NCLEX PN COMPREHENSIVE 2023 FORM A
ACTUAL EXAM CONTAINS 160 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED 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?
- 400 mL of formula
- 600 mL of formula
- 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? - Pull up and back on the ear, and direct the solution onto the eardrum.
- Pull down and back on the ear, and direct the solution onto the eardrum.
- Pull down and back on the ear, and direct the solution toward the wall of the
canal. - 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?
- One-half the distance between the antecubital fossa and the shoulder
- One-third the distance between the antecubital fossa and the shoulder
- Two-thirds the distance between the antecubital fossa and the shoulder
- 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?
- Epinephrine
- Phytonadione
- Acetylcysteine
- 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? - “The PCA gives the client greater control over analgesic administration.”
- “Asking the client to rate pain is unnecessary when the client has a PCA.”
- “PCA delivers predetermined amounts of analgesia within preset intervals.”
- “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? - The subcutaneous route
- Shaking the vial before drawing up the medication
- Obtaining the medication from the medication freezer
- 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. - Massage the site after injection.
- Use a Z-track method for administration.
- Wear sterile gloves to administer the medication.
- Hold the syringe as if it is a dart to insert the needle.
- Select an appropriate injection site such as the ventral gluteus.
- Cleanse the injection site using a back-and-forth motion with an antiseptic pad. –
ANSWER- 2. Use a Z-track method for administration. - Hold the syringe as if it is a dart to insert the needle.
- Select an appropriate injection site such as the ventral gluteus.