NCLEX DEC FILE 1
1. How to prevent a renal calculi?
limit tea and chocolate
2. If a patient is in F-vib what medication to give?
Adenosine
3. A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next?
Obtain a doppler
4. A client with a history of COPD has established a walking program. How do we know that walking is
effective?
Cardiovascular improvement
5. A client complains of pain in the right calf. What is the nurse's priority?
Remain in bed
6. A client just returned after having a TURP and has clot. What should the nurse do?
slowly irrigate
7. What's Priority for a client with Multiple Scerolosis and has urinary rention?
Self cathetherization
8. The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor?
WBCs
9. What intervetion the nurse shoudl implement for a patient with Congestive Heart Failure?
Use bedside commode when needing to void
10.What intervention should be done for post op cataract extraction?
implement deep breathing
11. A client is discharged on Prednisolone. What should the patient report?
Wt gain
12. A client is diagnosed with Pyelinephritis. What is priority?
IV antibiotics
13. What is a diet for Osteomalacia?
Milk and cereal
14. What should the nurse instruct a client who has Raynuads Syndrome to do at work?
Use space heater
15. What to teach a client with GERD? Wear loose clothing
,16. How should a client with COPD breath? Pursed lips
17. A client presents with the s/s of Diabetes type 2 and feeling shaky. What is the nurse priority?
Obtain glucose level
18. What should the HCP order for a client with Hypothyroidism who has depression and can not sleep?
Request PRN...
19. What should a client with Ulcerative Colitis report? Stool with fatty streaks
20.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs
and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a
complication?
a. Nausea, thirst, and increased urine output .
21. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL
remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung
the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at:
a) 1800 .
23. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an
assigned client is empty. The new prescription was written for a new bag at the beginning of the
shift, but it has not yet arrived from the pharmacy. Which of the following actions should the
nurse take first?
a) Hanging a solution of 10% dextrose in water .
24.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa
[olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s
really bothering me. What can I do about this?” Which response by the nurse would be
therapeutic?
a) “Weight gain can be a side effect of the medication, so you need to watch your diet and
exercise. How much weight have you gained?” .
25.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which
adverse effect should the nurse monitor the client closely?
a) Akathisia .
26.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic
nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have
this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the
, client?
a) “I think you need to come in for blood work today, because this may be a side effect of your
medicine.” .
27.A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses
the site and determines that phlebitis has developed. Which of the following actions should the
nurse take? Select all that apply.
a) Removing the IV catheter at that site .
b) Applying warm, moist compresses to the IV site .
c) Notifying the healthcare provider about the finding .
28. A physician’s prescription reads, “Clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL
NS, to be administered IV over 30 minutes.” The medication label reads, “Clindamycin
phosphate (Cleocin Phosphate) 150 mg/mL.” How many milliliters of medication does the nurse
prepare to ensure that the . dose is administered?
In.
. Responses: "2"
29.A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.” The
medication label indicates that the bottle contains 100-mg capsules. How many capsules does the
nurse prepare for administration of one dose?
In.
. Responses: "1"
30.A nurse is preparing a plan of care for a client with renal colic who is receiving meperidine
hydrochloride (Demerol) for pain. Which side effects does the nurse make a note of needing to
be alert to in the plan of care? Select all that apply.
a) Hypotension .
b) Constipation .
c) Urine retention .
31.A nurse is preparing a plan of care for a client with a diagnosis of cancer who is receiving
morphine sulfate for pain. Which of the following actions does the nurse identify as a priority in
the plan of care for this client?
a) Monitoring the client’s respiratory rate .
32.A client who has been taking lisinopril (Prinivil) complains to the nurse of a persistent dry
cough. The nurse tells the client that:
a) This is a side effect of therapy .
