Passpoint NCLEX Actual Exam Questions | 100% Correct Answers | Verified 2025/2026 Version

An adolescent is brought to the emergency department (ED) after accidentally taking an overdose of
heroin. The adolescent is semiconscious, unable to respond appropriately to questions, slurs words, and
has constricted pupils; the client's vital signs are blood pressure 60/50 mm Hg, pulse 50 beats/min, and
respirations 8 breaths/min. Naloxone is administered to temporarily reverse the effects of the heroin.
Which finding would first indicate that the naloxone administration has been effective? - ✔✔The client's
respirations improve to 12/min; Decreased respirations and coma are the two most dangerous effects of
heroin overdose, so an increase in respirations after administration of the naloxone demonstrates initial
effectiveness of the medication. Changes in cognition and psychomotor activity will take more time to
become apparent. The client's blood opioid level may not drop to a nontoxic level for a few days.
The third stage of labor ends - ✔✔after the delivery of the placenta; The definition of the third stage of
labor is the delivery of the placenta. The first stage of labor ends with complete cervical dilation and
effacement. The second stage of labor ends with the birth of the neonate. The fourth stage of labor
includes the first 4 hours after birth.
The client with a nasogastric (NG) tube has abdominal distention. What should the nurse do first?
You Selected: - ✔✔Check the function of the suction equipment; When a client with a NG tube exhibits
abdominal distention, the nurse should first check the suction machine. If the suction equipment is
functioning properly, then the nurse should take other steps, such as repositioning the tube or checking
tube patency by irrigating it. If these steps are not effective, then the HCP should be called.
A public health nurse has been asked to teach the importance of hand washing to elderly clients. Which
statement by a client indicates that the teaching has been effective? - ✔✔Friction while washing hands
decreases transmission of bacteria; Soap helps by reducing surface tension of water, but friction is
necessary for the removal of microorganisms. The use of warm water still needs friction. Use of other
products besides soap can reduce infection. Fifteen seconds is an insufficient length of time for hand
washing.
A client develops hepatic encephalopathy 1 week after portal caval shunt surgery. The client's physician
orders neomycin, 4 g by mouth daily in four divided doses. The client's partner asks how neomycin
decreases the serum ammonia concentration. How should the nurse respond? - ✔✔Neomycin decreases
the amount of ammonia-producing bacteria in the GI tract; Neomycin lowers the blood ammonia level
by reducing the quantity of ammonia-producing bacteria in the GI tract. The drug also exerts its
antibacterial activity directly on the ribosomes of susceptible organisms, among them E. coli, by