[Oct 16, 2022] 100% Pass Guarantee for NCLEX-PN Dumps with Actual Exam Questions [Q127-Q144]

[Oct 16, 2022] 100% Pass Guarantee for NCLEX-PN Dumps with Actual Exam Questions

Today Updated NCLEX-PN Exam Dumps Actual Questions

How to Prepare for NCLEX-RN® Examination

Preparation Guide for NCLEX-RN® Examination

Introduction for NCLEX-RN® Examination

The act of nursing is controlled by the authorizing specialists inside every one of the National Council of State Boards of Nursing (NCSBN®) part board wards (state, district, and regional sheets of nursing). To guarantee public security, every locale requires possibility for licensure to meet set prerequisites that incorporate finishing an assessment that actions the abilities expected to perform securely and viably as a recently authorized, section level NCLEX ensured competitor. NCSBN builds up a licensure assessment, the National Council Licensure Examination for Registered Nurses (NCLEX affirmed candidate®), which is utilized by part board wards and most Canadian nursing administrative bodies, to help with settling on licensure choices.

A few stages happen in the advancement of the NCLEX guaranteed applicant Test Plan. The initial step is leading a training investigation that is utilized to gather information on the current act of the section level medical attendant (Report of Findings from the 2017 NCLEX guaranteed up-and-comer Practice Analysis: Linking the NCLEX confirmed candidate® Examination to Practice, NCSBN, 2018). Twelve thousand recently authorized NCLEX guaranteed applicants are gotten some information about the recurrence and significance of performing nursing care exercises. Nursing care exercises are then examined comparable to the recurrence of execution, sway on keeping up customer wellbeing, and customer care settings where the exercises are performed. This investigation manages the

improvement of a system for section level nursing practice that joins explicit customer needs just as cycles principal to the act of nursing. The subsequent advance is the improvement of the NCLEX confirmed applicant Test Plan, which manages the choice of substance and practices to be tried.

The NCLEX confirmed applicant Test Plan gives a succinct rundown of the substance and extent of the authorizing assessment. It fills in as a guide for assessment improvement just as up-and-comer arrangement. The NCLEX® surveys the information, abilities and capacities that are fundamental for the section level medical caretaker to use to address the issues of customers requiring the advancement, support or reclamation of wellbeing. The accompanying segments portray convictions about individuals and nursing that are fundamental to the assessment, intellectual capacities that will be tried in the assessment and explicit segments of the NCLEX guaranteed applicant Test Plan. To anticipate NCLEX-RN® Examination, we offer the most start to finish NCLEX PN practice exam and NCLEX PN practice exams.

Q127. A nurse has been ordered to set-up Buck’s traction on a patient’s lower extremity due to a femur fracture.
Which of the following applies to Buck’s traction?

 A weight greater than 10 lbs. should be used.

 The line of pull is upward at an angle.

 The line of pull is straight.

 A weight greater than 20 lbs. should be used.

Section: Physiological Integrity
Explanation:
A straight line of pull is indicated with Buck’s traction.

Q128. You are preparing a sterile field for an operating room surgical procedure.
When should you stop the preparation of this sterile field?

 When you have placed a sterile item only 1 inch and not 2 inches from the edge of the sterile field.

 When you have completely finished the field. You cannot stop the set up until it is all done.

 When you have accidentally poured a sterile liquid into a container that was on the sterile field.

 When you turn your upper body only away from the field because the surgeon calls your name.

Section: Safe and Effective Care Environment
Explanation:
You must stop the preparation of the sterile field and begin all over again when you have turned your upper body away from the field because sterile technique has been violated and the sterility of the field has been broken even when on turns away from the sterile field even for a second.
Sterile items must be placed within one inch, not two inches from the edge of the sterile field.
Lastly, sterile solutions can be poured into sterile containers on the sterile field without breaking the techniques required according to surgical asepsis.

Q129. A nurse has been ordered to administer Morphine to a patient.
Which of the following effects is unrelated to Morphine’s effects on the patient?

 Depressed function of the CNS

 Increased blood flow

 Decreased venous capacity

 Pain relief

Section: Physiological Integrity
Explanation:
Venous capacity increases with morphine use.

Q130. A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:

 obtain an order for a stool softener.

 administer packed RBCs, if ordered.

 encourage the client to rinse her mouth with mouthwash and scrub her teeth with an oral sponge.

 dress venipuncture sites immediately to prevent infection.

