NCLEX PN COMPREHENSIVE 2023 FORM B

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?

• Sore throat or earache
• Chills, itching, or rash
• Unusual sleepiness or fatigue
• 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.

• Listening to lung sounds
• Obtaining the client's temperature
• Checking the strength of peripheral pulses
• Obtaining information about the client's respirations
• Performing a musculoskeletal and neurological examination 1 / 4

• Asking the client about a family history of any illness or disease - ANSWER- 1.

Listening to lung sounds

• Obtaining the client's temperature
• 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.

• Collect data to determine factors for fall risk.
• Close the blinds and turn off the overhead light.
• Instruct the client to ask for assistance when getting up to walk.
• Teach the client to lift legs high while walking, as if walking over planks.
• Ensure the client is upright when eating and swallows twice after each bite. -

ANSWER- 1. Collect data to determine factors for fall risk.

• 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?

• Listen to the client's heart sounds.
• Determine whether the client has a pulse deficit.
• Instruct the client to use an incentive spirometer.
• Determine the client's ability to follow verbal commands. - ANSWER- 4.

Determine the client's ability to follow verbal commands.

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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.

• A defect in the cochlea
• Acute otitis media with effusion
• A defect in the 8th cranial nerve
• A defect in the sensory fibers that lead to the cerebral cortex
• A physical obstruction to the transmission of sound waves - ANSWER- 2. Acute

otitis media with effusion

• 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?

• Testing using the Ishihara chart
• Testing using a Snellen eye chart
• Testing the corneal light reflexes
• 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.

• Perform TSE after a shower or bath.
• Perform TSE after emptying the bladder. 3 / 4

• Perform TSE on the same day each month.
• Observe for urethral discharge after performing TSE.
• Perform TSE by rolling each testicle between the thumb and fingers. -

ANSWER- 1. Perform TSE after a shower or bath.

• Perform TSE on the same day each month.
• 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.

• Pupils are unequal and react slowly to light.
• The client reports stiffness and soreness in the neck area.
• The client reports pain in the vertebral column and passively flexes the hip and

knee in response to neck flexion.

• The client flexes a leg at the hip and knee and reports pain in the vertebral

column when the leg is extended.

• 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.

• The client reports pain in the vertebral column and passively flexes the hip and

knee in response to neck flexion.

• 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.

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