NUR 2407 NCLEX Review, Latest Complete Solution Questions & all answers Correct

NUR 2407 NCLEX Review, Latest Complete Solution Questions & all answers Correct1. A young adult is being treated for second and third-degree burns over 25% of his body and is now ready for discharge. The nurse evaluates his understanding of discharge instructions relating to wound care and is satisfied that he is prepared for home care when he makes which statement? a. “I will need to take sponge baths at home to avoid exposing the wounds to unsterile bath water.” b. “If any healed areas break open I should first cover them with a sterile dressing and then report it.” c. “I must wear my Jobst elastic garment all day and can only remove it when I’m going to bed.” d. “I can expect occasional periods of low-grade fever and can take Tylenol every 4 hours.” 2. The recommended daily caloric intake for sedentary older men, active adult women and children is: a. 2400 calories b. 1600 calories c. 2800 calories d. 2000 calories 3. Ill health, malnutrition, and wasting as a result of chronic disease are all associated with: a. Surgical asepsis b. Catabolism c. Cachexia d. Venous stasis 4. Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients. a. Visual losses b. Kaposi’s sarcoma c. Wilms’ sarcoma d. Tuberculosis e. Peripheral neuropathy f. Toxoplasma gondii 5. What can help reduce a patient’s anxiety and postsurgical pain? a. Preoperative teaching b. Preoperative checklist c. Psychological counseling d. Preoperative medication 6. Which disease decreases the metabolic rate? a. Cancer b. Hypothyroidism c. Chronic obstructive pulmonary disease d. Cardiac failure 7. When caring for an infant during cardiac arrest, which pulse must be palpated to determine cardiac function? a. Carotid b. Brachial c. Pedal d. Radial 8. An eighty five year old man was admitted for surgery for benign prostatic hypertrophy. Preoperatively he was alert, oriented, cooperative, and knowledgeable about his surgery. Several hours after surgery, the evening nurse found him acutely confused, agitated, and trying to climb over the protective side rails on his bed. The most appropriate nursing intervention that will calm an agitated client is: a. limit visits by staff. b. encourage family phone calls. c. position in a bright, busy area. d. speak soothingly and provide quiet music. 9. Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse knows the client understands the procedure when she makes which of the following remarks the night before the procedure? a. She says to her husband, “Please bring me a hamburger and french fries tomorrow when you come. I hate hospital food.” b. “I told my daughter who is pregnant to either come to see me tonight or wait until I go home from the hospital.” c. “I understand it will be several weeks before all the radiation leaves my body.” d. “I brought several craft projects to do while the radium is inserted.” 10. A group of nursing students at Nurseslabs University is currently learning about family violence. Which of the following is true about the topic mentioned? a. Family violence affects every socioeconomic level. b. Family violence is caused by drugs and alcohol abuse. c. Family violence predominantly occurs in lower socioeconomic levels. d. Family violence rarely occurs during pregnancy. 11. During a well-child checkup, a mother tells the Nurse Rio about a recent situation in which her child needed to be disciplined by her husband. The child was slapped in the face for not getting her husband breakfast on Saturday, despite being told on Thursday never to prepare food for him. Nurse Rio analyzes the family system and concludes it is dysfunctional. All of the following factors contribute to this dysfunction except: a. Conflictual relationships of parents. b. Inconsistent communication patterns. c. Rigid, authoritarian roles. d. Use of violence to establish control. 12. During a home visit to a family of three: a mother, father, and their child, The mother tells the community nurse that the father (who is not present) had hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to Alcoholics Anonymous and asks the nurse not to interfere, so her husband won’t get angry and refuse treatment. Which of the following is the best response of the nurse? a. The nurse agrees not to interfere if the husband attends an Alcoholics Anonymous meeting that evening. b. The nurse commends the mother’s efforts and agrees to let her handle things. c. The nurse commends the mother’s efforts and also contacts protective services. d. The nurse confronts the mother’s failure to protect the child. 