NCLEX Overall Review Questions and Answers 100% Correct
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an
average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the
following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "Beginning at age 60, you should have a colonoscopy."
C. "You should have a fecal occult blood test every year."
D. "The recommendation is to have a sigmoidoscopy every 10 years." correct answer C. "You should
have a fecal occult blood test every year."
(Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a
fecal occult blood test annually.)
A nurse is assessing a client who has been on bed rest for the past month. Which of the following
findings should the nurse identify as an indication that the client has developed thrombophlebitis?
A. Bladder distention
B. Decreased blood pressure
C. Calf swelling
D. Diminished bowel sounds correct answer C. Calf swelling
(Swelling, redness, and tenderness in a calf muscle are manifestations of thrombophlebitis, a common
complication of immobility.)
, A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of
the following positions should the nurse place the client?
A. Side-lying
B. Supine
C. Semi-Fowler's
D. Trendelenburg correct answer C. Semi-Fowler's
(Positioning the client in semi-Fowler's or high-Fowler's position allows for maximum expansion of the
lungs.)
A nurse is caring for a client who asks about the purpose of advance directives. Which of the following
statements should the nurse make?
A. "They allow the court to overrule an adult client's refusal of medical treatment."
B. "They indicate the form of treatment a client is willing to accept in the event of a serious illness."
C. "They permit a client to withhold medical information from health care personnel."
D. "They allow health care personnel in the emergency department to stabilize a client's condition."
correct answer B. "They indicate the form of treatment a client is willing to accept in the event of a
serious illness."
(Advance directives include a living will, which permits the client to direct treatment in the event of a
terminal illness.)
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal
cannula delivering oxygen. Which of the following interventions should the nurse take first?
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an
average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the
following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "Beginning at age 60, you should have a colonoscopy."
C. "You should have a fecal occult blood test every year."
D. "The recommendation is to have a sigmoidoscopy every 10 years." correct answer C. "You should
have a fecal occult blood test every year."
(Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a
fecal occult blood test annually.)
A nurse is assessing a client who has been on bed rest for the past month. Which of the following
findings should the nurse identify as an indication that the client has developed thrombophlebitis?
A. Bladder distention
B. Decreased blood pressure
C. Calf swelling
D. Diminished bowel sounds correct answer C. Calf swelling
(Swelling, redness, and tenderness in a calf muscle are manifestations of thrombophlebitis, a common
complication of immobility.)
, A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of
the following positions should the nurse place the client?
A. Side-lying
B. Supine
C. Semi-Fowler's
D. Trendelenburg correct answer C. Semi-Fowler's
(Positioning the client in semi-Fowler's or high-Fowler's position allows for maximum expansion of the
lungs.)
A nurse is caring for a client who asks about the purpose of advance directives. Which of the following
statements should the nurse make?
A. "They allow the court to overrule an adult client's refusal of medical treatment."
B. "They indicate the form of treatment a client is willing to accept in the event of a serious illness."
C. "They permit a client to withhold medical information from health care personnel."
D. "They allow health care personnel in the emergency department to stabilize a client's condition."
correct answer B. "They indicate the form of treatment a client is willing to accept in the event of a
serious illness."
(Advance directives include a living will, which permits the client to direct treatment in the event of a
terminal illness.)
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal
cannula delivering oxygen. Which of the following interventions should the nurse take first?
