NCLEX PN EXAM LATEST UPDATE 2024-2025 VERSION A B

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1 NCLEX PN EXAM LATEST UPDATE 2024-2025 VERSION A & B

QUESTIONS WITH CORRECT VERIFIED ANSWERS WITH

RATIONALES ALREADY GRADED A+

VERSION 1

The client is newly prescribed aripiprazole for ASD. The nurse is reinforcing teaching to the client's parents. Which statement by the nurse is appropriate?

• Abruptly stopping the medication can cause withdrawal symptoms."
• "Aripiprazole will cure your child's ASD."
• "Restlessness is an expected side effect and will eventually subside."
• This medication will eliminate your child's self-harm behaviors." - CORRECT ANSWER✔✔A

Antipsychotic to treat irritability in ASD. Should be weaned over time or client will withdrawl.ASD requires long term management with pharmacological measures.

Client returns after 6 months after starting behavioral therapy. Which statement by the parent indicates a need for further therapy?

• "My child will eat but only if I cook the same meal everyday."
• "My child will make only brief periods of eye contact with the teacher."
• "My child will occasionally play with other children at the park."
• "My child will squeeze a soft toy instead of banging the head." - CORRECT ANSWER✔✔A 1 / 4

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2 When evaluating the effectiveness of behavioral therapy the nurse should recognize that narrowed, restricted interest indicate a need for additional therapy.

The nurse is monitoring a 12-month old diagnosed with intussusception. Which findings should the nurse expect? SATA

• Palpable olive shaped mass in epigastrium
• Palpable sausage shaped mass in URQ
• Projectile vomiting containing blood
• Screaming and drawing the knees up to the chest
• Stool mixed with blood and mucus - CORRECT ANSWER✔✔B, D, E

the triad of intussusception is intermittent severe crampy abdominal pain; a palpable sausage shaped mass on the right side of the abdomen and jelly stools.

Pyloric stenosis presents as frequent hunger, olive shaped mass right of the umbilicus, and projectile vomiting without blood.

A client on hospice home care is taking sips of water, but refusing food. Family members appear distressed and insists the personal care worker force feed the client. What is the priority nursing action?

• explain to the family that is the normal physiological response to dying 2 / 4

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3

• explore the families, thoughts and concerns about the clients refusal food
• recommend a feeding tube
• tell the family that force feeding the client could cause the client to choke on the food -

CORRECT ANSWER✔✔B

It's common for family members to become distressed when a terminally ill loved one refuses food. The nurse should explore their fears and concerns and help them identify other ways to express how they care.

A nurse is collecting data on a 58 year old client with blurred vision and reduced visual fields.The nurse finds which clinical manifestation MOST concerning?

• Difficulty adjusting to dimmed lights
• Extreme eye pain
• Gradual loss of peripheral vision
• Opaque appearance of lens - CORRECT ANSWER✔✔B, glaucoma is characterized by

increased intraocular pressure (IOP) resulting in compression of the optic nerve. When IOP increases rapidly sudden onset of severe eye pain can occur.

Gradual loss of vision and difficulty adjusting to lights are not considered emergency situations.Opaque lenses are characteristics of cataracts which is not a medical emergency.

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4 The nurse is caring for a patient with diabetes mellitus. The client is alert and oriented but appears shaky and pale. The client's capillary blood glucose is 50 mg/dL (2.8 mmol/L). Which of the following actions should the nurse take next?

• Administer 1 mg glucagon IM to the patient
• Give the patient 4 oz (120 mL of regular soda.
• Prepare 50 mL of dextrose 50% in water IV push.
• Repeat the capillary blood glucose level to verify accuracy. - CORRECT ANSWER✔✔B,

hypoglycemia occurs when blood glucose levels fall below 70 mg/dL. Conscious clients should be given 15 g of a simple carbohydrate (ex. 4 oz regular soda) to quickly increase the blood glucose level.

IV dextrose and IM glucagon are given to patient who can not digest an oral simple carbohydrate. The blood glucose should be rechecked 15 minutes after administration of a simple carbohydrate to check effectiveness.

The nurse is reviewing medical histories with several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer? SATA

• "I have had four sexual partners during my lifetime."
• "I have smoked cigarettes for many years."
• "I never use birth control pills because my partners wore condoms."
• "I received treatment for chlamydia when I was younger."
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