13. A client is admitted to the hospital with osteoarthritis (degenerative joint disease). Upon assessing the client, the nurse expects to find: (Select all that apply.) a. nausea after each meal. b. joint stiffness especially on arising. c. an increased appetite. muscle spasms after exercising. d. Heberden’s nodes. e. pain after physical exercise. 14. A 48-year-old man has been experiencing low back pain and sciatica for more than 2 years. He is admit- ted to the hospital for evaluation and treatment of this problem. A thorough assessment of his level of discomfort from low back pain is important primarily because: a. this will provide a baseline for later comparison. b. this is a method for identifying clients with “low back neurosis.” c. clients who have pain localized to the back and radiating to one d. extremity are probably not candidates for surgery. e. surgery is contraindicated for clients who have had pain for less than 2 years. 15. In preparing a teaching plan for an adult who has had an arthroscopy, what following information will the nurse include? a. Client should check extremity for color, mobility, and sensation at least every 2 hours after the procedure b. Client may return to regular activities immediately after procedure c. Remove compression dressing 6 to 8 hours after procedure d. Keep extremity in flexion for 24 hours after procedure 16. Which of the following infection control activity should be delegated to an experienced nursing assistant? a. Asking clients about the duration of antibiotic therapy. b. Demonstrating correct handwashing techniques to client and family. c. Disinfecting blood pressure cuffs after clients are discharged. d. Screening clients for upper respiratory tract symptoms. 17. Situation: A widow age 28, whose husband died one (1) year ago due to AIDS, has just been told that she has AIDS. Panky says to the nurse, “Why me? How could God do this to me?” This reaction is one of: a. Depression b. Denial c. anger d. bargaining 18. The nurse’s therapeutic response is: a. “I will refer you to a clergy who can help you understand what is happening to you.” b. “ It isn’t fair that an innocent like you will suffer from AIDS.” c. “That is a negative attitude.” d. ”It must really be frustrating for you. How can I best help you?” 19. One morning the nurse sees the client in a depressed mood. The nurse asks her “What are you thinking about?” This communication technique is: a. Focusing b. Validating c. Reflecting d. Giving broad opening 20. The client says to the nurse “Pray for me” and entrusts her wedding ring to the nurse. The nurse knows that this may signal which of the following: a. Anxiety b. Suicidal ideation c. Major depression d. Hopelessness 21. Which of the following interventions should be prioritized in the care of the suicidal client? a. Remove all potentially harmful items from the client’s room. b. Allow the client to express feelings of hopelessness. c. Note the client’s capabilities to increase self-esteem. d. Set a “no suicide” contract with the client. 22. Which intervention is an example of primary prevention? a. Administering digoxin (Lanoxicaps) to a patient with heart failure b. Administering a measles, mumps, and rubella immunization to an infant c. Obtaining a Papanicolaou smear to screen for cervical cancer d. Using occupational therapy to help a patient cope with arthritis 23. The nurse in charge is assessing a patient’s abdomen. Which examination technique should the nurse use first? a. Auscultation b. Inspection c. Percussion d. Palpation 24. Which statement regarding heart sounds is correct? a. S1 and S2 sound equally loud over the entire cardiac area. b. S1 and S2 sound fainter at the apex c. S1 and S2 sound fainter at the base d. S1 is loudest at the apex, and S2 is loudest at the base 25. The nurse in charge identifies a patient’s responses to actual or potential health problems during which step of the nursing process? a. Assessment b. Nursing diagnosis c. Planning d. Evaluation 26. A female patient is receiving furosemide (Lasix), 40 mg P.O. b.i.D. in the plan of care, the nurse should emphasize teaching the patient about the importance of consuming: a. Fresh, green vegetables b. Bananas and oranges c. Lean red meat d. Creamed corn 27. The nurse in charge must monitor a patient receiving chloramphenicol for adverse drug reaction. What is the most toxic reaction to chloramphenicol? a. Lethal arrhythmias b. Malignant hypertension c. Status epilepticus d. Bone marrow suppression 28. A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis should