NCLEX Nursing process Exam Question
And Answers 2024
Which intervention should the nurse include in the plan of
care to ensure adequate nutrition for a very active,
talkative, and easily distractible client who is unable to sit
through meals? - correct answers✅Offer the client
nutritious finger foods.
A client experienced the loss of home and beloved family
dog in flood waters 4 months ago. The client states that
since the loss, the client finds it hard to "feel anything."
The client says they can't concentrate on simple tasks,
thinks about the flood incessantly, and fears losing
control. The client reports becoming extremely anxious
whenever the flood is mentioned and must leave the
room if people talk about it. The admitting nurse suspects
the client has post-traumatic stress disorder (PTSD).
Which nursing goal would be most appropriate for this
client? - correct answers✅The client will demonstrate
progress in dealing with the grief of losing their home and
dog.
The nurse is administering oxygen by face mask to a
client. Which action will the nurse include? - correct
answers✅Assist the client to the semi-Fowler's position
if possible.
A nurse is caring for a client with schizotypal personality
disorder with impaired verbal communication. Which
nursing intervention is the priority? - correct
,NCLEX Nursing process Exam Question
And Answers 2024
answers✅establishing a one-on-one relationship with
the client; By establishing a one-on-one relationship, the
nurse helps the client learn how to interact with people in
new situations. Helping the client participate in social
interactions, establishing alternative forms of
communication, and allowing the client to decide when to
communicate are appropriate but should take place only
after the nurse-client relationship has been established.
At birth, a neonate weighs 7 lb, 3 oz (3,267 g). When
assessing the neonate 1 day later, the nurse obtains a
weight of 7 lb (3,182 g) and an axillary temperature of
98° F (36.7° C) and notes that the sclerae are slightly
yellow. The neonate has been breast-feeding once every
2 to 3 hours. Based on these findings, the nurse should
add which nursing diagnosis to the care plan? - correct
answers✅risk for injury related to hyperbilirubinemia
An adolescent is brought to the emergency department
(ED) after accidentally taking an overdose of heroin. The
adolescent is semiconscious, unable to respond
appropriately to questions, slurs words, and has
constricted pupils; the client's vital signs are blood
pressure 60/50 mm Hg, pulse 50 beats/min, and
respirations 8 breaths/min. Naloxone is administered to
temporarily reverse the effects of the heroin. Which
finding would first indicate that the naloxone
administration has been effective? - correct
answers✅The client's respirations improve to 12/min.
, NCLEX Nursing process Exam Question
And Answers 2024
A client is recovering from a gastric resection for peptic
ulcer disease. Which outcome indicates that the goal of
adequate nutritional intake is being achieved 3 weeks
following surgery? The client: - correct
answers✅increases food intake and tolerance gradually.
The client has come to the hospital emergency room
reporting lethargy and vomiting. The healthcare provider
makes a tentative diagnosis of Reye's syndrome. The
client's history reveals a recent acute viral infection and
the use of several medications. The nurse suspects which
medication to be implicated in the development of Reye's
syndrome? - correct answers✅aspirin; Aspirin is
implicated in the development of Reye's syndrome in
children with a history of recent acute viral infection.
A nurse is preparing for the discharge of a neonate born 7
weeks premature. The neonate has had several apneic
episodes and will need a home apnea monitor but will
require no other specialized care. Which nursing
diagnosis is most appropriate for the neonate's parents? -
correct answers✅Deficient knowledge related to lack of
exposure to apnea monitor.
The nurse is preparing a client for a thoracentesis. How
should the nurse position the client for the procedure? -
And Answers 2024
Which intervention should the nurse include in the plan of
care to ensure adequate nutrition for a very active,
talkative, and easily distractible client who is unable to sit
through meals? - correct answers✅Offer the client
nutritious finger foods.
A client experienced the loss of home and beloved family
dog in flood waters 4 months ago. The client states that
since the loss, the client finds it hard to "feel anything."
The client says they can't concentrate on simple tasks,
thinks about the flood incessantly, and fears losing
control. The client reports becoming extremely anxious
whenever the flood is mentioned and must leave the
room if people talk about it. The admitting nurse suspects
the client has post-traumatic stress disorder (PTSD).
Which nursing goal would be most appropriate for this
client? - correct answers✅The client will demonstrate
progress in dealing with the grief of losing their home and
dog.
The nurse is administering oxygen by face mask to a
client. Which action will the nurse include? - correct
answers✅Assist the client to the semi-Fowler's position
if possible.
A nurse is caring for a client with schizotypal personality
disorder with impaired verbal communication. Which
nursing intervention is the priority? - correct
,NCLEX Nursing process Exam Question
And Answers 2024
answers✅establishing a one-on-one relationship with
the client; By establishing a one-on-one relationship, the
nurse helps the client learn how to interact with people in
new situations. Helping the client participate in social
interactions, establishing alternative forms of
communication, and allowing the client to decide when to
communicate are appropriate but should take place only
after the nurse-client relationship has been established.
At birth, a neonate weighs 7 lb, 3 oz (3,267 g). When
assessing the neonate 1 day later, the nurse obtains a
weight of 7 lb (3,182 g) and an axillary temperature of
98° F (36.7° C) and notes that the sclerae are slightly
yellow. The neonate has been breast-feeding once every
2 to 3 hours. Based on these findings, the nurse should
add which nursing diagnosis to the care plan? - correct
answers✅risk for injury related to hyperbilirubinemia
An adolescent is brought to the emergency department
(ED) after accidentally taking an overdose of heroin. The
adolescent is semiconscious, unable to respond
appropriately to questions, slurs words, and has
constricted pupils; the client's vital signs are blood
pressure 60/50 mm Hg, pulse 50 beats/min, and
respirations 8 breaths/min. Naloxone is administered to
temporarily reverse the effects of the heroin. Which
finding would first indicate that the naloxone
administration has been effective? - correct
answers✅The client's respirations improve to 12/min.
, NCLEX Nursing process Exam Question
And Answers 2024
A client is recovering from a gastric resection for peptic
ulcer disease. Which outcome indicates that the goal of
adequate nutritional intake is being achieved 3 weeks
following surgery? The client: - correct
answers✅increases food intake and tolerance gradually.
The client has come to the hospital emergency room
reporting lethargy and vomiting. The healthcare provider
makes a tentative diagnosis of Reye's syndrome. The
client's history reveals a recent acute viral infection and
the use of several medications. The nurse suspects which
medication to be implicated in the development of Reye's
syndrome? - correct answers✅aspirin; Aspirin is
implicated in the development of Reye's syndrome in
children with a history of recent acute viral infection.
A nurse is preparing for the discharge of a neonate born 7
weeks premature. The neonate has had several apneic
episodes and will need a home apnea monitor but will
require no other specialized care. Which nursing
diagnosis is most appropriate for the neonate's parents? -
correct answers✅Deficient knowledge related to lack of
exposure to apnea monitor.
The nurse is preparing a client for a thoracentesis. How
should the nurse position the client for the procedure? -
