NCLEX-PN Final for Knott Exam Correctly Answered 2024/2025

NCLEX-PN Final for Knott Exam Correctly Answered 2024 A client with chronic kidney disease has blood laboratory results as shown in the exhibit. What is the best afternoon snack to provide to this client? - Answer -Apple slices and caramel dip The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which client statement requires further investigation? - Answer -I have a burning sensation when I urinate The nurse is caring for a client with overflow urinary incontinence related to diabetic neuropathy. Which of the following interventions are appropriate? SATA - Answer -*Encourage client to bear down while attempting to void *Inspect perineal area for evidence of skin breakdown *Measure postvoid residual volumes as prescribed *Tell the client to wait 30 seconds after voiding and then attempt to void again The nurse prepares to instill dialysate for a client receiving peritoneal dialysis. Which nursing action is the priority? - Answer -Using a sterile technique when spiking and attaching the bag of dialysate A nurse is caring for a client 2 days after surgical creation of an arteriovenous fistula in the forearm. Which finding should the nurse report immediately to the health care provider? - Answer -Pale skin of the hand of the arm with the arteriovenous fistula A client underwent a transurethral resection of the prostate (TURP) today and has a 3-way Foley urinary catheter with continuous bladder irrigation (CBI). The client reports lower abdominal pain rated as an 8 on a scale of 0-10. What action should the nurse carry out first? - Answer -Check the amount and charcteristics of urine output The nurse is preparing to administer morning medications to a client with type 2 diabetes mellitus and end-stage renal disease who is scheduled for dialysis today. Which medication should the nurse hold for clarification prior to administration? - Answer -Atenolol A client undergoes transurethral resection of the prostate for benign prostatic hyperplasia. The client has a 28 Fr, 30-mL balloon, 3-way Foley catheter with continuous bladder irrigation. Which finding by the nurse best indicates that the bladder irrigation is running at an adequate rate? - Answer -Output urine is pink in color A client with chronic kidney disease has a subcutaneous arteriovenous fistula (AVF) placed in the nondominant left wrist for hemodialysis. Which of the following statements indicate the clientunderstands how to care for the fistula properly? Select all that apply. - Answer -*I will squeeze a small ball with my left hand several times a day *I will touch the site and feel for a vibration several times a day *I will try not to sleep on my left arm The nurse is reinforcing teaching on nutritional therapy for a client with chronic kidney disease. Which statement indicates that further teaching is needed? - Answer -I can use salt substitute because I am required to both sodium and potassium in my diet What information would be most important for the nurse to obtain from a client with suspected bladder cancer who reports blood in the urine but no associated pain? - Answer -Tobacco Use A client with chronic kidney disease has blood laboratory results as shown in the exhibit. What is the best afternoon snack to provide to this client? - Answer -Apple slices and caramel dip Arterial Steal Syndrome - Answer -too much blood is diverted to the vein, and arterial perfusion to the hand is compromised. Heart failure can occur from high blood flow. Teaching - do not use arm with graft for blood pressure, placing IV's or administering injections The nurse is reinforcing home care education to a client newly diagnosed with von Willebrand disease. Which of the following client statements demonstrate correct understanding of the education? Select all that apply. - Answer -*I can use a humidifier to prevent nosebleeds *I need to avoid contact sports such as soccer and hockey *I should use a soft bristle toothbrush and electric razor *I will call my doctor if I soak a menstrual pad in an hour The nurse identifies which of the following clients as being at high risk for developing colorectal cancer? Select all that apply. - Answer -*Client who consumes a diet high in red meat and low in fiber *Client who is moribly obese *Client with a 15 yr history of ulcerative colitis *Client with a 40 history of smoking *Client with family history of colorectal cancer Several clients attend a health screening program at a local health fair. The nurse recognizes that which of the following clients are at risk for gastric cancer? Select all that apply. - Answer -*Client currently undergoing treatment for pernicious anemia *Client who frequently consumes pickled and smoked foods*Client who is obese with a BMI 30 *Client who was previously treated for Helicobacter pylori infection A nurse is assisting with preventive health screenings at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply. - Answer -*Last month when I was doing my breast exam, I noticed a marble size bump *My mole is itchy, and the edges have become uneven with a bluish blackish color