NCLEX PN EXAM 2024-2025 ACTUAL EXAM

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NCLEX PN EXAM 2024-2025 ACTUAL EXAM

TEST BANK COMPLETE 650 FREQUENTLY

TESTED QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS ) |ALREADY

GRADED A+||BRAND NEW WITH NGN

QUESTIONS

The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding who started a clear liquid diet today. Which of the following foods would be appropriate to offer this client? SATA

• Apple juice
• Chicken broth
• Cranberry juice
• Cream of chicken soup
• Unsweetened tea
• Vanilla ice cream - ANSWER- A. B, E

Rationale: Post op diets start with ice chips and progress to clear

liquids as tolerated ad with the passing of flatus, Clear liquids that are contain red dye should be avoided in GI bleeding patients.

Full liquid: Ice cream and cream of chicken soup because they turn

into liquid when warmed to room temp and do not require chewing.

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The nurse is caring for assigned clients. Which of the following clients should the nurse check first?

• Client who had a cholecystectomy and is reporting incisional pan

5/10

• Client who had an open reduction of the right femur and is reported

nausea.

• Client with type 1 DM and a blood glucose of 55 mg/dL
• Client with type 2 DM and a blood glucose level of 250 mg/dL -

ANSWER- C

Rationale: hypoglycemia is the most life threatening condition listed.

Clients respond rapidly to nursing interventions (sugar tabs, OJ)

The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder. Which client statement would cause the MOST concern?

• "I've felt the need for an afternoon nap most days this week."
• I've gained 3 lb since i began taking this med."
• "I've had the stomach flu for the past couple days."
• "My mouth seems to be drier than usual lately." - ANSWER- C

Rationale: Drowsiness, weight gain, and dry mouth are expected

side effects of lithium.

Dehydration and sodium loss from vomiting and diarrhea can lead to toxic lithium levels replicating flu like symptoms.

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A nurse in the gynecology clinic is reviewing client histories. Which report would be MOST concerning to the nurse?

• 25 year old who reports a fish-like vaginal odor for the past month
• 30 year old client with an IUD who report heavy bleeding with

menses

• 40 year old client with endometriosis who reports pain during

intercourse

• 60 year old client who reports bloating and pelvic pressure for the

past two months. - ANSWER- D

Rationale: Ovarian cancer results in more deaths than other

gynecologic cancers. Symptoms are subtle may present with bloating, early satiety, urinary symptoms (pressure on the bladder), nd pelvic pressure.

Which of the following are correct nursing actions related to client positioning? SATA

• Position client in Fowler position after cardiac cath via femoral artery
• Position client in Trendelenburg position on left side if air embolism

is suspected

• Position client on the left side following a liver biopsy
• Position client on the side with head, back, and knees flexed during

lumbar puncture.

• Position client with the arm raised above the head for chest tube

placement. - ANSWER- B. D, E

Rationale: Fowler position is contraindicated for femoral cardiac

cath because risk of hemorrhage, instead place supine. After a liver 3 / 4

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biopsy the client should lie on the right side for 2 hours to apply pressure and splint the site, then supine for 12-14.

the nurse inserts a small-bore NG tube and prepares to initiate enteral feedings for a client hospitalized with laryngeal cancer. Which action should the nurse take first?

• Crush and administer medications
• Dilute the enteral formula as prescribed
• Flush the tube with 30 mL of water
• Verify tube placement with an x-ray - ANSWER- D

Rationale: x-ray is the standard protocol for ensuring tube

placement prior to initiating tube feedings.

the LPN assigns the ambulation of a client to the UAP. The UAP placing the client's foley bag on the IV pole at the level of the client's chest during ambulation down the length of the hallway. What action should the LPN take initially?

• Immediately lower the bag and speak privately to the UAP
• Let UAP complete assigned tasks and speak to them at the end of the

shift

• Praise UAP for encouraging the client to walk the entire hallway
• Speak with the nurse manager about the need for UAP inservice

education - ANSWER- A

Rationale: The foley bag is too high and should be lowered below

the level of the bladder. Correction of staff should be done privately not when the client is present. Attend to the error right away to stop potential harm to the client.

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