NCLEX-PN PACKAGE DEAL NEWEST

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NCLEX-PN PACKAGE DEAL NEWEST

FEATURING 500 COMPRE HENSIVE

PRACTICE QUESTIONS A ND VERIFIED

ANSWERS COVERING ALL MAJOR

NURSING CATEGORIES, INCLUDING

PHARMACOLOGY, HEALTH

PROMOTION, PHYSIOLOG ICAL

INTEGRITY, AND COORD INATED

CARE.

Question :A nurse is collecting data on a 58 year old

client with blurred vision and reduced visual fields. The nurse finds which clinical manifestation MOST concerning?

• Difficulty adjusting to dimmed lights
• Extreme eye pain
• Gradual loss of peripheral vision
• Opaque appearance of lens

Correct answer:B, glaucoma is characterized by increased

intraocular pressure (IOP) resulting in compression of the

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optic nerve. When IOP increases rapidly sudden onset of severe eye pain can occur.

Gradual loss of vision and difficulty adjusting to lights are not considered emergency situations. Opaque lenses are characteristics of cataracts which is not a medical emergency.

Question :The nurse is caring for a patient with diabetes

mellitus. The client is alert and oriented but appears shaky and pale. The client's capillary blood glucose is 50 mg/dL (2.8 mmol/L). Which of the following actions should the nurse take next?

• Administer 1 mg glucagon IM to the patient
• Give the patient 4 oz (120 mL of regular soda.
• Prepare 50 mL of dextrose 50% in water IV push.
• Repeat the capillary blood glucose level to verify

accuracy.

Correct answer:B, hypoglycemia occurs when blood

glucose levels fall below 70 mg/dL. Conscious clients

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should be given 15 g of a simple carbohydrate (ex. 4 oz regular soda) to quickly increase the blood glucose level.

IV dextrose and IM glucagon are given to patient who can not digest an oral simple carbohydrate. The blood glucose should be rechecked 15 minutes after administration of a simple carbohydrate to check effectiveness.

Question :The nurse is reviewing medical histories with

several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer? SATA

• "I have had four sexual partners during my lifetime."
• "I have smoked cigarettes for many years."
• "I never use birth control pills because my partners

wore condoms."

• "I received treatment for chlamydia when I was

younger."

• "I tested positive for human papillomavirus a few

years ago."

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Correct answer:A, B, D, E, the most important risk factor

for cervical cancer is persistent human papillomavirus (HPV) infection. Other risks factors for cervical cancer include multiple sex partners (>1), smoking tobacco, being infected with other STIs (chlamydia). As these all increase the likelihood of HPV infection.

Condoms help prevent HPV, and not taking oral birth control is associated with a decreased risk of cervical cancer.

Question :The nurse has reviewed the information from

the Laboratory Results and Diagnostic Results, the nurse suspects the client is experiencing acute decompensated HF. Which of the following findings are consistent with this condition? SATA

• Crackles with auscultation
• Decreased capillary oxygen saturation
• Elevated b-type natriuretic peptide
• left ventricular ejection fraction 30%
• Lower extremity pitting edema