2023 Realistic NCLEX-PN Dumps Questions To Gain Brilliant Result [Q288-Q306]

Posted On December 7, 2023

2023 Realistic NCLEX-PN Dumps Questions To Gain Brilliant Result

Start your NCLEX-PN Exam Questions Preparation with Updated 725 Questions

Certification Path for NCLEX-RN® Examination

The NCSBN Board of Directors (BOD) reevaluates the passing standard once every three years. The criterion that the BOD uses to set the standard is the minimum level of ability required for safe and effective entrylevel nursing practice.

To assist the BOD in making this decision, they are provided with information on:

The historical record of the passing standard with summaries of the candidate performance
associated with those standards
The results of a standard setting survey sent to educators and employers; and
Information describing the educational readiness of high school graduates who express an interest in nursing
The results of a standard setting exercise performed by a panel of experts with the assistance of psychometricians

Once the passing standard is set, it is applied uniformly to every examination according to the procedures laid out in the Scoring the NCLEX section. To pass the NCLEX, a candidate must perform above the passing standard. There is no fixed percentage of candidates that pass or fail each examination.

QUESTION 288
Which isolation procedure will be followed for secretions and blood?

Respiratory

Standard Precautions

Contact Isolation

Droplet

Section: Safe and Effective Care Environment
Explanation:
Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client’s bedside table) to another.

QUESTION 289
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:

wearing clothing that is too small for the child.

the child being shaken.

falling while learning to walk.

parents trying to awaken the child.

Explanation/Reference:
Explanation:
Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated with shaking include decreased level of consciousness. Psychosocial Integrity

QUESTION 290
One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base. The nurse should suspect:

cor pulmonale.

atelectasis.

pulmonary embolus.

cardiac tamponade.

Explanation/Reference:
Explanation:
The first three symptoms could be indicative of any of the conditions. The distinguishing symptom is the lack of breath sounds in the lower-right base, which is assessed when a portion of the lung has collapsed.
Physiological Adaptation

QUESTION 291
The nurse supporting a family who has just experienced a sudden and unexpected death needs to know
__________.

that survivors have greater emotional turmoil and shock than when death is expected.

that survivors have less emotional turmoil and shock than when death is expected.

that survivors have the same emotional turmoil and shock as when death is expected.

that survivors have little emotional turmoil and shock because they were not there.

Section: Psychosocial Integrity
Explanation:
Sudden death produces greater emotional turmoil and shock in survivors than does a gradual, expected death.
Survivors do not have time to engage in anticipatory grief. The most disturbing and unbalancing feature of sudden death is its unexpectedness.

QUESTION 292
Which of the following medications is not considered a neuromuscular blocker?

Anectine

Pavulon

Pitressin

Mivacron

Explanation/Reference:
Explanation:
Pitressin is a hormone replacement medication.

QUESTION 293
Which of the following is likely to increase the risk of sexually transmitted disease?

alcohol use

certain types of sexual practices

oral contraception use

all of the above

Explanation/Reference:
Explanation:
STDs affect certain groups in groups in greater numbers. Factors associated with risk include being younger than 25 years of age, being a member of a minority group, residing in an urban setting, being impoverished, and using crack cocaine. Physiological Adaptation

QUESTION 294
Which of the following terms refers to soft-tissue injury caused by blunt force?

contusion

strain

sprain

dislocation

Explanation/Reference:
Explanation:
A contusion is a soft-tissue injury caused by blunt force. It is an injury that does not break the skin, is caused by a blow and is characterized by swelling, discoloration, and pain. The immediate application of cold might limit the development of a contusion. A strain is a muscle pull from overuse, overstretching, or excessive stress.
A sprain is caused by a wrenching or twisting motion. A dislocation is a condition in which the articular surfaces of the bones forming a joint are no longer in anatomic contact. Physiological Adaptation

QUESTION 295
Which of the following is the most appropriate diet for a client who is unable to swallow?

nothing by mouth

nasogastric feedings

clear liquids

total parenteral nutrition

Nasogastric feedings are most appropriate for a client who is unable to swallow. Nothing by mouth leads to nutritional deficiencies. The client might aspirate a clear liquid diet. TPN is not necessary as long as the gut is still functioning.Reduction of Risk Potential

QUESTION 296
A client’s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, “Why do you think it’s getting worse?” the client replies, “My wife died last month. It’s all I can think about.” The nurse must now consider:

calling the physician for an increased dosage of pain medication.

calling the physician for a sedative.

referring the client for a psychiatric consult.

developing interventions for grief and loss.

