NCLEX-PN TEST-BANK ACTUAL AND
APPROVED 2023/2024 EXAM 200 QUESTIONS
WITH ANSWERS AND DETAILED
EXPLANATIONS.
The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should
teach the client to refrain from eating foods containing tyramine because it may cause: -
ANSWER>>hypertension
Which client can best be assigned to the newly licensed practical nurse? - ANSWER>>The client
with diverticulitis
3. Which of the following roommates would be best for the client newly admitted with gastric
resection? - ANSWER>>A client with phlebitis
4. The licensed practical nurse assigned to the post-partal unit is preparing to administer
Rhogam to a postpartum cdient. Which woman is not a candidate for RhoGam? - ANSWER>>A
gravida V para 2 that is Rh negative with an Rh negative baby
The client has an order for FeSo4 liquid, Which method of administration would best? -
ANSWER>>Administer the me dication with orange juice
The nurse is caring for the client with a mastectomy. Which action would be contraindicated? -
ANSWER>>Taking the blood pressure in the side of the mastectomy
The nurse overhears the patient care assistant speaking harshly to the client with dementia.
The charge nurse should: - ANSWER>>Explore the interaction with the nursing assistant
A client with osteomylitis has an order for a trough level to be done because he is taking
Gentamycin. When should the nurse call the lab to obtain the trough level? - ANSWER>>30
minutes before the fourth dose
The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication
should be kept available during the test? - ANSWER>>Atropine sulfate
,The physician has ordered a culture for the client with suspected gonorrhea. The nurse should
obtain which type of culture? - ANSWER>>genital secretions
A 20-year-old female has a prescription for tetracycline. While teaching the client how to take
her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive
pills. Which instructions should be included in the teaching plan? - ANSWER>>Antibiotics can
decrease the effectiveness of oral contraceptives, so the client should use an alternate method
of birth control.
The client is admitted to the emergency room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per
minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should
monitor his ECG for: - ANSWER>>Prolonged QT interval
The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest
periods because: - ANSWER>>Grimacing and writhing movements decrease with relaxation and
rest.
The nurse is performing an assessment of an elderly client with a total hip repair. Based on this
assessment, the nurse decides to medicate the client with an analgesic. Which finding most
likely prompted the nurse to decide to administer the analgesic? - ANSWER>>* The client
grimaces during care.
The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the
removal, the nurse should instruct the dient to: - ANSWER>>hold this breath and bear down
The licensed practical nurse is working with a registered nurse and a patient care assistant.
Which of the following clients should be cared for by the registered nurse? - ANSWER>>A client
2 days post-thoracotomy
The nurse employed in the emergency room is responsible for triage of four clients injured in a
motor vehicle accident. Which of the following clients should receive priority in care? -
ANSWER>>A 15-year-old with sternal bruises
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? - ANSWER>>Facilitating perineal wound
drainage
, A client with a femoral popliteal bypass graft is assigned to a semiprivate room The most
suitable roommate for this client is the client with: - ANSWER>>hypothyroidism
The nurse is planning room assignments for the day. Which client should be assigned to a
private room if only one is available? - ANSWER>>The client with Cushing's disease
21. A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of
170meg/L. What behavior changes would be most common for this cient? - ANSWER>>mania
The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which
equipment should be kept at the bedside? - ANSWER>>a torque wrench/
The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse
should assess the patient for: - ANSWER>>shellfish allergies
The nurse is preparing a client with an axilo-popliteal bypass graft for discharge. The client
should be taught to avoid: - ANSWER>>Sitting in a straight chair
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include
which statement in the teaching session? - ANSWER>>"Portions of the procedure will cause
pain or discomfort."
The 10-year-old is being treated for asthma. Before administering Theodur, the nurse should
check the: - ANSWER>>pulse
27. Six hours after birth, the infant is found to have an area of swelling over the right parietal
area that does not cross the suture line The nurse should chart this finding as: - ANSWER>>a
cephalohematoma
The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the
following drugs reverses the effects of heparin? - ANSWER>>protamine sulfate
When assessing a client for risk of hyperphosphatemia, which piece of information is most
important for the nurse to obtain? - ANSWER>>A history of radiation treatment in the neck
region
APPROVED 2023/2024 EXAM 200 QUESTIONS
WITH ANSWERS AND DETAILED
EXPLANATIONS.
