g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
.
1) Thegnursegisgmonitoringgagclientgfollowinggcardioversion.gWhic
hgobservationsgshouldgbegofghighestgprioritygtogthegnurse?
1. Bloodgpressure
2. Statusgofg airway
3. Oxygengflowgrate
4. Levelgofgconsciousness
CorrectgAnswer:g2.gStatusgofgairway
2) ThegLPN/LVNgingagmedicalgunitgisgcaringgforgagclientgwithgheartgfailure.gThe
g clientgsuddenlygdevelopsgextremegdyspnea,gtachycardia,gandglunggcrackles,gand
g thegnursegsuspectsgpulmonarygedema.gThegnursegimmediatelygnotifiesgthegregis
teredgnursegandgexpectsgwhichginterventionsgtogbegprescribed?gSelectgallgthatgap
ply.
1. Administeringgoxygen
2. Insertinggag Foleygcatheter
3. Administeringgfurosemideg (Lasix)
4. Administeringgmorphineg sulfategintravenously
5. Transportinggthegclientgtogthegcoronarygcaregunit
6. Placinggthegclientgingaglow-Fowler'sgside-lyinggposition
CorrectgAnswer:
1. Administeringgoxygen
2. InsertinggagFoleygcatheter
Downloadedgbygcharitygnimog(
)
, g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
3. Administeringgfurosemideg(Lasix)
3) ThegLPN/LVNgisgpreparinggtogambulategagpostoperativegclientgaftergcardia
cgsurgery.gThegnursegplansgtogdogwhichgtogenablegthegclientgtogbestgtolerategth
egambulation?
1. Providegthegclientgwithgagwalker.
2. Removegthegtelemetrygequipment.
3. Encouragegthegclientgtogcoughgandg deepgbreathe.
4. Premedicategthegclientg withganganalgesicg beforegambulating.
CorrectgAnswer:g4.gPremedicategthegclientg withganganalgesicgbeforegambulating
4) Thegnursegisgassistinggingcaringgforgthegclientgimmediatelygafterginsertio
ngofgagpermanentgdemandgpacemakergviagthegrightgsubclaviangvein.gThegnu
rsegpreventsgdislodgementgofgthegpacinggcathetergbygimplementinggwhichgi
ntervention?
1. Limitinggmovementgandgabductiongofgthegleftgarm
2. Limitinggmovementgandg abductiongofgthegrightg arm
3. Assistinggthegclientgtog getgoutgofgbedgandgambulategwithgagwalker
4. Havinggthegphysicalgtherapistgdogactivegrangegofgmotiongtogthegrightgar
mgCorrectgAnswer:g2.gLimitinggmovementgandgabductiongofgthegrightgarm
5) Agclientgisgwearinggagcontinuousgcardiacgmonitor,gwhichgbeginsgtogalar
mgatgthegnurse'sgstation.gThegnursegseesgnogelectrocardiographicgcomplexes
gongthegscreen.gThegnursegshouldgdogwhichgfirst?
1. Callgagcodegblue.
2. Callgtheghealthgcaregprovider.
Downloadedgbygcharitygnimog(
)
, g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
3. Checkgthegclientg statusgandgleadgplacement.
4. PressgthegrecordergbuttongongthegECGgconsole.
CorrectgAnswer:g3.gCheckgthegclientgstatusgandgleadgplacement.
6) Agclientgdiagnosedgwithgthrombophlebitisg1gdaygagogsuddenlygcomplainsgo
fgchestgpaingandgshortnessgofgbreath,gandgthegclientgisgvisiblyganxious.gThegLP
N/LVNgunderstandsgthatgaglife-
threateninggcomplicationgofgthisgconditiongisgwhich?
1. Pneumonia
2. Pulmonarygedema
3. Pulmonarygembolism
4. Myocardialginfarction
CorrectgAnswer:g3.gPulmonaryg embolism
7) Ag24-year-
oldgmangseeksgmedicalgattentiongforgcomplaintsgofgclaudicationgingthegarchgofgt
hegfoot.gThegnursegalsognotesgsuperficialgthrombophlebitisgofgtheglowergleg.gTh
egnursegshouldgcheckgthegclientgforgwhichgnext?
1. Smokingghistory
2. Recentgexposuregtogallergens
3. Historygofg recentginsectgbites
4. Familialgtendencygtowardgperipheralgvasculargdiseas
egCorrectgAnswer:g1.gSmokingghistory
8) ThegnurseghasgreinforcedginstructionsgtogthegclientgwithgRaynaud'sgdiseas
egaboutgself-
Downloadedgbygcharitygnimog(
)
, g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
managementgofgthegdiseasegprocess.gThegnursegdeterminesgthatgthegclientgne
edsgfurthergteachinggifgthegclientgstatesgwhich?
Downloadedgbygcharitygnimog(
)
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
.
1) Thegnursegisgmonitoringgagclientgfollowinggcardioversion.gWhic
hgobservationsgshouldgbegofghighestgprioritygtogthegnurse?
