NCLEX 2024 STUDY GUIDE NEW LATEST VERSION QUESTIONS WITH CORRECT ANSWERS WITH RATIONALE GRADED A+

NCLEX 2024 STUDY GUIDE NEW LATEST VERSION QUESTIONS WITH CORRECT ANSWERS WITH RATIONALE GRADED A+ Which of the following clients should the nurse INVESTIGATE further for potential child abuse? A. 1 year old client who has bright red cheeks and a raised, bumpy rash bilaterally on the arms and legs B. A 5 month old client who has influenza and a 4 cm bluish -gray asymmetrical marking on the left buttocks C. A 10 year old client who has scratched s hins and a clavicle fracture and reports falling while skateboarding D. A 7 month old client with palm burns whose caregiver says the client climbed up the sink and grabbed a hot iron - correct answer ✔✔D. A 7 month old client with palm burns whose caregiv er says the client climbed up the sink and grabbed a hot iron The nurse is carting for a 8kg, 1 year old client who underwent a complete cardiac repair for tetralogy of pallor 8 hours ago. Which of the following findings would REQUIRE IMMEDIATE follow -up? Select all that apply A. 1+ radial and femoral pulses B. Temperature of 100 F (37.7 C) C. Urine output of 5 mL in the last hour D. Pinkish -tan colored chest tube drainage E. Chest tube drainage of 19 mL in one hour F. Median sternotomy dressing has 2 mL of dried blood. - correct answer✔✔A. 1+ radial and femoral pulses C. Urine output of 5 mL in the last hour explanation: TETRALOGY IS a combination of four congenital (present at birth) heart defects. The defects occur together and change the way b lood flows through the heart and lungs. The nurse discusses developmental milestones with the caregivers pod several clients. Which finding REPORTED by a caregiver REQUIRES follow -up by the nurse? A. A 19 month old who often falls while running through the house B. A 22 month old who can say 4 words including "mom" and "more" C. An 18 month old who is able to build a tower containing 3 wooden blocks D. A 24 -month who plays with a doll bedside a friend without asking the friend to play - correct answer ✔✔B. A 22 month old who can say 4 words including "mom" and "more" The nurses is caring for an 8 -month old client diagnosed with pertussis . Which of t he following INTERCEPTIONS should the nurse ANTICIPATE implementing? Select all that apply. A. Initiating droplet precautions B. Providing humidified oxygen C. Administering a bronchodilator D. Providing suctioning as needed E. Administering antiviral m edications F. Encouraging frequent, small feedings - correct answer ✔✔A. Initiating droplet precautions B. Providing humidified oxygen D. Providing suctioning as needed F. Encouraging frequent, small feedings Ex: Pertussis (whooping cough) is a highly c ontagious bacterial upper respiratory infection that causes coughing spells filled by sharp inhalation that creates a The experienced pediatric intensive care registered nurse is preempting a newly licensed registered nurse who received repot on 4 clients . Which of the following ACTIONS taken by the new nurse REQUIRES the experienced nurse to intervene? A. Placing a client with varicella in a negative pressure isolation room. B. Performing oropharyngeal suctioning on a drooling client with croup. C. Plac ing an infant in prone position following myelomeningocele repair. D, Drawing up insulin lisper before NPH insulin in the same syringe for a client with diabetes. - correct answer ✔✔B. Performing oropharyngeal suctioning on a drooling client with croup. ?????? The nurse receives report on four assigned pediatric clients. Which client should the nurse ASSESS first? A. A 2 year old client with a history of Kawasaki disease who just began vomiting and appears restless B. A 12 year old client with acute rheumatic fever who is making sporadic arm movements and grimacing C. A 3 month old client with coarctation of the aorta (COA) on a ventilator who is pale and has weak femoral pulses D. A 6 month old client with ventricular septal defect (VSD) who experiences labored breathing when placed supine. - correct answer ✔✔A. A 2 yea r old client with a history of Kawasaki disease who just began vomiting and appears restless Ex: Kawasaki disease (KD) is an acute, self resolving vasculitis affecting mostly small and medium -sized vessels, especially the coronary arteries. KD weakens v essel was and can cause coronary aneurysm (abnormal bulging of the vasculature) and myocarditis (inflammation of the myocardium) Coronary artery aneurysm increases the risk for coronary thrombosis and myocardial infarction (MI), making KD the most common cause of MI in children. Vomiting and restlessness can indicate MI in young children. The nurse is caring for a client with suspected benign prostatic hyperplasia. Which of the following client statements SUPPORTS the diagnosis of benign prostatic hyper plasia? Select all that apply. A. "I am having frequent constipation" B "I recently noticed some blood in my urine." C. "I wake up several times at night to urinate." D. "I have had urinate more frequently lately." E. "When I try to urinate, I have diffic ulty getting started." F. "When I am urinating, it is more of a dribble than a stream." G. "I have noticed that my scrotum feels more swollen than normal." - correct answer ✔✔B "I recently noticed some blood in my urine." C. "I wake up several times at nigh t to urinate." D. "I have had urinate more frequently lately." E. "When I try to urinate, I have difficulty getting started." F. "When I am urinating, it is more of a dribble than a stream." Ex: Benign prostatic hyperplasia (BPH) is enlargement of the prostate gland that results in storage/irritative and obstructive symptoms, together termed lower urinary tract symptoms (LUTS). Obstructive symptoms occurs as the urethra is compressed, which requi res the bladder to contract more forcefully to excrete urine and can cause urinary retention . the earliest sign of BPH is diminished caliber and force of urine when voiding. other obstruction symptoms include delay or hesitancy when clients attempt to uri nate, difficulty in maintaining the urine stream (I.e. intermittency), and dribbling after voiding. Store/irritative symptoms are caused by irritation, inflammation, or infection and include urinary frequency, nocturne (3 or more voids during the night), urgency, dysuria, or hematuria Ket takeaway: Clinical manifestation of benign prostatic hyperplasia include: Nocturia