[Q403-Q417] Jan-2023 Realistic NCLEX-PN Accurate & Verified Answers As Experienced in the Actual Test! : Actual Test Materials : http://blog.actualtests4sure.com

NO.403 A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:

standing the client and walking him or her to the wheelchair.

moving the wheelchair close to client’s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.

moving the wheelchair close to client’s bed and standing and pivoting the client on his affected extremity to the wheelchair.

having the client stand and push his body to the wheelchair.

NO.404 The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?

pureed canned squash

pureed apples

yogurt

infant rice cereal

NO.405 A 22-year-old male patient comes into the ER with suspected ketoacidosis.
Which lab value would reflect this finding?

serum bicarbonate of 27 mmol/L

PaCO2 of 40

serum glucose of 90

blood pH of 7.29

NO.406 While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:

make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.

disregard the information because it changes quickly on the acute care unit and is outdated within 2-3 hours anyway.

return to his or her own unit and not disclose that confidential information has been overheard.

ignore the situation.

NO.407 Which of the following strategies should the nurse include when planning care for children of migrant workers?

Delay immunization because of acute illness.

Provide parents with copies of medical records.

Schedule preventive services at acute illness visits.

Stress the importance of using one primary care provider.

NO.408 Safety measures for using crutches must be taught to clients. Safety measures for the use of crutches include:

properly fitting crutches with rubber tips at the end that provide a four-point gait.

properly fitting crutches, education in the appropriate gait, and strength in the arms.

crutches that fit the way the client chooses and a gait chosen by client.

both legs touching the floor for all gaits.

NO.409 In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:

whole brain death.

heart-lung death.

circulatory death.

higher brain death.

NO.410 The nurse who was not promoted tells another friend, “I knew I’d never get the job. The hospital administrator hates me.” If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:

compensation.

reaction formation.

projection.

denial.

NO.411 A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?

A 75 year-old female who is scheduled for an EGD in 10 hours.

A 34 year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.

A 21 year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.

A 27 year-old female who has received 1.5 units of RBC’s. via transfusion the previous day.

NO.412 Which of these is not a sign of early hyperglycemia?

polyphagia

polyketonia

polyuria

polydipsia

NO.413 You are caring for a neonate who has a cleft palate.
You should inform the mother that surgical correction will be done when the infant is __________.

8 to 12 months of age

20 to 24 months of age

16 to 20 months of age

12 to 16 months of age

NO.414 Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL.
After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?

anemia

edema

painless vaginal bleeding

fatigue

NO.415 Which of the following microorganisms are considered normal body flora?

staphylococcus on the skin

streptococcus in the nares

candida albicans in the vagina

pseudomonas in the blood

NO.416 Appropriate care for a client with neutropenia includes:

plenty of fresh fruits and vegetables.

a semi-private room.

wearing a mask when out of the room.

routine hand washing.

NO.417 A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action should the nurse take?

Reassure patient that pain is normal following surgery.

Administer prn Nifedipine and assess client’s response.

Administer prn Meperidine HCL and assess client’s response.

Recheck BP and pulse rate every 20 minutes for the next hour.

[Q403-Q417] Jan-2023 Realistic NCLEX-PN Accurate & Verified Answers As Experienced in the Actual Test!

Understanding functional and technical aspects of NCLEX-RN® Examination Identify Requirements