BPH NCLEX REVIEW EXAM TEST ALL TIPS
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is preparing to insert an indwelling urethral catheter for an assigned
client. Which of the following statements by the client would be a priority to follow up?
1."I have had a catheter before and felt pressure when the catheter was placed."
2."I developed a rash on my neck when I ate shrimp several months ago."
3."I just urinated so I won't need a catheter placed."
4."I haven't been drinking many fluids lately." - ✔✔2."I developed a rash on my neck
when I ate shrimp several months ago."
✔✔The nurse in a rehabilitation facility is caring for a client who had a right knee
arthroplasty 8 days ago and has been diagnosed with pneumonia. The client is being
transferred to an acute care facility. It would be essential for the nurse to communicate
in the transfer report that
1.the discharge to home is anticipated for the client after 1 more week of physical
therapy
2.the client lives in a ranch home that requires climbing 2 stairs to get into the house
3.the most recent focused data collection reveals bilateral crackles (rales) auscultated in
the client's lungs
4.the client's spouse will be visiting the client at the hospital later today after leaving
work - ✔✔2.the client lives in a ranch home that requires climbing 2 stairs to get into the
house
, ✔✔The nurse is measuring a client for crutches. Which of the following actions should
the nurse take?
1.Measure the client's height and subtract 8 in (20 cm) to obtain the correct crutch
length.
2.Ask the client to stand upright and position the shoulder rest of the crutch 6 in (15 cm)
below the axilla.
3.Adjust the crutches so the client's elbows are at a 30-degree angle while the client's
hands are resting on the hand grips.
4.Measure from the anterior fold of the axillae to the toes of the client's feet and add 1 in
(2.5 cm) while the client is in a supine position. - ✔✔3.Adjust the crutches so the client's
elbows are at a 30-degree angle while the client's hands are resting on the hand grips.
✔✔The nurse is contributing to the plan of care for a client with gestational hypertension
who is at 32 weeks gestation. Which of the following should the nurse recommend be
included in the plan of care?
1.monitoring the client's urinary output
2.instructing the client to report any increase in fetal activity
3.instructing the client to use relaxation techniques to relieve a headache
4.minimizing the client's dietary intake of high-calcium foods - ✔✔1.monitoring the
client's urinary output
✔✔The nurse is collecting data from a client who has hypovolemic shock. Which of the
following findings would be consistent with hypovolemic shock? Select all that apply.
1.confusion
2.hypertension
3.decreased urine output
4.elevated respiratory rate
5.jugular vein distention (JVD) - ✔✔1,3,4
✔✔The nurse is collecting data from a client who had a kidney transplant 5 days ago.
Which of the following findings would require immediate intervention?
1.blood pressure, 154/96 mm Hg
2.blood urea nitrogen (BUN), 20 mg/dL (7.1 mmol/L)
3.urine output of 120 mL in the past 4 hours
4.incisional pain rated 5 on a scale of 0 (no pain) to 10 (severe pain) - ✔✔3
✔✔The charge nurse in a long-term care facility has just completed client care
assignments for unlicensed assistive personnel (UAP). Which of the following
statements by the charge nurse would provide the best direction to a UAP about the
assignment?
1."The client with heart failure should be weighed and have vital signs checked before
breakfast is served."
2."You will need to assist the client with mild Alzheimer's disease (AD) with activities of
daily living (ADL)."
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is preparing to insert an indwelling urethral catheter for an assigned
client. Which of the following statements by the client would be a priority to follow up?
1."I have had a catheter before and felt pressure when the catheter was placed."
2."I developed a rash on my neck when I ate shrimp several months ago."
3."I just urinated so I won't need a catheter placed."
4."I haven't been drinking many fluids lately." - ✔✔2."I developed a rash on my neck
when I ate shrimp several months ago."
✔✔The nurse in a rehabilitation facility is caring for a client who had a right knee
arthroplasty 8 days ago and has been diagnosed with pneumonia. The client is being
transferred to an acute care facility. It would be essential for the nurse to communicate
in the transfer report that
1.the discharge to home is anticipated for the client after 1 more week of physical
therapy
2.the client lives in a ranch home that requires climbing 2 stairs to get into the house
3.the most recent focused data collection reveals bilateral crackles (rales) auscultated in
the client's lungs
4.the client's spouse will be visiting the client at the hospital later today after leaving
work - ✔✔2.the client lives in a ranch home that requires climbing 2 stairs to get into the
house
, ✔✔The nurse is measuring a client for crutches. Which of the following actions should
the nurse take?
1.Measure the client's height and subtract 8 in (20 cm) to obtain the correct crutch
length.
2.Ask the client to stand upright and position the shoulder rest of the crutch 6 in (15 cm)
below the axilla.
3.Adjust the crutches so the client's elbows are at a 30-degree angle while the client's
hands are resting on the hand grips.
4.Measure from the anterior fold of the axillae to the toes of the client's feet and add 1 in
(2.5 cm) while the client is in a supine position. - ✔✔3.Adjust the crutches so the client's
elbows are at a 30-degree angle while the client's hands are resting on the hand grips.
✔✔The nurse is contributing to the plan of care for a client with gestational hypertension
who is at 32 weeks gestation. Which of the following should the nurse recommend be
included in the plan of care?
1.monitoring the client's urinary output
2.instructing the client to report any increase in fetal activity
3.instructing the client to use relaxation techniques to relieve a headache
4.minimizing the client's dietary intake of high-calcium foods - ✔✔1.monitoring the
client's urinary output
✔✔The nurse is collecting data from a client who has hypovolemic shock. Which of the
following findings would be consistent with hypovolemic shock? Select all that apply.
1.confusion
2.hypertension
3.decreased urine output
4.elevated respiratory rate
5.jugular vein distention (JVD) - ✔✔1,3,4
✔✔The nurse is collecting data from a client who had a kidney transplant 5 days ago.
Which of the following findings would require immediate intervention?
1.blood pressure, 154/96 mm Hg
2.blood urea nitrogen (BUN), 20 mg/dL (7.1 mmol/L)
3.urine output of 120 mL in the past 4 hours
4.incisional pain rated 5 on a scale of 0 (no pain) to 10 (severe pain) - ✔✔3
✔✔The charge nurse in a long-term care facility has just completed client care
assignments for unlicensed assistive personnel (UAP). Which of the following
statements by the charge nurse would provide the best direction to a UAP about the
assignment?
1."The client with heart failure should be weighed and have vital signs checked before
breakfast is served."
2."You will need to assist the client with mild Alzheimer's disease (AD) with activities of
daily living (ADL)."