1. Bloodgpressure
2. Statusgofg airway
3. Oxygengflowgrate
4. Levelgofgconsciousness
CorrectgAnswer:g2.gStatusgofgairway
2) ThegLPN/LVNgingagmedicalgunitgisgcaringgforgagclientgwithgheartgfailure.gThe
g clientgsuddenlygdevelopsgextremegdyspnea,gtachycardia,gandglunggcrackles,gand
g thegnursegsuspectsgpulmonarygedema.gThegnursegimmediatelygnotifiesgthegregis
teredgnursegandgexpectsgwhichginterventionsgtogbegprescribed?gSelectgallgthatgap
ply.
1. Administeringgoxygen
2. Insertinggag Foleygcatheter
3. Administeringgfurosemideg (Lasix)
4. Administeringgmorphineg sulfategintravenously
5. Transportinggthegclientgtogthegcoronarygcaregunit
6. Placinggthegclientgingaglow-Fowler'sgside-lyinggposition
CorrectgAnswer:
1. Administeringgoxygen
2. InsertinggagFoleygcatheter
Downloadedgbygcharitygnimog(
)
, g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
3. Administeringgfurosemideg(Lasix)
3) ThegLPN/LVNgisgpreparinggtogambulategagpostoperativegclientgaftergcardia
cgsurgery.gThegnursegplansgtogdogwhichgtogenablegthegclientgtogbestgtolerategth
egambulation?
1. Providegthegclientgwithgagwalker.
2. Removegthegtelemetrygequipment.
3. Encouragegthegclientgtogcoughgandg deepgbreathe.
4. Premedicategthegclientg withganganalgesicg beforegambulating.
CorrectgAnswer:g4.gPremedicategthegclientg withganganalgesicgbeforegambulating
4) Thegnursegisgassistinggingcaringgforgthegclientgimmediatelygafterginsertio
ngofgagpermanentgdemandgpacemakergviagthegrightgsubclaviangvein.gThegnu
rsegpreventsgdislodgementgofgthegpacinggcathetergbygimplementinggwhichgi
ntervention?
1. Limitinggmovementgandgabductiongofgthegleftgarm
2. Limitinggmovementgandg abductiongofgthegrightg arm
3. Assistinggthegclientgtog getgoutgofgbedgandgambulategwithgagwalker
4. Havinggthegphysicalgtherapistgdogactivegrangegofgmotiongtogthegrightgar
mgCorrectgAnswer:g2.gLimitinggmovementgandgabductiongofgthegrightgarm
5) Agclientgisgwearinggagcontinuousgcardiacgmonitor,gwhichgbeginsgtogalar
mgatgthegnurse'sgstation.gThegnursegseesgnogelectrocardiographicgcomplexes
gongthegscreen.gThegnursegshouldgdogwhichgfirst?
1. Callgagcodegblue.
2. Callgtheghealthgcaregprovider.
Downloadedgbygcharitygnimog(
)
, g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
3. Checkgthegclientg statusgandgleadgplacement.
4. PressgthegrecordergbuttongongthegECGgconsole.
CorrectgAnswer:g3.gCheckgthegclientgstatusgandgleadgplacement.
6) Agclientgdiagnosedgwithgthrombophlebitisg1gdaygagogsuddenlygcomplainsgo
fgchestgpaingandgshortnessgofgbreath,gandgthegclientgisgvisiblyganxious.gThegLP
N/LVNgunderstandsgthatgaglife-
threateninggcomplicationgofgthisgconditiongisgwhich?
1. Pneumonia
2. Pulmonarygedema
3. Pulmonarygembolism
4. Myocardialginfarction
CorrectgAnswer:g3.gPulmonaryg embolism
7) Ag24-year-
oldgmangseeksgmedicalgattentiongforgcomplaintsgofgclaudicationgingthegarchgofgt
hegfoot.gThegnursegalsognotesgsuperficialgthrombophlebitisgofgtheglowergleg.gTh
egnursegshouldgcheckgthegclientgforgwhichgnext?
1. Smokingghistory
2. Recentgexposuregtogallergens
3. Historygofg recentginsectgbites
4. Familialgtendencygtowardgperipheralgvasculargdiseas
egCorrectgAnswer:g1.gSmokingghistory
8) ThegnurseghasgreinforcedginstructionsgtogthegclientgwithgRaynaud'sgdiseas
egaboutgself-
Downloadedgbygcharitygnimog(
)
, g
NCLEXg PNgEXAMgHESIgQUESTIONS
g gWITHgANSWERSg2023g
lOMoAR cPSD|
22830792
gUPDATED/gGRADEDgA+/PNgFINALgEXAMgTESTgBANK
managementgofgthegdiseasegprocess.gThegnursegdeterminesgthatgthegclientgne
edsgfurthergteachinggifgthegclientgstatesgwhich?
Downloadedgbygcharitygnimog(
)
