NCLEX-PN NEWEST EXAM 2024 -2025

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NCLEX-PN NEWEST EXAM 2024 -2025

COMPLETE 200 ACTUAL EXAM QUESTIONS

WITH CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) GRADED A+

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which lavatory value might be a indicate a serious side effect of this drug?

• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter - Correct Answer - C. WBC 2,000 per cubic

millimeter Tegretol can suppress the bone marrow and decrease the white blood cells count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug.

The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?

• Security guard
• RN

C. LPN

• The nursing assistant - Correct Answer - B. RN

The RN is the only one of these who can legally put the client in seclusion. The only other healthcare worker who is allowed to initiate seclusion is the doctor.

The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal a pH of 7.36, CO2 at 45, O2 at 84, HCO3 at 28. The nurse would assess the

client to be in:

• Uncompensated acidosis 1 / 4

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• Compensated alkalosis
• Compensated respiratory acidosis
• Uncompensated metabolic acidosis - Correct Answer - C. Compensated respiratory

acidosis The client is experiencing compensated respiratory acidosis. The pH is within the normal range but is lower than 7.40, so it is on the acidic side. The CO2 level is elevated, the oxygen level is below normal, and the bicarb level is slightly elevated. In respiratory disorders, the pH will be in inverse of the CO2 and bicarb level. This means that if the pH is low, the CO2 and bicarb levels will be elevated.

The nurse is performing discharge teaching on a client with diverticulitis who has been placed on low-roughage diet. Which food would have to be eliminated from this client's diet?

• Roasted Chicken
• Noodles
• Cooked Broccoli
• Custard - Correct Answer - C. Cooked Broccoli

the client with diverticulitis should avoid eating foods that are gas forming and that increase abdominal discomfort, such as cooked broccoli.

The nurse is caring for a new mother. The mother asks why her baby has lost

weight since he was born. The best explanation of the weight loss is:

• The baby is dehydrated due to polyuria.
• The baby is hypoglycemic due to glucose.
• The baby is allergic to the formula the mother is giving him.
• The baby can lose up to 10% of weight due to meconium still, loss of extracellular

fluid, and initiation of breast-feeding. - Correct Answer - D. The baby can lose up to 10% of weight due to meconium still, loss of extrasellar fluid, and initiation of breast-feeding.After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy to the infant formula

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pg. 3 The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis?

• Foul breath
• Dysphagia
• Diarrhea
• Chronic hiccups - Correct Answer - C. Diarrhea

Diarrhea is not common in clients with mouth and throat cancer

A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included?

• Closed chest drainage
• A tracheostomy
• A mediastinal tube
• Percussion vibration and drainage - Correct Answer - A. A closed chest drainage

The client with a lung resection will have chest tubes and a drainage-collection device.He probably will not have a tracheostomy or mediastinal tube, and he will not have an order for percussion, vibration, or drainage.

Six hours after birth, the infant is found to have an area of swelling over the right parietal area that does not cross the suture line. The nurse should chart this

finding as:

• A cephalohematoma
• Molding
• Subdural hematoma
• Caput succedaneum - Correct Answer - A. A cephalohematoma

The swelling over the right parietal area is a cephalohematoma, an area of bleeding outside the cranium. This type of hematoma does not cross the suture line because it's outside the cranium but beneath the periosteum.

A 6-month-old client is admitted with possible intussusception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis? 3 / 4

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• "tell me about the pain"

B."what does his vomit look like?" C." Describe his usual diet."

• " have you noticed changes in his abdominal size?" - Correct Answer - C." Describe

his usual diet." The least-helpful questions are those describing his usual diet. A, B, and D are useful in determining the extent of disease process and thus, are incorrect

The nurse is assisting a client with diverticulosis to select appropriate foods.Which food should be avoided?

• Bran
• Fresh Peaches
• Cucumber salad
• Yeast Rolls - Correct Answer - C. Cucumber salad

the client with diverticulitis should avoid foods with seeds.

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 ileostomy
• Stopping electrolytes loss in the incisional area
• Encouraging a high fiber diet
• Facilitating perineal wound drainage - Correct Answer - D. Facilitating perineal

wound drainage the client with a perineal resection will have a perineal incision. Drains will be used to facilitate wound drainage. This will help prevent infection of the surgical site. The client will not have an ileostomy. as in answer A he will have some electrolyte loss, but treatment is not focused on preventing the loss, so answer B is incorrect A high fiber diet in answer C is not ordered at this time.

The nurse is assisting the RN with discharge instructions for a client with an implantable defibrillator. What discharge instruction is essential?

• "You cannot eat food prepared in a microwave."
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