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NCLEX RN ACTUAL EXAM 2024 QUESTIONS AND ANSWERS WITH RATIONALE. A GRADED

NCLEX RN September 2023 NGN Actual Questions & Answers Bank with Rationales

140 Must Know NCLEX Meds Alteplase (t-PA) - correct answer *class*: thrombolytics *Indication*: MI, acute ischemic stroke, occluded central lines *Action*: converts plasminogen to plasmin which degrades the fibrin found *Nursing Considerations*: - contraindicated in active bleeding -monitor for anaphylaxis - use caution with uncontrolled hypertension Atorvastatin (Lipitor) - correct answer *class*: lipid-lowering agent *Indication*: management of high cholesterol (hypercholesterolem...

2021 NCLEX RNBest position for birth - correct answer -Anterior positions are best; LOA is ideal This position is best for your baby because it is "head down" so their face won't get bruised coming out LOA position - correct answer the baby's "occiput" (crown of the head) is to the front of patients left side *think of the "occiput" (crown) as a arrow "IDEAL BIRTH POSITION" Immunizations at birth - correct answer hep B *B for Birth!!!! placenta previa - correct ans...

Acid Base Nclex Questions 1) A client is brought to the Emergency Department after passing out in a local department store. The client has been fasting and has ketones in the urine. Which acid-base imbalance would the nurse expect to assess in this client? A) Metabolic acidosis B) Respiratory alkalosis C) Metabolic alkalosis D) Respiratory acidosis - correct answer A (Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes fas...

ARDS NCLEX Practice QuestionsThe nurse is caring for a client with suspected acute respiratory distress syndrome (ARDS). Which symptom of ARDS should the nurse anticipate will appear within 24 to 48 hours after the initial insult? (Select all that apply.) Shortness of breath Rapid breathing Fluid imbalance Chest x-ray clear of infiltrates Arterial blood gases varying from normal limits - correct answer Shortness of breath Rapid breathing Chest x-ray clear of infiltrates R...

Burns/NCLEX QUESTIONSThe burn nurse is aware that wound care during the acute phase involves consideration of which of the following? a. First and superficial second-degree burns can usually be managed with clean technique. b. Deep second-degree burns with or without impaired circulation heal without surgical intervention. c. Full thickness burns require surgical intervention to heal. d. The presence of infection is a contraindication to surgical wound management. - correct answer c. Fu...

Cardiac NCLEX Practice QuestionsThe nurse is preparing to teach the pt newly diagnosed with angina pectoris how to self-administer nitroglycerine (NTG) tablets. What pt teaching should the nurse emphasize? select all that apply A. stop all activities immediately and sit down if chest pain occurs B. if the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber right away C. After discharge, keep NTG tablets on your bedside table day and night D. immediately after...

Cardiovascular NCLEX style questionsWhich cardiac enzyme would the nurse expect to elevate first in a client diagnosed with myocardial infarction? a. Creatine kinase (CK-MB) b. Lactate dehydrogenase (LDH) c. Troponin d. WBC - correct answer c. Troponin Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a MI? a. Midepigastric pain and pyrosis b. Diaphoresis and cool clammy skin c. Intermittent claudication and p...

Ch 28: The NCLEX-RN® Examination 1. Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they: a. pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). b. provide evidence of mental competency. c. supply written proof of physical fitness. d. have signed an employment contract with a health care facility. - correct answer A A compulsory license requirement must be met to legally practice or work as a register...

Chapter 4 - Understanding the NCLEX-RNWhat is the NCLEX RN exam? - correct answer A national exam that must be passed before the RN license will be awarded by the state Board of Nursing (BON) allowing practice National Council Licensing Examination for Registered Nurses (NCLEX-RN) - correct answer This examination must be taken by all graduates of diploma, associate degree, and baccalaureate degree nursing programs prior to a license being issued. Successful completion of the examination is...

Endocrine Disorder NCLEX QuestionsA patient suspected of having acromegaly has an elevated plasma growth hormone level. In acromegaly, the nurse would also expect the patient's diagnostic results to include a. hyperinsulinemia b. a plasma glucose of less than 70 c. decreased growth hormone levels with an oral glucose challenge test d. a serum sometomedin C (insulin-like growth-factor) of more than 300 - correct answer d. a serum somatomedin C (Insulin-like-growth-factor) of more than 300 (...