Comprehensive
NCLEX-RN
900 Questions
and answers
(Exam prep)
900 Questions
SAEEDALAKLABI
,1. Question , Category: Pharmacological and Parenteral Therapies.
The nurse is caring for a 65-year-old male client with a history of ischemic heart disease who has been
admitted to the ICU following a myocardial infarction. The client is currently receiving lidocaine I.V. to
manage his ventricular ectopy, which has been persistent. Which of the following factors would be most
important for the nurse to consider in relation to the administration of this medication?
A. Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter
B. Increase in systemic blood pressure
C. Presence of p remature ventricular contractions (PVCs) on a cardiac monitor
D. Increase in intracranial pressure (ICP)
E. A drop in serum potassium levels as indicated in the latest lab results
F. Observation of a widening QRS complex on the ECG
Correct Answer: C. Presence of premature ventricular contractions (PVCs) on a cardiac monitor
.In the context of acute myocardial infarction, the priority is to manage life-threatening arrhythmias
Lidocaine is specifically indicated for the treatment of ventricular arrhythmias, such as PVCs, which
can be indicative of an increased risk for more serious arrhythmias like ventricular tachycardia or
ventricular fibrillation. The presence of PVCs on a cardiac monitor would be the most immediate
concern that lidocaine can address in this scenario. While the other factors listed are important to
monitor, they are not the primary indications for lidocaine administration in the context of
arrhythmia management
2. Question , Category: Reduction of Risk Potential
In a busy surgical unit, a nurse is preparing to insert an I.V. catheter for a 33-year-old patient who is
scheduled for elective surgery and has a notably hairy forearm where the I.V. is to be placed. The patient
is allergic to a variety of adhesives and has sensitive skin that is prone to irritation. Given these
considerations, how should the nurse manage excess hair at the intended catheter insertion site?
A. Leaving the hair intact
B. Shaving the area
C. Clipp ing the hair in the area
D. Removing the hair with a depilatory
E. Applying a small amount of water-soluble gel to tame the hair without cutting
F. Use a sterile surgical scalpel to trim the hair as close to the skin as possible without causing
abrasions
Correct Answer: C. Clipping the hair in the area
Clipping is preferred over shaving in this scenario because it reduces the potential for creating
microabrasions that can increase infection risk, which is especially important in a patient with
sensitive skin. Chemical depilatories (D) are not recommended due to the patient’s history of allergies
and sensitive skin. Leaving the hair intact (A) could interfere with the securement of the I.V. and
increase the risk of infection. Water-soluble gel (E) is not standard practice for managing hair at an
I.V. site and does not address the infection control issue. A sterile surgical scalpel (F) is not typically
recommended for hair removal in preparation for I.V. insertion due to the risk of cuts and abrasions.
Clipping is the safest option that balances the need to reduce infection risk with the patient’s
sensitivity and allergy concerns.
,3. Question , Category: Pharmacological and Parenteral Therapies
A 72-year-old male patient with a history of atrial fibrillation and controlled hypertension has been
initiated on warfarin therapy. Upon assessment of the patient’s history, it was revealed that he has a
history of peptic ulcer. This patient also has a recent history of a peptic ulcer. Given the client’s medical
history and current medication regimen, which of the following instructions should the nurse prioritize
when providing discharge teaching?
A. Report incidents of diarrhea
B. Avoid foods high in vitamin K
C. Use a straight razor when shaving
D. Take aspirin for pain relief
Correct Answer: B. Avoid foods high in vitamin K
Clients taking warfarin should be educated about maintaining a consistent intake of vitamin K, as it
,is necessary for the clotting cascade, and warfarin works by inhibiting the effects of vitamin K
thereby reducing the blood’s ability to clot. Sudden increases in vitamin K intake can decrease the
effectiveness of warfarin and increase the risk of clot formation.
4. Question , Category: Health Promotion and Maintenance
A nurse is tasked with the education of an elderly female patient who has been recently diagnosed with
osteoporosis. The patient leads a sedentary lifestyle, has a diet low in calcium, has undergone
,menopause ten years prior, and has a visibly kyphotic posture. In planning the education for this patient
which of the following complications should the nurse emphasize as the most significant risk associated
with osteoporosis, especially considering the patient’s profile?
A. Increased susceptibility to bone fractures from minimal trauma
B. Consequences of long-term estrogen deficiency post-menopause
C. The impact of sustained negative calcium balance on bone density
D. The progression of spinal deformities such as a kyphotic curvature
Correct Answer: A. Increased susceptibility to bone fractures from minimal trauma.
