NEW 2022 NCLEX QUESTIONS AND ANSWERS GRADED A

NEW 2022 NCLEX QUESTIONS AND ANSWERS GRADED A+

A client with diabetes is hospitalized for debridement of a non-healing foot ulcer. Following the procedure, the nurse notes that the client has become confused and combative. The family expresses concern with the behavioral changes and requests that the client be restrained in bed.What is the nurse's priority action? - answer1. Notify the primary healthcare provider.

• Apply a vest restraint as requested by family.
• Move client to a room near the nurse's desk.
• Obtain a finger-stick blood glucose level.

4

A palliative care client is suffering from persistent diarrhea. What foods should the nurse suggest?

• answerSelect All
• Applesauce
• Rice
• Bananas
• Tea
• Yogurt

1,2,3

An LPN/VN is reinforcing instructions for the spouse of a home care client recently diagnosed with Alzheimer's Disease. The LPN/VN acknowledges that previous teaching was successful when the spouse makes what statement? - answer1. "Activities that provide stimulation will help to reorient my spouse".

• "With medications and therapy, my spouse will begin to improve".
• "Keeping the rooms dark and quiet will be calming for my spouse".

• "As the disease progresses, I need to review safety issues at home".

4

For a client with a major burn, which evaluation criterion identified by the nurse best indicates that fluid resuscitation has been effective during the first 24 hours of care? - answer1. Urine output of 860 mL / 24 hours.

• Increase in weight from preburn weight.
• Heart rate of 122 beats per minute
• Central venous pressure of 18 mm

1

A community health nurse is assessing a migrant farmer who raises chickens. The nurse notes the client has developed a cough, fever, dyspnea, and hemoptysis. What infection should the nurse suspect? - answer1. Lyme disease

• Toxoplasmosis
• Tuberculosis
• Histoplasmosis

4

A client with a terminal illness, asks the nurse about palliative care. What would be the nurse's best response? - answer1. Palliative care is a holistic way of finding a cure for a serious illness.

• Palliative care begins when the client has 3 months or less to live.
• Palliative care, will require you to change to a palliative care healthcare provider.
• Palliative care prevents and treats symptoms and side effects of disease and treatments.

4

The nurse is caring for a burn client 48 hours after the burn occurred. What would be the nurse's priority assessment? - answer1. Measure the abdominal girth.

• Administer pain medication.
• Auscultate the lungs every 2 hours.
• Inspect the burn for infection.

3

The nurse is caring for a client following a transurethral resection of the prostate (TURP). The client has a 3 way irrigation catheter in place. Which observation would indicate the need to slow the irrigation? - answer1. Clots in urine

• Bladder pressure
• Clear urine
• Bladder spasms

3

The nurse is developing a teaching plan covering emergency responses to smallpox. This presentation will be used with newly hired hospital employees. What information is essential for the presentation? - answerSelect All

• People may be exposed to smallpox but not get the disease.
• People may contract the disease by handling contaminated clothing or bedding.
• Smallpox is fatal is about 50% of cases.
• Smallpox victims are contagious for two weeks.
• Smallpox victims are isolated from others.

1,2,5

What should the nurse tell a 68 year old client who states that they have started experiencing tremors? - answer1. "This is nothing to worry about and is common with aging."

• "You should increase your intake of potassium."
• "We need to let your primary health care provider know because it may indicate a problem."
• "Have someone check your blood pressure the next time you experience tremors."

3

Which referral would the nurse anticipate that the primary healthcare provider would make for a client who has difficulty eating using regular utensils? - answer1. Occupational therapist

• Physical therapist
• Rehabilitation nurse
• Registered Dietitian

1

The nurse manager on a medical-surgical unit receives official notification that staff overtime must be decreased as a cost-saving measure. In order to reorganize staffing, the nurse manager should initiate which action first? - answer1. Announce the new changes at the monthly staff meeting.

• Ask for any staff objections to rearranging work hours.
• Invite staff to contribute ideas on scheduling changes.
• Explain administration is demanding a decreased overtime.

3