NCLEX PN COMPREHENSIVE 2023 FORM A, B AND C ACTUAL EXAM (3 LATEST VERSIONS) CONTAINS 460 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

NCLEX PN COMPREHENSIVE 2023 FORM A, B

AND C ACTUAL EXAM (3 LATEST VERSIONS)

CONTAINS 460 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH

RATIONALES|ALREADY GRADED A+

NCLEX PN COMPREHENSIVE FORM A

The nurse is preparing to administer a continuous tube feeding to a client with a

nasogastric tube. The primary health care provider has prescribed an amount of

100 mL/hr. The tube feeding setup is an open system, a bag that has formula added

at intervals. How much formula would the nurse plan to add to fill the feeding bag?

1. 400 mL of formula

2. 600 mL of formula

3. 800 mL of formula

4.Enough formula to last for 8 hours - ANSWER- 1. 400 mL of formula.

The nurse is preparing to administer eardrops to an infant. How would the nurse

administer the eardrops?

1. Pull up and back on the ear, and direct the solution onto the eardrum.

2. Pull down and back on the ear, and direct the solution onto the eardrum.

3. Pull down and back on the ear, and direct the solution toward the wall of the

canal.

4. Pull up and back on the ear lobe, and direct the solution toward the wall of the

canal. - ANSWER- 3. Pull down and back on the ear, and direct the solution

toward the wall of the canal.

The nurse prepares to take a blood pressure (BP) on a school-age child. Where

would the nurse place the blood pressure cuff to obtain an accurate measurement?

1. One-half the distance between the antecubital fossa and the shoulder

2. One-third the distance between the antecubital fossa and the shoulder

3. Two-thirds the distance between the antecubital fossa and the shoulder

4. One-quarter the distance between the antecubital fossa and the shoulder -

ANSWER- 3. Two-thirds the distance between the antecubital fossa and the

shoulder

A primary health care provider is planning to administer a skeletal muscle relaxant

to a client with a spinal cord injury. The medication is going to be administered

intrathecally. Which medication would the nurse expect to be prescribed and

administered by this route?

1.Baclofen

2.Chlorzoxazone

3.Dantrolene sodium

4.Cyclobenzaprine hydrochloride - ANSWER- 1. Baclofen

The nurse is developing a nutritional plan for an assigned client. Which is the most

critical piece of data to collect before formulating the plan?

1.A dietary diary

2.Food preferences

3.The presence of food allergies

4.Medical history of conditions related to nutritional deficits - ANSWER- 3. The

presence of food allergies.

The licensed practical nurse employed in the ambulatory clinic is assisting the

registered nurse in preparing to administer a dose of intravenous immune globulin

(IVIG). The licensed practical nurse would ensure that which medication is readily

available before the medication is administered?

1. Epinephrine

2. Phytonadione

3. Acetylcysteine

4. Protamine sulfate - ANSWER- 1. Epinephrine

The nurse has just been told by the primary health care provider that a prescription

has been written to administer a heparin injection to a client every 12 hours. The

nurse anticipates using which technique to administer the medication?

1.Z-track

2.Using a 20-gauge needle

3.Intramuscular using a 1-inch needle

4.Subcutaneous using the abdomen - ANSWER- 4.Subcutaneous using the

abdomen

A client is to receive medication via patient-controlled analgesia (PCA), and the

nursing instructor asks the nursing student caring for the client to describe the use

of the PCA. The instructor determines there is a need for further teaching about the

PCA when the student makes which statement?

1. "The PCA gives the client greater control over analgesic administration."

2. "Asking the client to rate pain is unnecessary when the client has a PCA."

3. "PCA delivers predetermined amounts of analgesia within preset intervals."

4. "A continuous intravenous (IV) solution is needed to keep the vein open

between analgesia infusions." - ANSWER- 2. "Asking the client to rate pain is

unnecessary when the client has a PCA."

The nurse is caring for a client with a diagnosis of chronic kidney disease who is

receiving dialysis. Epoetin alfa has been prescribed for the client. How would the

nurse prepare to administer the medication?

1. The subcutaneous route

2. Shaking the vial before drawing up the medication

3. Obtaining the medication from the medication freezer

4. Mixing the medication with 0.1 mL of heparin before administration to prevent

clotting - ANSWER- 1. The subcutaneous route.

The nurse is administering a medication intramuscularly to an assigned client. The

nurse would include which actions in administering the medication? Select all that

apply.

1. Massage the site after injection.

2. Use a Z-track method for administration.

3. Wear sterile gloves to administer the medication.

4. Hold the syringe as if it is a dart to insert the needle.

5. Select an appropriate injection site such as the ventral gluteus.