Explanation/Reference:
Explanation:
Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality. Septic shock is a systemic infection of the bloodstream producing clinical manifestations – warm, flushed skin; high urine output; tachycardia; edema; respiratory problems; restlessness; altered level of consciousness; life-threatening form of shock. Physiological Adaptation

Q131. The nurse is using Cognitive-Behavioral methods of pain control and knows that these methods can be expected to do all the following except __________.

 completely relieve all pain

 provide benefit by restoring the client’s sense of self-control

 help the client to control symptoms

 help the client actively participate in his or her own care

Section: Physiological Integrity
Explanation/Reference:
Explanation:
These interventions (strategies) help the client in all areas of client well-being.
Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations.

Q132. A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:

 B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.

 C.the client’s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.

 D.the organ procurement organization makes the decision regarding which organs to harvest.

Explanation/Reference:
Explanation:
The client’s legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor. Coordinated Care

Q133. A 4-year-old client is unable to go to sleep at night in the hospital.
Which nursing intervention best promotes sleep for the child?

 turning out the room light and closing the door

 tiring the child during the evening with play exercises

 identifying the child’s home bedtime rituals and following them

 encouraging visitation by friends during the evening

Section: Physiological Integrity
Explanation:
Preschool-age children require bedtime rituals that should be followed in the hospital if possible.
Turning out the room light and closing the door increases a child’s fear.
Tiring the child during the evening with play exercises and encouraging visitation by friends during the evening do not promote sleep.

Q134. All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:

 monitoring intravenous infusion.

 assisting a client to the bathroom.

 offering fluid intake every 1-2 hours.

 monitoring/recording the amount of fluid taken.

Monitoring an intravenous infusion must be performed by an RN or LPN. Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant.
Coordinated Care

Q135. A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s must the client seek medical attention?

 SOB and fatigue

 restlessness and muscle spasms

 dry mouth

 diarrhea

Muscle spasms and restlessness are side effects of Haldol

Q136. The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?

 6

 8

 12

 16

Explanation/Reference:
Explanation:
In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in the age of the child. In this example, the child is 18 months old, so the formula is 18 – 6 = 12. An 18- month-old child should have approximately 12 teeth. Health Promotion and Maintenance

Q137. The nurse is assessing an elder who the nurse suspects is being physically abused. The most important question for nurse to ask is:

 “How much money do you keep around the house?”

 “Who provides your physical care?”

 “How close does your nearest relative live?”

 “What form of transportation do you use?”

The most common abuser is a caregiver living with the client. Research reveals that the spouse is currently the most common abuser, followed by an adult child.Psychosocial Integrity

Q138. A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:

 sprain.

 strain.

 subluxation.

 distoration.

A strain is excessive stretching of a ligament. A sprain involves a twisting motion involving muscles.Basic Care and Comfort

Q139. A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?

 Patient signs an informed consent form

 Patient is given morning medications

 Patient gets a good night’s sleep

 Patient has a good breakfast

Explanation/Reference:
Explanation:
An informed consent is required prior to surgery.

Q140. A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?

 Lower extremity edema

 Sensory changes in the upper extremities

 Increased occurrence of fractures

 Decreased peripheral blood flow

Edema in the lower extremities may indicate a Premarin (over-dosage).

Q141. A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her.
Which approach can the nurse take to meet the client’s needs at this time?

 asking whether another individual wants to be her support person

 assuring her that the nursing triage group will be with her at all times

 telling her you will try to locate her family

 reinforcing the woman’s confidence in her own abilities to cope and maintain a sense of control

Section: Safe and Effective Care Environment
Explanation:
Allow the client to select another individual to give support.
This allows her to have someone with her until her family can be with her.

Q142. An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:

 internationally.

 in the state of Colorado only.

 in the continental United States.

 in the county of origination only.

Explanation/Reference:
Explanation:
Choices 1, 3, and 4 are incorrect. Advance directive protocols and documents are defined by each state.
Coordinated Care

Q143. The nurse is caring for a dying client who has persistently requested that the nurse “help her to die and be in peace.” According to the Code of Ethics for Nurses, the nurse should:

 Ask the client whether she has signed the advance directives document.

 Tell the client that he or she will ask another nurse to care for her.

 Instruct the client that only a physician can legally assist a suicide.

 Try to make the client as comfortable as possible, but refuse to assist in death.

Explanation/Reference:
Explanation:
Try to make the client as comfortable as possible but refuse to assist in death. One of the competencies necessary for nurses to have in giving high quality care to clients/families during the end of life care is:
apply legal and ethical principles in the analysis of complex issues and end-of-life care, recognizing the influence of personal values, profession codes, and client preferences. Psychosocial Integrity

Q144. As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:

 an infection is present.

 there is an emotional upset.

 a large meal is eaten.

 active exercise is performed.

Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels.BasicCare and Comfort

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