The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should
teach the client to refrain from eating foods containing tyramine because it may cause: -
ANSWER>>hypertension
Which client can best be assigned to the newly licensed practical nurse? - ANSWER>>The client
with diverticulitis
3. Which of the following roommates would be best for the client newly admitted with gastric
resection? - ANSWER>>A client with phlebitis
4. The licensed practical nurse assigned to the post-partal unit is preparing to administer
Rhogam to a postpartum cdient. Which woman is not a candidate for RhoGam? - ANSWER>>A
gravida V para 2 that is Rh negative with an Rh negative baby
The client has an order for FeSo4 liquid, Which method of administration would best? -
ANSWER>>Administer the me dication with orange juice
The nurse is caring for the client with a mastectomy. Which action would be contraindicated? -
ANSWER>>Taking the blood pressure in the side of the mastectomy
The nurse overhears the patient care assistant speaking harshly to the client with dementia.
The charge nurse should: - ANSWER>>Explore the interaction with the nursing assistant
A client with osteomylitis has an order for a trough level to be done because he is taking
Gentamycin. When should the nurse call the lab to obtain the trough level? - ANSWER>>30
minutes before the fourth dose
The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication
should be kept available during the test? - ANSWER>>Atropine sulfate
,The physician has ordered a culture for the client with suspected gonorrhea. The nurse should
obtain which type of culture? - ANSWER>>genital secretions
A 20-year-old female has a prescription for tetracycline. While teaching the client how to take
her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive
pills. Which instructions should be included in the teaching plan? - ANSWER>>Antibiotics can
decrease the effectiveness of oral contraceptives, so the client should use an alternate method
of birth control.
The client is admitted to the emergency room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per
minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should
monitor his ECG for: - ANSWER>>Prolonged QT interval
The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest
periods because: - ANSWER>>Grimacing and writhing movements decrease with relaxation and
rest.
The nurse is performing an assessment of an elderly client with a total hip repair. Based on this
assessment, the nurse decides to medicate the client with an analgesic. Which finding most
likely prompted the nurse to decide to administer the analgesic? - ANSWER>>* The client
grimaces during care.
The doctor is preparing to remove chest tubes from the client's left chest. In preparation for the
removal, the nurse should instruct the dient to: - ANSWER>>hold this breath and bear down
The licensed practical nurse is working with a registered nurse and a patient care assistant.
Which of the following clients should be cared for by the registered nurse? - ANSWER>>A client
2 days post-thoracotomy
The nurse employed in the emergency room is responsible for triage of four clients injured in a
motor vehicle accident. Which of the following clients should receive priority in care? -
ANSWER>>A 15-year-old with sternal bruises
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? - ANSWER>>Facilitating perineal wound
drainage
, A client with a femoral popliteal bypass graft is assigned to a semiprivate room The most
suitable roommate for this client is the client with: - ANSWER>>hypothyroidism
The nurse is planning room assignments for the day. Which client should be assigned to a
private room if only one is available? - ANSWER>>The client with Cushing's disease
21. A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of
170meg/L. What behavior changes would be most common for this cient? - ANSWER>>mania
The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs. Which
equipment should be kept at the bedside? - ANSWER>>a torque wrench/
The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse
should assess the patient for: - ANSWER>>shellfish allergies
The nurse is preparing a client with an axilo-popliteal bypass graft for discharge. The client
should be taught to avoid: - ANSWER>>Sitting in a straight chair
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include
which statement in the teaching session? - ANSWER>>"Portions of the procedure will cause
pain or discomfort."
The 10-year-old is being treated for asthma. Before administering Theodur, the nurse should
check the: - ANSWER>>pulse
27. Six hours after birth, the infant is found to have an area of swelling over the right parietal
area that does not cross the suture line The nurse should chart this finding as: - ANSWER>>a
cephalohematoma
The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the
following drugs reverses the effects of heparin? - ANSWER>>protamine sulfate
When assessing a client for risk of hyperphosphatemia, which piece of information is most
important for the nurse to obtain? - ANSWER>>A history of radiation treatment in the neck
region