receive highest priority at this time? a. Impaired gas exchanges related to increased blood flow b. Fluid volume excess related to peripheral vascular disease c. Risk for injury related to edema d. Altered peripheral tissue perfusion related to venous congestion 29. When positioned properly, the tip of a central venous catheter should lie in the: a. Superior vena cava b. Basilica vein c. Jugular vein d. Subclavian vein 30. Nurse Nikki is revising a client’s care plan. During which step of the nursing process does such revision take place? a. Assessment b. Planning c. Implementation d. Evaluation 31. A 65-year-old female who has diabetes mellitus and has sustained a large laceration on her left wrist asks the nurse, “How long will it take for my scars to disappear?” which statement would be the nurse’s best response? a. “The contraction phase of wound healing can take 2 to 3 years.” b. “Wound healing is very individual but within 4 months the scar should fade.” c. “With your history and the type of location of the injury, it’s hard to say.” d. “If you don’t develop an infection, the wound should heal any time between 1 and 3 years from now.” 32. One aspect of implementation related to drug therapy is: a. Developing a content outline b. Documenting drugs given c. Establishing outcome criteria d. Setting realistic client goals 33. A client has just returned from surgery for the repair of a right fractured tibia and fibula and has a cast applied to the extremity. The nurse first: a. listens to the breath sounds for respiratory complications. b. listens to the abdomen for bowel sounds. c. covers the client with a warm blanket. d. checks the right toes for circulation, sensation, and movement. 34. A client was admitted to the hospital following a motorcycle accident with multiple fractures to the left leg. A long leg cast was applied and 6 hours after surgery the client is expressing extreme pain in his left leg after receiving medication by a PCA. The nurse suspects compartment syndrome. If the nurse is correct, what other symptoms would the client have? (Select all that apply.) a. Sluggish capillary refill b. Pain from the lower spine down the back of the leg c. Numbness or tingling in the leg d. Weak pulse in the left toes and strong pulse in the right toes e. Increased length of the right leg f. Foul odor from the cast 35. A nurse is collecting data from a 28-year-old client who is requesting a prescription for an oral contraceptive. Which of the following in the client's history is a contraindication for the use of oral contraceptives? a. History of mononucleosis 1 year ago b. Reports of occasional heartburn in the evening c. Frequent headaches with visual changes d. Irregular menstrual cycles with dysmenorrhea 36. A nurse in the prenatal clinic is collecting data from a client who is at 14 weeks of gestation. The nurse should recognize that the client will receive an immunization for which of the following infectious diseases? a. Mumps b. Varicella c. Measles d. Influenza 37. Which of the following is included in the health teachings among clients receiving Valium?: a. Avoid foods rich in tyramine. b. Take the medication after meals. c. It is safe to stop it anytime after long term use. d. Double up the dose if the client forgets her medication. 38. Low plasma PaCO2 a. Metabolic Acidosis b. Respiratory Alkalosis c. Metabolic Alkalosis d. Respiratory Acidosis 39. High plasma PaCO2 a. Metabolic Acidosis b. Respiratory Alkalosis c. Metabolic Alkalosis d. Respiratory Acidosis 40. Decreased plasma bicarbonate (HCO3-) a. Metabolic Acidosis b. Respiratory Alkalosis c. Metabolic Alkalosis d. Respiratory Acidosis 41. Increased plasma bicarbonate (HCO3-) a. Metabolic Acidosis b. Respiratory Alkalosis c. Metabolic Alkalosis d. Respiratory Acidosis 42. A nurse is observing a client bathe her 1-day-old newborn. Which of the following actions indicates that the client understands how to bathe her newborn? a. The client shakes powder from the container onto the newborn's skin. b. The client uses a cotton-tipped swab to clean the newborn's ears. c. The client washes the newborn's hair before unwrapping her. d. The client rinses the newborn under warm, running water. 