/li>\n\n\n\n
    21. Stable angina<\/li>\n\n\n\n
    22. Variant angina<\/li>\n\n\n\n
    23. Unstable angina<\/li>\n\n\n\n
    24. Nonanginal pain<\/li>\n<\/ol>\n\n\n\n

      Download full pdf here https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

      NCLEX PN COMPREHENSIVE FORM CThe nurse is collecting data on a client with a diagnosis of right-sided heart failure.The nurse should expect to note which specific characteristic of this condition? The nurse is checking the neurovascular status of a client who returned to thesurgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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-121227","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/121227","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=121227"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/121227\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=121227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=121227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=121227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}