The client’s pain is affective as well as sensory. Grieving his wife’s death is a normal response that does not necessarily require psychiatric consult. Choices 1 and 2 address the sensory, not the affective component of his pain.Basic Care and Comfort

QUESTION 297
The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?

urinalysis

creatinine and blood urea nitrogen

chemistry of electrolytes

creatinine clearance

Due to decreases in lean body mass, blood creatinine is not as good an indicator of the elderly client’s renal function as creatinine clearance. Urinalysis and blood urea nitrogen reflect hydration status and other clues to health but are not specific for renal function. The electrolytes might be deranged in renal failure but are not a direct correlation to the kidneys’ capability to eliminate waste. Therefore, the best lab for renal function in the elderly is thought to be creatinine clearance, which is a widely used test for glomerular filtration rate.Safety andInfection Control

QUESTION 298
A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?

Patient may have a DVT.

Patient may be exhibiting signs of dermatitis.

Patient may be in the late phases of CHF.

Patient may be experiencing anxiety after surgery.

All of these factors indicate a DVT.

QUESTION 299
Which of these patients would be most likely to have an elevated glucose reading?

a 43-year-old female who is fasting awaiting a knee arthroscopy

a 34-year-old male with pancreatitis

a 56-year-old male with Addison’s disease

a 29-year-old female with Sickle Cell Anemia

Section: Physiological Integrity

QUESTION 300
Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?

Medications

Nutrition

Increased activity

Continuous Insulin

Insulin is not required in continuous treatment for every Type II diabetic.

QUESTION 301
A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?

Sleep at least 6-8 hours a night.

Practice monthly self-breast examination.

Reduce stress.

All of the above.

Explanation/Reference:
Explanation:
All of the choices are methods of preventing cancer. Sleep is important in maintaining homeostasis, which helps the body respond to disease. Monthly breast examination can indicate cancer or fibrocystic disease.
The body has a physiological response to stress that can decrease the immune response and increase the risk of disease. Health Promotion and Management

QUESTION 302
A client with stress incontinence should be advised:

to purchase absorbent undergarments.

that Kegel exercises might help.

that effective surgical treatments are nonexistent.

that behavioral therapy is ineffective.

Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice 1 is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and dietary modifications can also be helpful.Physiological Adaptation

QUESTION 303
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?

Check with case manager on duty about possible police intervention.

Provide an environment of concern and emotional stabilization.

Clean the patient’s wounds with normal saline and gauze.

Recommend a good attorney to the patient.

Explanation/Reference:
Explanation:
Emotional support is what that patient needs most at this point in time.

QUESTION 304
A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, “I do not know how to make my diet work with the kind of foods that my family eats.” What should the nurse do first to help the client determine a suitable diet for disease prevention?

Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.

Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.

Provide a high-protein diet plan for the client.

Provide the client with information related to risk factors for heart disease and diabetes.

Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is important but is not the first priority. Based on the client’s wish to reduce her chances of heart disease and diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk factors for heart disease and diabetes is important but is not the first step.Health Promotion and Management

QUESTION 305
Which of the following is the primary force in sex education in a child’s life?

school nurse

peers

parents

media

Explanation/Reference:
Explanation:
Parents are the primary force in sex education in a child’s life. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies, TV, and video games. Health Promotion and Maintenance

QUESTION 306
Which of the following instructions should the nurse give a client who will be undergoing mammography?

Be sure to use underarm deodorant.

Do not use underarm deodorant.

Do not eat or drink after midnight.

Have a friend drive you home.

Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film.
There are no restrictions on food or fluid intake.
No sedation is used, so the client can drive herself home.Reduction of Risk Potential

Loading …