Comprehensive-NCLEX-Rn-Challenge-Exam
Question 1
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
E. Monitor for signs of bleeding, such as bruising or black tarry stools
F. Check blood pressure regularly at home
G. Inform all healthcare providers about the anticoagulant therapy
Question 2
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. Clipping 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
Question 3
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
E. Potential for height loss over time due to vertebral compression
F. Risk of developing chronic pain associated with skeletal weakness
Question 4
Category: Health Promotion and Maintenance
Question 1
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
E. Monitor for signs of bleeding, such as bruising or black tarry stools
F. Check blood pressure regularly at home
G. Inform all healthcare providers about the anticoagulant therapy
Question 2
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. Clipping 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
Question 3
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
E. Potential for height loss over time due to vertebral compression
F. Risk of developing chronic pain associated with skeletal weakness
Question 4
Category: Health Promotion and Maintenance
