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NCLEX PN EXIT FINAL ACTUAL EXAM
COMPLETE 300 QUESTIONS AND
CORRECT VERIFIED ANSWERS
A client underwent a transurethral resection of the prostate
(TURP) today and has a 3-way Foley urinary catheter with
continuous bladder irrigation
(CBI). The client reports lower abdominal pain rated as an
8 on a scale of 010. What action should the nurse carry
out first? .....answer.....Check the amount and
charcteristics of urine output
A client with chronic kidney disease has blood laboratory
results as shown in the exhibit. What is the best afternoon
snack to provide to this client? .....answer.....Apple slices
and caramel dip
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The nurse is caring for a client receiving treatment for
benign prostatic hyperplasia. Which client statement
requires further investigation? .....answer.....I have a
burning sensation when I urinate
The nurse is caring for a client with overflow urinary
incontinence related to diabetic neuropathy. Which of the
following interventions are appropriate?
SATA .....answer.....*Encourage client to bear down while
attempting to void
*Inspect perineal area for evidence of skin breakdown
*Measure postvoid residual volumes as prescribed
*Tell the client to wait 30 seconds after voiding and then
attempt to void again
The nurse prepares to instill dialysate for a client receiving
peritoneal dialysis. Which nursing action is the priority?
.....answer.....Using a sterile technique when spiking and
attaching the bag of dialysate
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A nurse is caring for a client 2 days after surgical creation
of an arteriovenous fistula in the forearm. Which finding
should the nurse report immediately to the health care
provider? .....answer.....Pale skin of the hand of the arm
with the arteriovenous fistula
The nurse is preparing to administer morning medications
to a client with type 2 diabetes mellitus and end-stage
renal disease who is scheduled for dialysis today. Which
medication should the nurse hold for clarification prior to
administration? .....answer.....Atenolol
A client undergoes transurethral resection of the prostate
for benign prostatic hyperplasia. The client has a 28 Fr,
30-mL balloon, 3-way Foley catheter with continuous
bladder irrigation. Which finding by the nurse best
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indicates that the bladder irrigation is running at an
adequate rate? .....answer.....Output urine is pink in color
A client with chronic kidney disease has a subcutaneous
arteriovenous fistula (AVF) placed in the nondominant left
wrist for hemodialysis. Which of the following statements
indicate the client understands how to care for the fistula
properly? Select all that apply. .....answer.....*I will
squeeze a small ball with my left hand several times a day
*I will touch the site and feel for a vibration several times a
day
*I will try not to sleep on my left arm
The nurse is reinforcing teaching on nutritional therapy for
a client with chronic kidney disease. Which statement
indicates that further teaching is needed? .....answer.....I
can use salt substitute because I am required to both
sodium and potassium in my diet
NCLEX PN EXIT FINAL ACTUAL EXAM
COMPLETE 300 QUESTIONS AND
CORRECT VERIFIED ANSWERS
A client underwent a transurethral resection of the prostate
(TURP) today and has a 3-way Foley urinary catheter with
continuous bladder irrigation
(CBI). The client reports lower abdominal pain rated as an
8 on a scale of 010. What action should the nurse carry
out first? .....answer.....Check the amount and
charcteristics of urine output
A client with chronic kidney disease has blood laboratory
results as shown in the exhibit. What is the best afternoon
snack to provide to this client? .....answer.....Apple slices
and caramel dip
,2|Page
The nurse is caring for a client receiving treatment for
benign prostatic hyperplasia. Which client statement
requires further investigation? .....answer.....I have a
burning sensation when I urinate
The nurse is caring for a client with overflow urinary
incontinence related to diabetic neuropathy. Which of the
following interventions are appropriate?
SATA .....answer.....*Encourage client to bear down while
attempting to void
*Inspect perineal area for evidence of skin breakdown
*Measure postvoid residual volumes as prescribed
*Tell the client to wait 30 seconds after voiding and then
attempt to void again
The nurse prepares to instill dialysate for a client receiving
peritoneal dialysis. Which nursing action is the priority?
.....answer.....Using a sterile technique when spiking and
attaching the bag of dialysate
,3|Page
A nurse is caring for a client 2 days after surgical creation
of an arteriovenous fistula in the forearm. Which finding
should the nurse report immediately to the health care
provider? .....answer.....Pale skin of the hand of the arm
with the arteriovenous fistula
The nurse is preparing to administer morning medications
to a client with type 2 diabetes mellitus and end-stage
renal disease who is scheduled for dialysis today. Which
medication should the nurse hold for clarification prior to
administration? .....answer.....Atenolol
A client undergoes transurethral resection of the prostate
for benign prostatic hyperplasia. The client has a 28 Fr,
30-mL balloon, 3-way Foley catheter with continuous
bladder irrigation. Which finding by the nurse best
, 4|Page
indicates that the bladder irrigation is running at an
adequate rate? .....answer.....Output urine is pink in color
A client with chronic kidney disease has a subcutaneous
arteriovenous fistula (AVF) placed in the nondominant left
wrist for hemodialysis. Which of the following statements
indicate the client understands how to care for the fistula
properly? Select all that apply. .....answer.....*I will
squeeze a small ball with my left hand several times a day
*I will touch the site and feel for a vibration several times a
day
*I will try not to sleep on my left arm
The nurse is reinforcing teaching on nutritional therapy for
a client with chronic kidney disease. Which statement
indicates that further teaching is needed? .....answer.....I
can use salt substitute because I am required to both
sodium and potassium in my diet
