2024 NGN NCLEX RN ACTUAL Exam 2

2024 NGN NCLEX RN ACTUAL Exam 2 Guaranteed A+ Actual Questions and Answers, Complete 100%

1. Abrupt, high-pitched snapping noise:

Answer:

heart murmur

• is normal and represent the S1 (first heart sound) and S2 (second heart sound):

Answer:

Lubb-dubb sounds

3. is described as a scratchy, leathery heart sound:

Answer:

pericardial friction rub

4. Vomiting will cause the loss of:

Answer:

hydrochloric acid and subsequent metabolic

• would occur in a child experiencing diarrhea because of the loss of

bicarbonate.:

Answer:

Metabolic acidosis

• An involves insertion of needle electrodes into selected skeletal

muscles to evaluate changes & electrical potential of the muscles & the nerves that lead to them. The test is useful in evaluating suspected lumbar or cervical disk disease, myasthenia gravis, muscular dystrophy, and other musculoskeletal diseases. The needle will not electrocute him or her, & will experience sensations comparable to an injection as the needles are inserted. An informed consent is required, & no other special preparation is

required for this test.:

Answer: 1 / 3

electromyogram

• The nurse is preparing a client for surgery. Which would be a component

of the plan of care?:

Answer:

Review the results of the preoperative laboratory studies.

• one of the most common skin infections among kids, usually produces

blisters or sores on the face, neck, hands, and diaper area. This contagious

superficial skin infection is generally caused by one of two bacteria:

Answer:

Staphylococcus aureus or Streptococcus pyogenes: impetigo

• a RN in a charge position is reinforcinbg goals to the health care team.

which of these itmes best decribes the goals of continous quality improvement

(CQI) in a health care setting?:

Answer:

improve the quality of care in a proactive manner.

• the clienbt who recently expericned a stroke has an order to amublate

with assistanc. which statement by the nurse provides the best instructions

to the UAP to assist the client to ambulate?:

Answer:

"have the client lift & move the walker out at arms length then wlak into the walker." the nurse should give clear & concise inof to the UAP about what is expected to safely conmplete any task, which is why the optionn about using the walker is correct. the person assisting the client to ambulate should walk on the client's weak side. UAP cannot assess or eval a client; only nurses can peform the steps of the nursing process. if a client gets dizzy, the UAP should assist the client to sit.

• the practical nurse (PN) is reassigned to work on an acute care unit. which

of these clients would be most appropriate for this PN to accept?:

Answer:

an older adult client Dx w/ cystitis who has an indwelling urethral catheter =PNs 2 / 3

who are reassigned to clients who are stable. the older adult Dx w// cystitis is the most stable & the outcomes for care are failry predictable. the other clients have more complex problems, as well as a higher risk for instability. PNs should not accept an assignment that is beyond their knowledge or skills

• which nursing practice best reduces the chance of communication errors

that might otherwise lead to negative client outcomes?:

Answer:

use standardized forms for client handoffs.

• the clients states to the nurse: "I am ready to stop all of these Tx. I just

want to go home & enjoy my family for the little bit of time I have left." which

action is most appropriate?:

Answer:

encourage the cleint to discuss this decision w/ the health care provider & family.=the cleint has the right to stop Tx & should be supported in clearly communicating this decision w/ the HCP & family. the nurse needs to act as an advocate for the client.

• the nurse, who is caring for a wclient w/ complex & unique health needs,

describes the nautre of the illness in an online social forum for nurses.neither the cleint's real name nor any other personal identifiers are used.

what, if any, consequence could result from posting this info online?:

Answer:

The nurse could be fired for breach of confidentiality.

• a 90yr. old is readmitted to the hospital, less than 2wks after being DC,

for the same health concern. what factors contirbute to hospital readmissions

among older adults? (select all that apply):

Answer:

=poor communication among providers =client health status =family preferences

• two members of the interdisciplinary team are arguing about the plan of

care for a client. which action culd any one of the members of the team use

as a de-escalation strategy?:

• / 3