NCLEX-PN TEST-BANK ACTUAL AND APPROVED 2023/2024 EXAM 200 QUESTIONS WITH ANSWERS AND DETAILED EXPLANATIONS.

NCLEX-PN TEST-BANK ACTUAL AND APPROVED 2023/2024 EXAM

200 QUESTIONS WITH ANSWERS AND DETAILED EXPLANATIONS.







 




1. 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. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver


Answer B: A torque wrench is kept at the bedside to tighten and loosen the screws of crutch field tongs. This wrench controls the amount of pressure that is placed on the screws. A pair of forceps, wire cutters, and a screwdriver, in answers A, C, and D, would not be used and, thus, are incorrect.



2. An infant weighs 7 pounds at birth. The expected weight by 1 year should


be:


A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds

Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth weight. Answers A, B, and C therefore are incorrect.



3. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to this tumor’s location?


A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain


Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A, B, and C are not specific to this type of cancer and are incorrect.



4. 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?


A. Uric acid of 5mg/dL
B. Hematocrit of 33%


C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter


Answer C: Tegretol can suppress the bone marrow and decrease the white blood cell count; thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug. Answers A and D are within normal limits, and answer B is a lower limit of normal; therefore, answers A, B, and D are incorrect.

5. 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?


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


Answer C: 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.



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


A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls


Answer C: The client with diverticulitis should avoid foods with seeds. The foods in answers A, B, and D are allowed; in fact, bran cereal and fruit will help prevent constipation.



7. 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?


A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet

D. Facilitating perineal wound drainage


Answer D: 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 illeostomy, 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.



8. 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?


A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard


Answer C: The client with diverticulitis should avoid eating foods that are


gas forming and that increase abdominal discomfort, such as cooked broccoli. Foods such as those listed in answers A, B, and D are allowed.



9. 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:


A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to lack of glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium stool, loss of extracellular fluid, and initiation of breast-feeding.


Answer D: 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; thus, answers A, B, and C are incorrect.



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


A. Foul breath
B. Dysphagia
C. Diarrhea
D. Chronic hiccups


Answer C: Diarrhea is not common in clients with mouth and throat cancer. All the findings in answers A, B, and D are expected findings.