34.A client has been given a prescription to begin using nitroglycerin transdermal patches for the
management of angina pectoris. The nurse tells the client to:
Place the patch in the area of a skin fold to promote adherence
1. How to prevent a renal calculi?
limit tea and chocolate
2. If a patient is in F-vib what medication to give?
Adenosine
3. A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next?
Obtain a doppler
4. A client with a history of COPD has established a walking program. How do we know that walking is
effective?
Cardiovascular improvement
5. A client complains of pain in the right calf. What is the nurse's priority?
Remain in bed
6. A client just returned after having a TURP and has clot. What should the nurse do?
slowly irrigate
7. What's Priority for a client with Multiple Scerolosis and has urinary rention?
Self cathetherization
8. The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor?
WBCs
9. What intervetion the nurse shoudl implement for a patient with Congestive Heart Failure?
Use bedside commode when needing to void
10.What intervention should be done for post op cataract extraction?
implement deep breathing
11. A client is discharged on Prednisolone. What should the patient report?
Wt gain
12. A client is diagnosed with Pyelinephritis. What is priority?
IV antibiotics
13. What is a diet for Osteomalacia?
Milk and cereal
14. What should the nurse instruct a client who has Raynuads Syndrome to do at work?
Use space heater
15. What to teach a client with GERD? Wear loose clothing
,16. How should a client with COPD breath? Pursed lips
17. A client presents with the s/s of Diabetes type 2 and feeling shaky. What is the nurse priority?
Obtain glucose level
18. What should the HCP order for a client with Hypothyroidism who has depression and can not sleep?
Request PRN...
19. What should a client with Ulcerative Colitis report? Stool with fatty streaks
20.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs
and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a
complication?
a. Nausea, thirst, and increased urine output .
21. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL
remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung
the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at:
a) 1800 .
23. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an
assigned client is empty. The new prescription was written for a new bag at the beginning of the
shift, but it has not yet arrived from the pharmacy. Which of the following actions should the
nurse take first?
a) Hanging a solution of 10% dextrose in water .
24.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa
[olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s
really bothering me. What can I do about this?” Which response by the nurse would be
therapeutic?
a) “Weight gain can be a side effect of the medication, so you need to watch your diet and
exercise. How much weight have you gained?” .
25.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which
adverse effect should the nurse monitor the client closely?
a) Akathisia .
26.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic
nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have
this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the
, client?
a) “I think you need to come in for blood work today, because this may be a side effect of your
medicine.” .
27.A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses
the site and determines that phlebitis has developed. Which of the following actions should the
nurse take? Select all that apply.
a) Removing the IV catheter at that site .
b) Applying warm, moist compresses to the IV site .
c) Notifying the healthcare provider about the finding .
28. A physician’s prescription reads, “Clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL
NS, to be administered IV over 30 minutes.” The medication label reads, “Clindamycin
phosphate (Cleocin Phosphate) 150 mg/mL.” How many milliliters of medication does the nurse
prepare to ensure that the . dose is administered?
In.
. Responses: "2"
29.A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.” The
medication label indicates that the bottle contains 100-mg capsules. How many capsules does the
nurse prepare for administration of one dose?
In.
. Responses: "1"
30.A nurse is preparing a plan of care for a client with renal colic who is receiving meperidine
hydrochloride (Demerol) for pain. Which side effects does the nurse make a note of needing to
be alert to in the plan of care? Select all that apply.
a) Hypotension .
b) Constipation .
c) Urine retention .
31.A nurse is preparing a plan of care for a client with a diagnosis of cancer who is receiving
morphine sulfate for pain. Which of the following actions does the nurse identify as a priority in
the plan of care for this client?
a) Monitoring the client’s respiratory rate .
32.A client who has been taking lisinopril (Prinivil) complains to the nurse of a persistent dry
cough. The nurse tells the client that:
a) This is a side effect of therapy .
34.A client has been given a prescription to begin using nitroglycerin transdermal patches for the
management of angina pectoris. The nurse tells the client to:
Place the patch in the area of a skin fold to promote adherence