43. A nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old newborn. Which of the following statements by the mother indicates an understanding of the teaching? a. "I will wipe the colostrum off my nipple before my baby feeds." b. "Since I am breastfeeding, I won't need to give my baby iron supplements until he's a year old." c. "I should wake up my baby to feed during the night." d. "I should start to pump my breasts after each feeding when I get home." 44. A nurse is caring for four newborns. Which of the following newborns should the nurse plan for the provider to see first? a. born 1 hr ago and has acrocyanosis b. A newborn whose mother has a history of substance use disorder and tests negative at delivery c. A newborn whose mother had a positive Group B streptococcus test and was treated with antibiotics during labor d. A newborn who was born 36 hr ago and has nasal flaring 45. A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements by the client indicates an understanding of the teaching? a. "I will massage my breasts while I take a shower." b. "I should wear an underwire bra during the day." c. "I should use a breast pump several times a day to relieve discomfort." d. "I will apply cold cabbage leaves to my breasts throughout the day." 46. A nurse is reinforcing discharge teaching with a client who has a new diagnosis of mastitis of the left breast. Which of the following interventions should the nurse include in the teaching? a. Use a nipple shield. b. Bottle-feed the newborn until mastitis subsides. c. Pump the affected breast frequently. d. Apply cabbage leaves to reduce pain. 47. A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following client findings should be reported to the provider? a. Blurred vision b. Ankle swelling c. Ten fetal movements in 2 hr d. Urinary frequency 48. A nurse is collecting data from a newborn who was born to a mother who had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? a. Blood glucose 30 mg/dL b. Heart rate 160/min c. Calcium 9.2 mg/dL d. Axillary temperature 36.5° C (97.7° F) 49. A nurse is caring for a client who is at 20 weeks of gestation and is in the clinic for a routine prenatal visit. Based on the chart data, which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data.) a. Weight 63 kg (138.9 lb) b. Fundal height 25 cm (9.8 in) c. Fetal heart tones 160/min d. Blood pressure 130/80 mm Hg 50. A nurse is performing a heel stick on a newborn for blood glucose monitoring. After washing her hands and donning gloves, which of the following actions should the nurse perform next? a. Cleanse the site with alcohol and allow it to dry. b. Warm the newborn's heel. c. Cuddle and comfort the infant. d. Apply pressure using a dry gauze square. 51. A nurse is contributing to the plan of care for a client who is postpartum and follows kosher dietary laws. Which of the following images indicates an appropriate meal for this client? a. Cheesburger, salad, milk, apple b. Salad, grapes, juice, yogurt c. Grilled cheese sandwich, banana, coffee d. Ham, cottage cheese, orange, tea 52. A nurse is reinforcing teaching to a client who is breastfeeding a 6-day-old newborn. Which of the following client statements indicates a need for further teaching? a. "I may need to breastfeed my baby up to 12 times per day." b. "My baby should have at least six wet diapers per day." c. "My baby should have at least one stool per day." d. "I may store breast milk in the freezer for 6 months." 53. A nurse is contributing to the plan of care for a client who has a new prescription for medroxyprogesterone. Which of the following actions should the nurse include in the plan of care? a. Gently massage the injection site following administration. b. Instruct the client to increase calcium intake while taking this medication. c. Administer the medication once every month. d. Initiate the first dose 2 weeks following the client's menstrual cycle. 54. A nurse is reinforcing teaching with a client who is at 30 weeks of gestation and has iron-deficiency anemia. Which of the following foods should the nurse include as primary sources of iron? (Select all that apply.) a. Lentils b. Oysters c. Yogurt d. Cottage cheese e. Beef liver 55. A nurse is monitoring a 1-hr-old newborn for hypoglycemia. For which of the following findings should the nurse monitor? (Select all that apply.) a. Hypothermia b. Twitching c. Tachypnea d. Absent bowel sounds e. Abdominal distention 56. A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has respiratory distress. Which of the following should the nurse report to the provider? (Select all that apply.) a. Acrocyanosis b. Tachypnea c. Coarse crackles d. Retractions e. Expiratory grunting 57. A nurse is reinforcing teaching with a client who is pregnant and will undergo a 1-hr oral glucose tolerance test. Which of the following should the nurse include? a. Provide a urine sample at the start of the test. b. Fast for 12 hr the night before the test. c. Avoid