NCLEX-PN 2024 ACTUAL EXAM REAL EXAM WITH
205 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
• A 24-year-old female client is scheduled for surgery in the morning. Which of
thefollowing is the primary responsibility of the nurse?
• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• Checking the lab work
• The nurse is working in the emergency room when a client arrives with severe burns
ofthe left arm, hands, face, and neck. Which action should receive priority?
• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the client for pain
• The nurse is visiting a home health client with osteoporosis. The client has a
newprescription for alendronate (Fosamax). Which instruction should be given to the
client?
• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
,• Allow at least 1 hour between taking the medicine and taking other medications
• The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
• A pair of forceps
• A torque wrench
• A pair of wire cutters
• A screwdriver
• An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
• A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due
tothis tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
• The nurse is caring for a client with epilepsy who is being treated with
carbamazepine(Tegretol). Which laboratory value might indicate a serious side effect of
this drug?
,• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter
• A 6-month-old client is admitted with possible intussuception. Which question during
thenursing history is least helpful in obtaining information regarding this diagnosis?
• “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”
• The nurse is assisting a client with diverticulosis to select appropriate foods. Which
foodshould be avoided?
• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls
• A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
, • Facilitating perineal wound drainage
• The nurse is performing discharge teaching on a client with diverticulitis who has
been placed on a low-roughage diet. Which food would have to be eliminated from this
client’s diet?
• Roasted chicken
• Noodles
• Cooked broccoli
• Custard
• A client arrives in the emergency room with a possible fractured femur. The nurse
shouldanticipate an order for:
• Trendelenburg position
• Ice to the entire extremity
• Buck’s traction
• An abduction pillow
• A client with cancer is to undergo an intravenous pyelogram. The nurse should:
• Force fluids 24 hours before the procedure
• Ask the client to void immediately before the study
• Hold medication that affects the central nervous system for 12 hours pre- and post-test
• Cover the client’s reproductive organs with an x-ray shield
• The nurse is caring for a client with a malignancy. The classification of the
primarytumor is Tis. The nurse should plan care for a tumor:
205 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
• A 24-year-old female client is scheduled for surgery in the morning. Which of
thefollowing is the primary responsibility of the nurse?
• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• Checking the lab work
• The nurse is working in the emergency room when a client arrives with severe burns
ofthe left arm, hands, face, and neck. Which action should receive priority?
• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the client for pain
• The nurse is visiting a home health client with osteoporosis. The client has a
newprescription for alendronate (Fosamax). Which instruction should be given to the
client?
• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
,• Allow at least 1 hour between taking the medicine and taking other medications
• The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
• A pair of forceps
• A torque wrench
• A pair of wire cutters
• A screwdriver
• An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
• A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due
tothis tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
• The nurse is caring for a client with epilepsy who is being treated with
carbamazepine(Tegretol). Which laboratory value might indicate a serious side effect of
this drug?
,• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter
• A 6-month-old client is admitted with possible intussuception. Which question during
thenursing history is least helpful in obtaining information regarding this diagnosis?
• “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”
• The nurse is assisting a client with diverticulosis to select appropriate foods. Which
foodshould be avoided?
• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls
• A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
, • Facilitating perineal wound drainage
• The nurse is performing discharge teaching on a client with diverticulitis who has
been placed on a low-roughage diet. Which food would have to be eliminated from this
client’s diet?
• Roasted chicken
• Noodles
• Cooked broccoli
• Custard
• A client arrives in the emergency room with a possible fractured femur. The nurse
shouldanticipate an order for:
• Trendelenburg position
• Ice to the entire extremity
• Buck’s traction
• An abduction pillow
• A client with cancer is to undergo an intravenous pyelogram. The nurse should:
• Force fluids 24 hours before the procedure
• Ask the client to void immediately before the study
• Hold medication that affects the central nervous system for 12 hours pre- and post-test
• Cover the client’s reproductive organs with an x-ray shield
• The nurse is caring for a client with a malignancy. The classification of the
primarytumor is Tis. The nurse should plan care for a tumor:
