NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
A nurse in the emergency room receives a patient who had his left elbow fractured in a fight.
He had waited 5 hours before coming to the emergency room. His left hand has an unequal
radial pulse, is swollen, and is numb and tingling. What is the nurse's priority intervention?
1. Place the patient in a supine position
2. Ask the patient to rate his pain on a scale of 1 to 10.
3. Wrap the fractured area with a snug dressing
4. Start an IV in the other arm. - ans1. Place the patient in a supine position
Incorrect - While this may be a beneficial intervention if the arm is also elevated to prevent
swelling, this is not a priority intervention.
2. Ask the patient to rate his pain on a scale of 1 to 10.
Incorrect - While assessing pain is a part of the 6 P's of neurovascular assessment, the
question asks for an intervention based on already alarming assessment findings.
3. Wrap the fractured area with a snug dressing
Incorrect - The assessment findings indicate the patient may have Acute Compartment
Syndrome. Causing more external pressure with a dressing will only exacerbate the condition.
4. Start an IV in the other arm.
Correct - Starting an IV is a nursing priority prior to emergency surgery. The patient may be in
the late stages of Acute Compartment Syndrome and may need a fasciotomy, in which the
surgeon relieves pressure by making an incision into the affected area.
A nurse is asked by a patient to describe in layman's terms an overview of the condition called
osteomyelitis. What would be the nurse's best response?
1. "Osteomyelitis is a gradual breakdown and weakening of your bones. It's most often age-
related."
2. "Osteomyelitis is caused by not having enough Vitamin D, which in turn causes a your
bones to be softer and de-mineralized."
3. "Osteomyelitis is an infection in the bone. It can be caused by bacteria reaching your bone
from outside or inside your body."
4. "This is a question that should be directed to your Healthcare Provider." - ans1.
"Osteomyelitis is a gradual breakdown and weakening of your bones. It's most often age-
related."
Incorrect - This sentence describes osteoporosis
2. "Osteomyelitis is caused by not having enough Vitamin D, which in turn causes a your
bones to be softer and de-mineralized."
Incorrect - This sentence describes osteomalacia
3. "Osteomyelitis is an infection in the bone. It can be caused by bacteria reaching your bone
from outside or inside your body."
Correct - This appropriately explains osteomyelitis
,NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
4. "This is a question that should be directed to your Healthcare Provider."
Incorrect - A nurse is qualified to educate the patient on this subject matter
A nurse is caring for a female patient 24 hours after a hip fracture. The patient is on bedrest.
The nurse knows that which regular assessment or intervention is essential for detecting or
preventing the complication of Fat Embolism Syndrome?
1. Performing passive, light, range of motion exercises on the hip as tolerated.
2. Assess the patient's mental status for drowsiness or sleepiness.
3. Assess the pedal pulse and capillary refill in the toes.
4. Administer a stool softener as ordered - ans1. Performing passive, light, range of motion
exercises on the hip as tolerated.
Incorrect - Immobilization and prevention of motion is the best way to reduce risk for fat
embolism.
2. Assess the patient's mental status for drowsiness or sleepiness.
Correct - A decreased Level of Consciousness is the earliest sign of FES, caused by decreased
oxygen level.
3. Assess the pedal pulse and capillary refill in the toes.
Incorrect - While assessing pedal pulse is important during a neurovascular assessment, it is
not relevant to FES. Capillary refill is the least reliable indicator of poor perfusion
4. Administer a stool softener as ordered
Incorrect - While this is an important intervention for patients on bedrest, it is not an
intervention relevant to FES
A nurse is caring for a patient after a coronary angiogram. Which of these actions taken by the
nursing assistant would most require the nurse's immediate intervention?
1. The nursing assistant fills the patient's pitcher with ice cold drinking water
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
3. The nursing assistant refills the ice pack laying on the insertion site
4. The nursing assistant places an extra pillow under the patient's head on request - ans1. The
nursing assistant fills the patient's pitcher with ice cold drinking water
Incorrect - It is recommended to generously hydrate after a coronary angiogram to excrete
contrast medium, reducing kidney toxicity
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
Correct - For 3-6 hours after a coronary angiogram (depending on the insertion site), the
patient should have their bed no higher than 30 degrees and be on bedrest.
3. The nursing assistant refills the ice pack laying on the insertion site
Incorrect - An ice pack or dressing is recommended to be placed on the insertion site to
minimize risk of bleeding.
4. The nursing assistant places an extra pillow under the patient's head on request
,NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
Incorrect - An extra pillow will not violate any post-procedural protocols for coronary
angiogram.
A nurse is caring for a patient in the cardiac care unit who is taking bumetanide (Bumex) and
is diagnosed with Parkinson's Disease. An unlicensed assistive personnel is assisting with
feeding the patient. Which of these foods would the nurse stress for the patient to eat most?
1. Foods containing the least amount of salt
2. Foods containing the most amount of potassium
3. Foods containing the most amount of calories
4. Foods containing the most amount of fiber - ans1. Foods containing the least amount of salt
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
2. Foods containing the most amount of potassium
Correct - Bumex is a loop diuretic and can cause hypokalemia. Ensuring potassium is included
in the diet is a priority and can directly avoid a hypokalemic crisis.
3. Foods containing the most amount of calories
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
4. Foods containing the most amount of fiber
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
A nurse is caring for a patient scheduled to have cataract surgery. The patient asks why they
developed cataracts and how they can prevent it from happening again. What is the nurse's
best response?
1. "Age is the biggest factor contributing to cataracts."
2. "Unprotected exposure to UV lights can cause cataracts"
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions." - ans1. "Age is the biggest factor
contributing to cataracts."
Incorrect - While true, this answer leaves out many other contributing factors to cataracts and
does not address prevention.
2. "Unprotected exposure to UV lights can cause cataracts"
Incorrect - While true, this answer is not complete
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
Correct - This answer covers the most common contributing factors for cataracts and includes
preventable risk factors.
, NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions."
Incorrect - While most cataracts are age-related cataracts, there are still ways to prevent eye
damage and cataract development.
A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns to talk
to the nurse. Which of these statements would require the most immediate intervention?
1. "I'm feeling extremely thirsty. I'm going to get some water after this."
2. "I can feel my heart racing."
3. "My shoulder and arm is hurting."
4. "My blood pressure reading is 158/80" - ans1. "I'm feeling extremely thirsty. I'm going to get
some water after this."
Incorrect - This does not require immediate intervention. This is a common response to
exercise and activity.
2. "I can feel my heart racing."
Incorrect - This does not require immediate intervention. This is a common response to
exercise and activity.
3. "My shoulder and arm is hurting."
Correct - Unilateral arm and shoulder pain is one of the classic symptoms of myocardial
ischemia. The stress test should be halted.
4. "My blood pressure reading is 158/80"
Incorrect - This does not require immediate intervention. Moderate elevation in blood pressure
is a common response to exercise and activity.
A nurse is caring for a patient who is suspected to have sustained a spinal cord injury. What
best describes the overarching principles used to guide the care for this type of condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
3. Help the patient with activities of daily living and provide emotional and physical support to
help them adjust to their injury
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and breathing - ans1.
Immobilize the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
3. Help the patient with activities of daily living and provide emotional and physical support to
help them adjust to their injury
Incorrect - These are important in the later stages of a spinal cord injury after the patient has
been stabilized, but at this point would be premature.
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
A nurse in the emergency room receives a patient who had his left elbow fractured in a fight.
He had waited 5 hours before coming to the emergency room. His left hand has an unequal
radial pulse, is swollen, and is numb and tingling. What is the nurse's priority intervention?
1. Place the patient in a supine position
2. Ask the patient to rate his pain on a scale of 1 to 10.
3. Wrap the fractured area with a snug dressing
4. Start an IV in the other arm. - ans1. Place the patient in a supine position
Incorrect - While this may be a beneficial intervention if the arm is also elevated to prevent
swelling, this is not a priority intervention.
2. Ask the patient to rate his pain on a scale of 1 to 10.
Incorrect - While assessing pain is a part of the 6 P's of neurovascular assessment, the
question asks for an intervention based on already alarming assessment findings.
3. Wrap the fractured area with a snug dressing
Incorrect - The assessment findings indicate the patient may have Acute Compartment
Syndrome. Causing more external pressure with a dressing will only exacerbate the condition.
4. Start an IV in the other arm.
Correct - Starting an IV is a nursing priority prior to emergency surgery. The patient may be in
the late stages of Acute Compartment Syndrome and may need a fasciotomy, in which the
surgeon relieves pressure by making an incision into the affected area.
A nurse is asked by a patient to describe in layman's terms an overview of the condition called
osteomyelitis. What would be the nurse's best response?
1. "Osteomyelitis is a gradual breakdown and weakening of your bones. It's most often age-
related."
2. "Osteomyelitis is caused by not having enough Vitamin D, which in turn causes a your
bones to be softer and de-mineralized."
3. "Osteomyelitis is an infection in the bone. It can be caused by bacteria reaching your bone
from outside or inside your body."
4. "This is a question that should be directed to your Healthcare Provider." - ans1.
"Osteomyelitis is a gradual breakdown and weakening of your bones. It's most often age-
related."
Incorrect - This sentence describes osteoporosis
2. "Osteomyelitis is caused by not having enough Vitamin D, which in turn causes a your
bones to be softer and de-mineralized."
Incorrect - This sentence describes osteomalacia
3. "Osteomyelitis is an infection in the bone. It can be caused by bacteria reaching your bone
from outside or inside your body."
Correct - This appropriately explains osteomyelitis
,NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
4. "This is a question that should be directed to your Healthcare Provider."
Incorrect - A nurse is qualified to educate the patient on this subject matter
A nurse is caring for a female patient 24 hours after a hip fracture. The patient is on bedrest.
The nurse knows that which regular assessment or intervention is essential for detecting or
preventing the complication of Fat Embolism Syndrome?
1. Performing passive, light, range of motion exercises on the hip as tolerated.
2. Assess the patient's mental status for drowsiness or sleepiness.
3. Assess the pedal pulse and capillary refill in the toes.
4. Administer a stool softener as ordered - ans1. Performing passive, light, range of motion
exercises on the hip as tolerated.
Incorrect - Immobilization and prevention of motion is the best way to reduce risk for fat
embolism.
2. Assess the patient's mental status for drowsiness or sleepiness.
Correct - A decreased Level of Consciousness is the earliest sign of FES, caused by decreased
oxygen level.
3. Assess the pedal pulse and capillary refill in the toes.
Incorrect - While assessing pedal pulse is important during a neurovascular assessment, it is
not relevant to FES. Capillary refill is the least reliable indicator of poor perfusion
4. Administer a stool softener as ordered
Incorrect - While this is an important intervention for patients on bedrest, it is not an
intervention relevant to FES
A nurse is caring for a patient after a coronary angiogram. Which of these actions taken by the
nursing assistant would most require the nurse's immediate intervention?
1. The nursing assistant fills the patient's pitcher with ice cold drinking water
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
3. The nursing assistant refills the ice pack laying on the insertion site
4. The nursing assistant places an extra pillow under the patient's head on request - ans1. The
nursing assistant fills the patient's pitcher with ice cold drinking water
Incorrect - It is recommended to generously hydrate after a coronary angiogram to excrete
contrast medium, reducing kidney toxicity
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
Correct - For 3-6 hours after a coronary angiogram (depending on the insertion site), the
patient should have their bed no higher than 30 degrees and be on bedrest.
3. The nursing assistant refills the ice pack laying on the insertion site
Incorrect - An ice pack or dressing is recommended to be placed on the insertion site to
minimize risk of bleeding.
4. The nursing assistant places an extra pillow under the patient's head on request
,NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
Incorrect - An extra pillow will not violate any post-procedural protocols for coronary
angiogram.
A nurse is caring for a patient in the cardiac care unit who is taking bumetanide (Bumex) and
is diagnosed with Parkinson's Disease. An unlicensed assistive personnel is assisting with
feeding the patient. Which of these foods would the nurse stress for the patient to eat most?
1. Foods containing the least amount of salt
2. Foods containing the most amount of potassium
3. Foods containing the most amount of calories
4. Foods containing the most amount of fiber - ans1. Foods containing the least amount of salt
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
2. Foods containing the most amount of potassium
Correct - Bumex is a loop diuretic and can cause hypokalemia. Ensuring potassium is included
in the diet is a priority and can directly avoid a hypokalemic crisis.
3. Foods containing the most amount of calories
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
4. Foods containing the most amount of fiber
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
A nurse is caring for a patient scheduled to have cataract surgery. The patient asks why they
developed cataracts and how they can prevent it from happening again. What is the nurse's
best response?
1. "Age is the biggest factor contributing to cataracts."
2. "Unprotected exposure to UV lights can cause cataracts"
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions." - ans1. "Age is the biggest factor
contributing to cataracts."
Incorrect - While true, this answer leaves out many other contributing factors to cataracts and
does not address prevention.
2. "Unprotected exposure to UV lights can cause cataracts"
Incorrect - While true, this answer is not complete
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
Correct - This answer covers the most common contributing factors for cataracts and includes
preventable risk factors.
, NCLEX RN NEWEST 2024,2023 AND 2022 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions."
Incorrect - While most cataracts are age-related cataracts, there are still ways to prevent eye
damage and cataract development.
A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns to talk
to the nurse. Which of these statements would require the most immediate intervention?
1. "I'm feeling extremely thirsty. I'm going to get some water after this."
2. "I can feel my heart racing."
3. "My shoulder and arm is hurting."
4. "My blood pressure reading is 158/80" - ans1. "I'm feeling extremely thirsty. I'm going to get
some water after this."
Incorrect - This does not require immediate intervention. This is a common response to
exercise and activity.
2. "I can feel my heart racing."
Incorrect - This does not require immediate intervention. This is a common response to
exercise and activity.
3. "My shoulder and arm is hurting."
Correct - Unilateral arm and shoulder pain is one of the classic symptoms of myocardial
ischemia. The stress test should be halted.
4. "My blood pressure reading is 158/80"
Incorrect - This does not require immediate intervention. Moderate elevation in blood pressure
is a common response to exercise and activity.
A nurse is caring for a patient who is suspected to have sustained a spinal cord injury. What
best describes the overarching principles used to guide the care for this type of condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
3. Help the patient with activities of daily living and provide emotional and physical support to
help them adjust to their injury
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and breathing - ans1.
Immobilize the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
3. Help the patient with activities of daily living and provide emotional and physical support to
help them adjust to their injury
Incorrect - These are important in the later stages of a spinal cord injury after the patient has
been stabilized, but at this point would be premature.