Given the patient’s diagnosis of osteoporosis, a sedentary lifestyle, and poor dietary habits, the most
significant and immediate complication is the risk of bone fractures, particularly hip, wrist, and spine
fractures, which can result from minimal stress. The patient’s visible kyphosis also indicates a history
of spinal bone loss, which compounds this risk
, 5. Question , Category: Health Promotion and Maintenance
A community health nurse is conducting a workshop on breast health for a group of women with diverse
backgrounds, ranging from those who have never performed Breast Self-Examination (BSE) to some who
have had benign breast conditions in the past. As part of the educational session, the nurse emphasizes the
importance of BSE for the early detection of potential breast anomalies. What should the nurse identify as
the primary goal for these women in performing regular BSE?
A. To detect any cancerous lumps early in their development
B. To identify areas of thickness or fullness that differ from the rest of the breast tissue
C. To notice any changes in the breast tissue from what is normal for each individual
D. To differentiate between fibrocystic masses and other types of breast lumps
Correct Answer: C. To notice any changes in the breast tissue from what is normal for each individual
The primary purpose of BSE is for individuals to become familiar with their own breasts so they can
.detect any changes early, which could be indicative of breast cancer or other breast conditions
Detecting cancerous lumps (A) is an important aspect of BSE, but the emphasis is on noticing any
change, not only cancer. Identifying areas of thickness or fullness (B) and differentiating types of masses
are part of noticing changes, but these are not the primary goals. Promoting self- awareness and (D)
encouraging routine screening (E), as well as understanding normal breast tissue (F), are also critical
educational points, but the main goal remains the detection of any new or unusual changes since the last
examination
6. Question , Category: Basic Care and Comfort
A nurse is managing the care of a 32-year-old female client diagnosed with hyperthyroidism. The client
reports experiencing palpitations, unintentional weight loss, and intermittent bouts of excessive sweating. The
treatment plan includes antithyroid medications. In addition to administering medication, what nursing
interventions should be prioritized to manage the client’s condition best?
A. Ensure the client is provided with extra blankets and clothing to maintain a warm environment due to
heightened sensitivity to cold
B. Closely monitor the client for increased signs of restlessness, sweating, and significant weight loss
C. Create a balance between the client's p eriods of activity and rest to manage fatigue without exacerbating
symptoms
D. Encourage increased physical activity to counteract the sedative effects of the medication and prevent
constipation
Correct Answer: C. Create a balance between the client’s periods of activity and rest to manage fatigue
without exacerbating symptoms
Clients with hyperthyroidism may experience symptoms like fatigue and muscle weakness. Balancing
activity with rest helps to conserve energy and prevent exacerbation of symptoms
NCLEX-RN
900 Questions
and answers
(Exam prep)
900 Questions
SAEEDALAKLABI
,1. Question , Category: Pharmacological and Parenteral Therapies.
The nurse is caring for a 65-year-old male client with a history of ischemic heart disease who has been
admitted to the ICU following a myocardial infarction. The client is currently receiving lidocaine I.V. to
manage his ventricular ectopy, which has been persistent. Which of the following factors would be most
important for the nurse to consider in relation to the administration of this medication?
A. Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter
B. Increase in systemic blood pressure
C. Presence of p remature ventricular contractions (PVCs) on a cardiac monitor
D. Increase in intracranial pressure (ICP)
E. A drop in serum potassium levels as indicated in the latest lab results
F. Observation of a widening QRS complex on the ECG
Correct Answer: C. Presence of premature ventricular contractions (PVCs) on a cardiac monitor
.In the context of acute myocardial infarction, the priority is to manage life-threatening arrhythmias
Lidocaine is specifically indicated for the treatment of ventricular arrhythmias, such as PVCs, which
can be indicative of an increased risk for more serious arrhythmias like ventricular tachycardia or
ventricular fibrillation. The presence of PVCs on a cardiac monitor would be the most immediate
concern that lidocaine can address in this scenario. While the other factors listed are important to
monitor, they are not the primary indications for lidocaine administration in the context of
arrhythmia management
2. Question , Category: Reduction of Risk Potential
In a busy surgical unit, a nurse is preparing to insert an I.V. catheter for a 33-year-old patient who is
scheduled for elective surgery and has a notably hairy forearm where the I.V. is to be placed. The patient
is allergic to a variety of adhesives and has sensitive skin that is prone to irritation. Given these
considerations, how should the nurse manage excess hair at the intended catheter insertion site?
A. Leaving the hair intact
B. Shaving the area
C. Clipp ing the hair in the area
D. Removing the hair with a depilatory
E. Applying a small amount of water-soluble gel to tame the hair without cutting
F. Use a sterile surgical scalpel to trim the hair as close to the skin as possible without causing
abrasions
Correct Answer: C. Clipping the hair in the area
Clipping is preferred over shaving in this scenario because it reduces the potential for creating
microabrasions that can increase infection risk, which is especially important in a patient with
sensitive skin. Chemical depilatories (D) are not recommended due to the patient’s history of allergies
and sensitive skin. Leaving the hair intact (A) could interfere with the securement of the I.V. and
increase the risk of infection. Water-soluble gel (E) is not standard practice for managing hair at an
I.V. site and does not address the infection control issue. A sterile surgical scalpel (F) is not typically
recommended for hair removal in preparation for I.V. insertion due to the risk of cuts and abrasions.
