EVALUATED QUESTIONS FOR NCLEX
PN
The nurse is administering sublingual nitroglycerin to a client. Immediately afterward,
the client may experience: - CORRECT ANSWER-throbbing headache or dizziness.
A client with iron deficiency anemia has been admitted to the medical-surgical unit.
Which assessment findings are characteristic of this type of anemia? - CORRECT
ANSWER-Dyspnea, tachycardia, and pallor
The nurse is caring for a client taking an anticoagulant. Which instruction regarding
anticoagulant therapy should the nurse give the client? - CORRECT ANSWER-Limit
foods high in vitamin K.
The nurse delivers a client's 10 a.m. medications. The client is away from his room for a
diagnostic study. Which action is most appropriate for the nurse to take? - CORRECT
ANSWER-Lock the medications in the medicine preparation area until the client returns.
The nurse is caring for a client receiving patient-controlled analgesia (PCA) for pain
management. Which statement about PCA is true? - CORRECT ANSWER-Pain relief is
initiated by the client as needed.
The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion,
light-headedness, and aberrant behavior. The client is still conscious. The nurse should
first administer: - CORRECT ANSWER-15 to 20 g of a fast-acting carbohydrate such as
orange juice.
The nurse is caring for an elderly female with osteoporosis. When teaching the client,
the nurse should include information about which major complication? - CORRECT
ANSWER-Bone fracture
The nurse is speaking to a group of women about early detection of breast cancer. The
average age of the women in the group is 47. Following the American Cancer Society
guidelines, the nurse should recommend that the women: - CORRECT ANSWER-have
a mammogram annually.
, The nurse is instructing a premenopausal woman about breast self-examination. The
nurse should tell the client to do her self-examination: - CORRECT ANSWER-
immediately after her menses.
The nurse is teaching a group of women to perform breast self-examination. The nurse
should explain that the purpose of performing the examination is to discover: -
CORRECT ANSWER-changes from previous self-examinations.
The American Cancer Society recommends routine screening to detect colorectal
cancer. Which screening test for colorectal cancer should the nurse recommend? -
CORRECT ANSWER-Flexible sigmoidoscopy beginning at age 50
Which nursing diagnosis should the nurse expect to see in a care plan for a client in
sickle cell crisis? - CORRECT ANSWER-Acute pain related to sickle cell crisis
What can the nurse do to prevent lipodystrophy when administering insulin to a diabetic
client? - CORRECT ANSWER-Rotate the injection sites.
For a diabetic client with a foot ulcer, the physician orders bed rest, a wet-to-dry
dressing change every shift, and blood glucose monitoring before meals and at
bedtime. Why are the wet-to-dry dressings used for this client? - CORRECT ANSWER-
Because they debride the wound and promote healing by secondary intention.
An obese client is admitted to the hospital for abusing amphetamines in an attempt to
lose weight. Which nursing intervention is appropriate for this client? - CORRECT
ANSWER-Identify alternative ways for the client to lose weight.
Policy and procedure dictate that hand washing is a requirement when caring for clients.
Which statement about hand washing is true? - CORRECT ANSWER-Frequent hand
washing reduces transmission of pathogens from one client to another.
The nurse is evaluating a postoperative client for infection. Which sign or symptom
would be most indicative of infection? - CORRECT ANSWER-Red, warm, tender
incision
The nurse is caring for a client with a fractured hip. The client is combative, confused,
and trying to get out of bed. The nurse should: - CORRECT ANSWER-obtain a
physician's order to restrain the client when less restrictive interventions fail.
The nurse is caring for a bedridden, elderly adult. To prevent pressure ulcers, which
intervention should the nurse include in the care plan? - CORRECT ANSWER-Post a
turning schedule at the client's bedside.
A client who has recently had surgery for prostate cancer expresses to the nurse
feelings of anger toward God, his church, and the clergy. Which intervention is
PN
The nurse is administering sublingual nitroglycerin to a client. Immediately afterward,
the client may experience: - CORRECT ANSWER-throbbing headache or dizziness.
A client with iron deficiency anemia has been admitted to the medical-surgical unit.
Which assessment findings are characteristic of this type of anemia? - CORRECT
ANSWER-Dyspnea, tachycardia, and pallor
The nurse is caring for a client taking an anticoagulant. Which instruction regarding
anticoagulant therapy should the nurse give the client? - CORRECT ANSWER-Limit
foods high in vitamin K.
The nurse delivers a client's 10 a.m. medications. The client is away from his room for a
diagnostic study. Which action is most appropriate for the nurse to take? - CORRECT
ANSWER-Lock the medications in the medicine preparation area until the client returns.
The nurse is caring for a client receiving patient-controlled analgesia (PCA) for pain
management. Which statement about PCA is true? - CORRECT ANSWER-Pain relief is
initiated by the client as needed.
The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion,
light-headedness, and aberrant behavior. The client is still conscious. The nurse should
first administer: - CORRECT ANSWER-15 to 20 g of a fast-acting carbohydrate such as
orange juice.
The nurse is caring for an elderly female with osteoporosis. When teaching the client,
the nurse should include information about which major complication? - CORRECT
ANSWER-Bone fracture
The nurse is speaking to a group of women about early detection of breast cancer. The
average age of the women in the group is 47. Following the American Cancer Society
guidelines, the nurse should recommend that the women: - CORRECT ANSWER-have
a mammogram annually.
, The nurse is instructing a premenopausal woman about breast self-examination. The
nurse should tell the client to do her self-examination: - CORRECT ANSWER-
immediately after her menses.
The nurse is teaching a group of women to perform breast self-examination. The nurse
should explain that the purpose of performing the examination is to discover: -
CORRECT ANSWER-changes from previous self-examinations.
The American Cancer Society recommends routine screening to detect colorectal
cancer. Which screening test for colorectal cancer should the nurse recommend? -
CORRECT ANSWER-Flexible sigmoidoscopy beginning at age 50
Which nursing diagnosis should the nurse expect to see in a care plan for a client in
sickle cell crisis? - CORRECT ANSWER-Acute pain related to sickle cell crisis
What can the nurse do to prevent lipodystrophy when administering insulin to a diabetic
client? - CORRECT ANSWER-Rotate the injection sites.
For a diabetic client with a foot ulcer, the physician orders bed rest, a wet-to-dry
dressing change every shift, and blood glucose monitoring before meals and at
bedtime. Why are the wet-to-dry dressings used for this client? - CORRECT ANSWER-
Because they debride the wound and promote healing by secondary intention.
An obese client is admitted to the hospital for abusing amphetamines in an attempt to
lose weight. Which nursing intervention is appropriate for this client? - CORRECT
ANSWER-Identify alternative ways for the client to lose weight.
Policy and procedure dictate that hand washing is a requirement when caring for clients.
Which statement about hand washing is true? - CORRECT ANSWER-Frequent hand
washing reduces transmission of pathogens from one client to another.
The nurse is evaluating a postoperative client for infection. Which sign or symptom
would be most indicative of infection? - CORRECT ANSWER-Red, warm, tender
incision
The nurse is caring for a client with a fractured hip. The client is combative, confused,
and trying to get out of bed. The nurse should: - CORRECT ANSWER-obtain a
physician's order to restrain the client when less restrictive interventions fail.
The nurse is caring for a bedridden, elderly adult. To prevent pressure ulcers, which
intervention should the nurse include in the care plan? - CORRECT ANSWER-Post a
turning schedule at the client's bedside.
A client who has recently had surgery for prostate cancer expresses to the nurse
feelings of anger toward God, his church, and the clergy. Which intervention is
