NCLEX Review Study Guide
Comprehensive Questions With
Correct Answers 2022
A client with diabetes mellitus calls the clinic nurse and reports that
... [Show More] she has been
vomiting during the night and now has diarrhea. Which question does the nurse
make a priority of asking the client? - Answer- "Have you tested your blood
glucose?"
A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day
shift, and 650 mL on the evening shift. The client is receiving an intravenous (IV)
antibiotic every 12 hours, diluted in 50 mL of normal saline solution. The nurse
empties 700 mL of urine from the client's Foley catheter at the end of the day shift.
Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at
the end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour
period, and the total drainage from the Jackson-Pratt device is 175 mL. What is the
client's total intake during the 24-hour period? - Answer- 1670mL
A client with heart failure suddenly experiences profound dyspnea, pallor, audible
wheezing, and cyanosis, and the nurse suspects pulmonary edema. The nurse
would first: - Answer- Raise the head of the client's bed
A client with cervical cancer who is undergoing chemotherapy with cisplatin
(Platinol). For which adverse effect of cisplatin will the nurse assess the client? -
Answer- Hearing loss
Alendronate (Fosamax) is prescribed for a client with postmenopausal osteoporosis.
The nurse provides information on the medication to the client. When does the nurse
tell the client to take the alendronate? - Answer- Every morning before breakfast,
with a full glass of water
A client with emphysema is receiving theophylline (Theo-24). While providing dietary
instructions, the nurse tells the client that it is acceptable to consume: - AnswerApple juice
A nurse is reviewing the record of a client scheduled for electroconvulsive therapy
(ECT). Which of the following diagnoses, if noted on the client's record, would
indicate a need to contact the physician who is scheduled to perform the ECT? -
Answer- Recent stroke
An emergency department nurse is assessing a client with acute closed-angle
glaucoma. Which of the following characteristics of the disorder does the nurse
expect the client to exhibit? Select all that apply. - Answer- Nausea
Eye pain
Vomiting
Headache
The nurse administers intravenous morphine sulfate to a client in pulmonary edema.
For which intended effect of the medication does the nurse monitor the client? -
Answer- Relief of anxiety
An emergency department nurse is told that a client with carbon monoxide poisoning
resulting from a suicide attempt is being brought to the hospital by emergency
medical services. Which intervention will the nurse carry out as a priority upon arrival
of the client? - Answer- Administering 100% oxygen
A client with agoraphobia will undergo systematic desensitization through graduated
exposure. In explaining the treatment to the client, the nurse tells the client that this
technique involves: - Answer- Gradually introducing the client to a phobic object or
situation in a predetermined sequence of least to most frightening
A client with a medical history of diabetes mellitus is found to have sarcoidosis, and
oral prednisone is prescribed. The nurse provides instructions to the client about the
medication and tells the client to: - Answer- Closely monitor the blood glucose level
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication? - Answer- Checking the client's blood pressure
A client who has undergone abdominal hysterectomy asks the nurse when she will
be able to resume sexual intercourse. The nurse tells the client that sexual
intercourse may be resumed: - Answer- In about 6 weeks, when the vaginal vault is
satisfactorily healed
A nurse on the evening shift checks a physician's prescriptions and notes that the
dose of a prescribed medication is higher than the normal dose. The nurse calls the
physician's answering service and is told that the physician is off for the night and will
be available in the morning. The nurse should: - Answer- Ask the answering service
to contact the on-call physician
A hospitalized female client with mania enters the unit community room and says to
a client who is wearing a blue shirt, "Boys in blue are fun to do! Boys in blue are fun
to do!" What is the appropriate response by the nurse? - Answer- "Don't say that. If
you can't control yourself, we'll help you." CONTINUES.... [Show Less]