Clipping is the safest option that balances the need to reduce infection risk with the patient’s
sensitivity and allergy concerns.
,3. Question , Category: Pharmacological and Parenteral Therapies
A 72-year-old male patient with a history of atrial fibrillation and controlled hypertension has been
initiated on warfarin therapy. Upon assessment of the patient’s history, it was revealed that he has a
history of peptic ulcer. This patient also has a recent history of a peptic ulcer. Given the client’s medical
history and current medication regimen, which of the following instructions should the nurse prioritize
when providing discharge teaching?
A. Report incidents of diarrhea
B. Avoid foods high in vitamin K
C. Use a straight razor when shaving
D. Take aspirin for pain relief
Correct Answer: B. Avoid foods high in vitamin K
Clients taking warfarin should be educated about maintaining a consistent intake of vitamin K, as it
,is necessary for the clotting cascade, and warfarin works by inhibiting the effects of vitamin K
thereby reducing the blood’s ability to clot. Sudden increases in vitamin K intake can decrease the
effectiveness of warfarin and increase the risk of clot formation.
4. Question , Category: Health Promotion and Maintenance
A nurse is tasked with the education of an elderly female patient who has been recently diagnosed with
osteoporosis. The patient leads a sedentary lifestyle, has a diet low in calcium, has undergone
,menopause ten years prior, and has a visibly kyphotic posture. In planning the education for this patient
which of the following complications should the nurse emphasize as the most significant risk associated
with osteoporosis, especially considering the patient’s profile?
A. Increased susceptibility to bone fractures from minimal trauma
B. Consequences of long-term estrogen deficiency post-menopause
C. The impact of sustained negative calcium balance on bone density
D. The progression of spinal deformities such as a kyphotic curvature
Correct Answer: A. Increased susceptibility to bone fractures from minimal trauma.
Given the patient’s diagnosis of osteoporosis, a sedentary lifestyle, and poor dietary habits, the most
significant and immediate complication is the risk of bone fractures, particularly hip, wrist, and spine
fractures, which can result from minimal stress. The patient’s visible kyphosis also indicates a history
of spinal bone loss, which compounds this risk
, 5. Question , Category: Health Promotion and Maintenance
A community health nurse is conducting a workshop on breast health for a group of women with diverse
backgrounds, ranging from those who have never performed Breast Self-Examination (BSE) to some who
have had benign breast conditions in the past. As part of the educational session, the nurse emphasizes the
importance of BSE for the early detection of potential breast anomalies. What should the nurse identify as
the primary goal for these women in performing regular BSE?
A. To detect any cancerous lumps early in their development
B. To identify areas of thickness or fullness that differ from the rest of the breast tissue
C. To notice any changes in the breast tissue from what is normal for each individual
D. To differentiate between fibrocystic masses and other types of breast lumps
Correct Answer: C. To notice any changes in the breast tissue from what is normal for each individual
The primary purpose of BSE is for individuals to become familiar with their own breasts so they can
.detect any changes early, which could be indicative of breast cancer or other breast conditions
Detecting cancerous lumps (A) is an important aspect of BSE, but the emphasis is on noticing any
change, not only cancer. Identifying areas of thickness or fullness (B) and differentiating types of masses
are part of noticing changes, but these are not the primary goals. Promoting self- awareness and (D)
encouraging routine screening (E), as well as understanding normal breast tissue (F), are also critical
educational points, but the main goal remains the detection of any new or unusual changes since the last
examination
6. Question , Category: Basic Care and Comfort
A nurse is managing the care of a 32-year-old female client diagnosed with hyperthyroidism. The client
reports experiencing palpitations, unintentional weight loss, and intermittent bouts of excessive sweating. The
treatment plan includes antithyroid medications. In addition to administering medication, what nursing
interventions should be prioritized to manage the client’s condition best?
A. Ensure the client is provided with extra blankets and clothing to maintain a warm environment due to
heightened sensitivity to cold
B. Closely monitor the client for increased signs of restlessness, sweating, and significant weight loss
C. Create a balance between the client's p eriods of activity and rest to manage fatigue without exacerbating
symptoms
D. Encourage increased physical activity to counteract the sedative effects of the medication and prevent
constipation
Correct Answer: C. Create a balance between the client’s periods of activity and rest to manage fatigue
without exacerbating symptoms
Clients with hyperthyroidism may experience symptoms like fatigue and muscle weakness. Balancing
activity with rest helps to conserve energy and prevent exacerbation of symptoms
