NACE PN TO RN 2024 NEWEST 2 LATEST VERSIONS (VERSION A AND B) COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e NACE PN TO RN 2024 NEWEST 2 LATEST VERSIONS (VERSION A AND B) COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ NACE PN TO RN 2024 VERSION A Which of the following is MOST likely a characteristic found with individuals who are diagnosed with borderline personality disorder? - ANSWER- The correct answer is: identity disturbance. Individuals with borderline personality have an identity disturbance where the individual has difficulty keeping a stable mood and self image. Characteristics of personality disorders are unpredictable behavior, impulsiveness, and irritability. Timidness, social discomfort and fear of negative feedback are not typical with borderline personality but are found in individuals diagnosed with avoidant personality disorder. The nurse at the family planning clinic has performed teaching on oral contraceptives. The nurse knows that the teaching has been effective when one of the clients responds: - ANSWER- Correct Answer: "I can't take 'the pill' if I have gallbladder disease." Oral contraceptive is contraindicated in women with gallbladder disease and those who are heavy smokers. There is not an age specification. Menstrual flow is decreased with the use of oral contraceptives. 2 | P a g e Which of the following clinical signs would the nurse expect to see in a child with respiratory depression? - ANSWER- Correct answer: Shallow breathing. Respiratory depression is the breaths per minute that are less than 12 breaths per minute in a child who is two years of age and younger. Respiratory depression is one of the complications associated with opioids (for example morphine, codeine, Demerol, Oxycodone), which are a common analgesic given to client's after surgery or to treat a severe injury. Children who experience respiration depression exhibit clinical signs such as shallow breathing, sleepiness and small pupils. Which of the following blood transfusion reactions is a rare, but severe reaction in which the donated blood type is not compatible with that of the patient? - ANSWER- Correct Answer: Hemolytic Rationale; A hemolytic transfusion reaction is a serious complication that occurs when the red blood cells that were given during a transfusion are destroyed by the person's immune system. An allergic transfusion reaction is usually due to a patient's sensitivity to the plasma proteins of the donor's blood. A febrile transfusion reaction is caused by the incompatibility of leukocytes. A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects this client's stool to look like which of the following? - ANSWER- Correct answer: Black and tarry. Black, tarry stools are a sign of bleeding high in the GI tract, as from a gastric ulcer, and result from the action of digestive enzymes in the blood. Vomitus associated with upper GI tract bleeding is commonly described as coffee ground-like. Clay-colored stools are associated with biliary obstruction. Bright red stools indicate lower GI tract bleeding. 3 | P a g e A client is scheduled to have a blood transfusion. The client asks the nurse, "What types of diseases are transmitted through blood transfusions?" The nurse should respond that there is a low risk of contracting diseases through blood transfusions. However, a possible illness is which of the following? - ANSWER- Correct answer: CytomegalovirusBlood borne diseases and diseases that are transmitted through a transfusion are Hepatitis B, Hepatitis C, HIV, Cytomegalovirus and Malaria, to name a few. Also, the nurse should assure the client that the transmission of these diseases is low since blood banks have rigorous screening procedures to test blood. In which of the following stages of reaction toward stress does a body increase in hormone levels in order to mobilize for a fight? - ANSWERCorrect answer: Alarm. During the exhaustion stage, the body becomes "exhausted" because it did not positively respond to the stress. The body undergoes many physiological changes such as taking more air into the lungs in order to prepare for fight or flight during the resistance stage. In a client with acute hepatitis, the nurse assesses the client's aspartate aminotransferase (AST) range on the laboratory test at 520 units. What should the nurse understand about this test value? - ANSWER- Correct Answer: The AST is elevated. In clients with acute hepatitis, liver disease and myocardial infarction, the aspartate aminotransferase (AST) is elevated. The normal range for this enzyme in the blood is 10 to 26 units per liter. In clients with acute hepatitis, the enzyme may be elevated four times above the normal range. The nurse who teaches nutrition at a community center is asked "how much water does a person need to drink daily". The nurse's best response would be: - ANSWER- The correct answer is two quarts. The average 4 | P a g e adult needs eight glasses, or two quarts, of water per day. The remaining answer choices are not correct. Which of the following tasks can a registered nurse delegate to a nursing assistant in an acute mental health setting? - ANSWER- Correct answer: Checking for sharp objects. A nursing assistant may be assigned to search a client's luggage or room for potentially harmful objects, such as glass or sharp metal. A mental status assessment should be conducted by the nurse on admission. Administering medication cannot be delegated to an unlicensed person. A nurse or physician must discuss the treatment plan with the client The nurse observes a child's nasal discharge. The discharge is clear in both nasal cavities. The discharge most likely indicates what type of condition? - ANSWER- Correct Answer: allergy. A child who has clear, watery discharge is associated with allergies. The remaining answer choices are not the best options as bloody discharge is indicative of a nosebleed or a trauma. Itchy mucus containing discharge indicates an upper respiratory infection. If there is mucoid or purulent nasal discharge in one side of the nostrils, the child may have a foreign body lodged in the nostril. A female client who complains of chest pain is admitted. The nurse can expect which of the following laboratory tests ordered by the physician to confirm a myocardial infarction diagnosis? - ANSWER- Correct Answer: creatine kinase The physician orders laboratory tests and diagnostic tests to confirm a diagnosis of myocardial infarction. Creatine kinase is an enzyme located in the cardiac muscle, brain and skeletal muscle. As this enzyme rises, there is injury to the muscle cells. Further, the higher the serum CK, the more the muscle tissue that is damaged. 

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