caffeine the morning of the test. d. Eat a low-carbohydrate diet 24 hr prior to the test. 58. A client with a diagnosis of narcissistic personality disorder has been given a day pass from the psychiatric hospital. The client is due to return at 6pm. At 5pm the client telephones the nurse in charge of the unit and says “6 o’clock is too early. I feel like coming back at 7:30.” The nurse would be most therapeutic by telling the client to: a. Return immediately, to demonstrate control b. Return on time or restrictions will be imposed c. Come back at 6:45, as a compromise to set limits d. Come back as soon as possible or the police will be sent 59. An adult client with a borderline personality disorder become nauseated and vomits immediately after drinking after drinking 2 ounces of shampoo as a suicide gesture. The most appropriate initial response by the nurse would be to: a. Promptly notify the attending physician b. Immediately initiate suicide precautions c. Sit quietly with the client until nausea and vomiting subsides d. Assess the client’s vital signs and administer syrup of ipecac 60. A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of personality disorder is associated with these characteristics? a. Antisocial b. Avoidant c. Borderline d. Paranoid 61. Which of the following statements is typical for a client diagnosed with a personality disorder? a. “I understand you’re the one to blame.” b. “I must be seen first; it’s not negotiable.” c. “I see nothing humorous in this situation.” d. “I wish someone would select the outfit for me.” 62. A client has just completed a nonstress test. The nurse notes two FHR accelerations of 15/min over a 20-min period, lasting at least 15 seconds. The nurse recognizes that this indicates which of the following results? a. Reactive b. Nonreactive c. Negative d. Positive 63. A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6 on a scale from 0 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus and deviated to the right. Which of the following actions is the nurse's highest priority? a. Administer analgesics. b. Apply an ice pack to the perineum. c. Assist the client with breastfeeding. d. Help the client ambulate to the toilet. 64. A nurse is caring for a client who has a new prescription for carboprost. Which of the following adverse effects should the nurse monitor for and report to the provider? a. Constipation b. Fever c. Hypotension d. Dyspnea 65. A nurse is collecting data from a client who is at 9 weeks of gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include when reinforcing teaching? a. Consume small, frequent meals per day. b. Drink fluids during mealtimes. c. Eat foods that are hot. d. Eat a high-protein snack before getting out of bed. 66. A nurse is reinforcing teaching with a client who has preeclampsia and is prescribed a 24-hr urine collection for protein. Which of the following statements should the nurse include in the teaching? a. "Keep the urine specimen at room temperature." b. "Discard the first urine specimen when beginning the test." c. "Collect the last urine sample using a straight urinary catheter." d. "Cleanse the perineal area with Betadine prior to collecting each specimen." 67. A nurse is reinforcing teaching about newborn safety precautions with a group of new mothers. Which of the following statements should the nurse include in the teaching? a. "Set your water heater at 54.4° C (129.9° F)." b. "The space between the mattress and sides of the crib should be 3 fingerbreadths." c. "Check smoke detectors every other month to ensure proper functioning." d. "Crib slats should be no more than 6.4 cm (2 ¼ in) apart." 68. A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take? a. Apply warm compresses to the client's legs. b. Position the client with pillows under the knees. c. Tell the client to expect leg tenderness. d. Have the client ambulate several times each day. 69. A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse take? a. Apply warm compresses to the client's legs. b. Position the client with pillows under the knees. c. Tell the client to expect leg tenderness. d. Have the client ambulate several times each day. 70. A client is admitted to the hospital and expresses concerns for his job. This information will become what part of his nursing care plan? a. Nursing diagnosis b. Goal c. Validating data d. Evaluation Reference: PracticalN. (2017). NCLEX-PN Practice Test Questions. Retrieved from ATI: PN Maternal Newborn Online Practice 2014 A. (2014). Retrieved from ATIT ATI: PN Medical Surgical 2014 A. (2014). Retrieved from ATIT