NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
NCLEX Review Study Guide Comprehensive 2023
A client with diabetes mellitus calls the clinic nurse and reports
that 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? - ANSWERHearing 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: - ANSWER Apple 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
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
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
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
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
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
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
COMPREHENSIVE QUESTIONS AND ANSWERS
NCLEX Review Study Guide Comprehensive 2023
A client with diabetes mellitus calls the clinic nurse and reports
that 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? - ANSWERHearing 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: - ANSWER Apple 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
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
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
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
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
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
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
