NCLEX PN 2023 EXAM QUESTIONS AND ANSWERS

The home health nurse is providing care for a 6-year-old client who has a tracheostomy and is being mechanically ventilated when the ventilator’s apnea alarm sounds. The nurse finds the client to be unresponsive and pulseless, and there is no other caregivers present. Which action should the nurse take FIRST?

Begin chest compressions

The student nurse observes the respiratory therapist preparing to draw an arterial blood gas from the radial artery. The RT performs the Allen’s test and the student asks why this test performed before the blood sample is drawn. Which statement made by the RT is the most accurate?

The Allen’s test is done to determine the patency of the ulnar artery

The nurse observes a student performing chest compressions on an adult client. Which technique indicates that the student understands how to provide high-quality chest compressions during cardiopulmonary resuscitation?

Compressing the chest to a depth of at least 2 in. (5 cm)

A 2-year-old at an outpatient clinic stops breathing and doesn’t have a pulse. CPR is initiated. When the automated external defibrillator (AED) arrives, the nurse notes that is has only adult AED pads. What is the appropriate action at this time?

Place one AED pad on the chest and the other pad on the back

A practical nurse is evaluating the external fetal monitoring strip of a laboring primigravida who is at 36 weeks gestation. Which nursing interventions should the practical nurse anticipate when there is found to be LATE DECELERATIONS?

-administer supplemental O2 by mask
increase the IV fluid rate
-stop the client’s oxytocin infusion

A client who is pregnant at 30 weeks gestation comes to the prenatal clinic. Which vaccines may be administered safely at this prenatal visit?

-influenze injection
-tetanus, diphtheria & pertussis

The nurse is reinforcing education to a pregnant client who is HIV-positive. Which information is appropriate for the nurse to include?

Prescribed antiretroviral therapy should be continued during pregnancy

A nurse is reinforcing information on formula preparation for a client with a newborn. Which statements by the client indicate proper understanding?

-i must wash the top of the concentrated formula can before opening it
-prepared formula should be kept in the refrigerator and discarded after 48 hours

A PN is assisting the RN to care for a 6-hour-old term newborn of a mother with gestational diabetes. A bedside capillary blood glucose reveals the newborn’s blood glucose is 45mg/dl. The new born is asymptomatic. Which intervention should the PN anticipate implementing FIRST?

Feed the newborn

The nurse is reinforcing instructions to a client at 34 weeks gestation who is preparing to travel by airplane. Which of the following instructions are appropriate?

-carry a copy of your most up-to date prenatal record
-increase fluid intake before and during flight
-secure the lap belt below the abdomen and across your hips when seated
-wear compression stockings and loose fitting clothing

A client indicates to the nurse a desire to become pregnant. The client drinks 1-2 glasses of wine on weekends. BMI is 32 kg. Which teachings should the nurse reinforce as part of proper preconception health care for this client?

-avoid eating undercooked hamburgers
-receive a rubella vaccine at least 3 months before attempting pregnancy
-take 0.4mg folic acid supplementation daily

Which of the following clinical findings should the nurse recognize as expected during monitoring a newborn?

-cyanosis of the hands and feet
-heart rate 150/min

The PN assists the RN while recognizing that an oxytocin infusion can lead to which of the following conditions?

Fetal distress & cesarean birth

The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which finding requires intervention by the nures?

Contraction duration of 95 seconds

The nurse is reinforcing instructions to a postpartum client about cord care for the newborn. Which client statement indicates a need for further teaching?

“I will secure the diaper over the cord to protect it”

The nurse preceptor should intervene if the graduate PN performs which action when caring for a jaundiced newborn being treated with phototherapy?

Applying a shirt while the newborn is exposed to phototherapy

A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included?

-increase oral fluid intake
-take ibuprofen PRN for apin

On postpartum day 3 the nurse is reinforcing education on diaper changes & discharge. The client states, “I think my baby has a dirty diaper. I can’t change it as well as you can. Will you change my baby’s diaper for me?” What is the nurse’s best response?

“I will stay at the bedside and watch while you change the diaper”

A newborn client is seen in the ER for vomiting. Which assessment finding indicates a possible emergency?

Vomit that is green (most likely caused by obstruction in the intestines and stool cannot pass, coming back up as green vomit)

A nurse is caring for a client following the delivery of a stillborn infant. Which of the following actions should the nurse take?

-Ask the parents if they would like to help bathe the infant
-Encourage the parents and family members to hold the infant
-Offer to obtain handprints, footprints & photographs of the infant