NCLEX-PN FINAL ACTUAL EXAM

NCLEX-PN FINAL ACTUAL EXAM

(VERSION A) REAL EXAM WITH 205

QUESTIONS AND CORRECT ANSWERS

(VERIFIED ANSWERS ) |ALREADY GRADED A+

• A 24-year-old female client is scheduled for surgery in the morning. Which of the

following is the primary responsibility of the nurse?

• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• Checking the lab work

• The nurse is working in the emergency room when a client arrives with severe burns of

the left arm, hands, face, and neck. Which action should receive priority?

• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the client for pain

• The nurse is visiting a home health client with osteoporosis. The client has a new

prescription for alendronate (Fosamax). Which instruction should be given to the client?

• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
• Allow at least 1 hour between taking the medicine and taking other medications 1 / 4

• The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.

Which equipment should be kept at the bedside?

• A pair of forceps
• A torque wrench
• A pair of wire cutters
• A screwdriver

5. An infant weighs 7 pounds at birth. The expected weight by 1 year should be:

• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds

• A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to

this tumor’s location?

• Hemiplegia
• Aphasia
• Nausea
• Bone pain

• The nurse is caring for a client with epilepsy who is being treated with carbamazepine

(Tegretol). Which laboratory value might indicate a serious side effect of this drug?

• Uric acid of 5mg/dL 2 / 4

• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter

• A 6-month-old client is admitted with possible intussuception. Which question during the

nursing history is least helpful in obtaining information regarding this diagnosis?

• “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”

• The nurse is assisting a client with diverticulosis to select appropriate foods. Which food

should be avoided?

• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls

• A client has rectal cancer and is scheduled for an abdominal perineal resection. What

should be the priority nursing care during the post-op period?

• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
• Facilitating perineal wound drainage 3 / 4

• The nurse is performing discharge teaching on a client with diverticulitis who has been

placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?

• Roasted chicken
• Noodles
• Cooked broccoli
• Custard

• A client arrives in the emergency room with a possible fractured femur. The nurse should

anticipate an order for:

• Trendelenburg position
• Ice to the entire extremity
• Buck’s traction
• An abduction pillow

• A client with cancer is to undergo an intravenous pyelogram. The nurse should:

• Force fluids 24 hours before the procedure
• Ask the client to void immediately before the study
• Hold medication that affects the central nervous system for 12 hours pre- and post-test
• Cover the client’s reproductive organs with an x-ray shield

• The nurse is caring for a client with a malignancy. The classification of the primary

tumor is Tis. The nurse should plan care for a tumor:

• That cannot be assessed
• That is in situ
• / 4