NCLEX Materials leak questions and answers

The nurse cares for 2 children brought into an emergency shelter. Law enforcement suspects the children have been neglected. The nurse should assess
1. Visual acuity using the Snellen chart.
2. Blood pressure and pulse rate.
3. Height and weight
4. Bruises on the knees and elbows.

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A&B

Select all that apply?

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Are you ready for our nclex question of the day ?
📕📕A 33-year-old, male patient has been taking fluphenazine for three months. While at his follow-up appointment at the health clinic, he reports issues of repetitive twitching and twisting movements. Which of the following drugs will most likely be prescribed to the patient?

Amantadine

Levodopa

Benztropine

Oxybutynin

Atropine

11. A client tells a nurse. “Everyone would be better off if I wasn’t alive.” Which nursing diagnosis would be made based on this statement?

A. Disturbed thought processes
B. Ineffective coping
C. Risk for self-directed violence
D. Impaired social interaction

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A client is scheduled for a surgical procedure. Before the client is transported to the operating room, what should be the last nursing intervention before the transportation?

a. Assist the client to void.
b. Administer pre-anaesthetic medications.
c. Ensure the consent form is signed.
d. Make sure that the client’s clothes, jewellery and money is safe.

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2. A chemotherapeutic agent known to cause alopecia is prescribed for a patient. To maintain the patient’s self-esteem, the nurse plans to

A. Suggest that the patient limit social contacts until regrowth of the hair occurs
B. Encourage the patient to purchase a wig or hat and wear it once hair loss begins
C. Have the patient wash the hair gently with a mild shampoo to minimize hair loss
D. Inform the patient that hair loss will not be permanent and that the hair will grow back

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2. Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:

A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day.

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10. In relation to submersion injuries, which task is most appropriate to delegate to an LPN/LVN?

A. Stabilize the cervical spine for an unconscious drowning victim
B. Talk to a community group about water safety issues
C. Monitor an asymptomatic near-drowning victim
D. Remove wet clothing and cover the victim with a warm blanket

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3. Cataract surgery results in aphakia. Which of the following statements best describes this term?

A. Absence of the crystalline lens.
B. A “keyhole” pupil.
C. Loss of accommodation.
D. Retinal detachment.

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3. Maria was recently diagnosed with Hodgkin’s lymphoma. Upon the early diagnosis, the nurse will expect which of the following areas is often involved?

A. Chest
B. Neck
C. Groin
D. Pelvis

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7. A 32-year-old client, who is on an anticoagulant medication due to a history of deep vein thrombosis, arrives at the emergency department after accidentally spilling a pot of boiling water mixed with hot oil on their right arm while attempting to deep-fry food at home. The client is in significant pain and reports that the burn occurred approximately 30 minutes ago. Upon assessment, the nurse observes a large burned area on the client’s right arm with a mix of pink and mottled red areas, blisters, and signs of active bleeding from the blistered areas. The burned area is very painful to touch and the client is visibly anxious.

Based on the assessment findings and the client’s medical history, how will the nurse categorize this burn injury?

A. Full-thickness
B. Partial-thickness superficial
C. Partial-thickness deep
D. Full-thickness deep

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The nurse cares for a client with avulsed tooth. The nurse should store the tooth (select all that apply):
1. In cold milk.
2. In Hank's balanced salt solution.
3. In saline.
4. Under the tongue.

2. A 72-year-old male patient with a history of atrial fibrillation and controlled hypertension has been initiated on warfarin therapy. Upon assessment of the patient’s history, it was revealed that he has a history of peptic ulcer. This patient also has a recent history of a peptic ulcer. Given the client’s medical history and current medication regimen, which of the following instructions should the nurse prioritize when providing discharge teaching?

A. Report incidents of diarrhea
B. Avoid foods high in vitamin K
C. Use a straight razor when shaving
D. Take aspirin for pain relief
E. Monitor for signs of bleeding, such as bruising or black tarry stools
F. Check blood pressure regularly at home
G. Inform all healthcare providers about the anticoagulant therapy

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A client who is receiving vancomycin IV suddenly develops a rash, facial flushing and reports itching.
Which of the following actions should the nurse take?
1. Continue to monitor.
2. Apply oxygen at 4 liters/min.
3. Obtain vancomycin peak level.
4. Administer diphenhydramine 50mg IV.

3. Which assessment finding calls for the most immediate further assessment or interventions?

A. Bilateral erythema of the face and neck.
B. Bluish color around the earlobes and lips.
C. Dark brown spotting on the back and chest.
D. Yellow color of the skin and sclera.

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