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NCLEX Review Study Guide Comprehensive
Questions and Correct Answers/ Latest
Update / Already Graded A client with
diabetes mellitus calls the clinic nurse
and reports that she has been vomiting
during the night and now has diarrhea.
Which question does the nurse make a
priority of asking the client?
Ans: "Have you tested your blood glucose?"
A client's oral intake of liquids includes 120 mL on the night shift, 800
mL on the day shift, and 650 mL on the evening shift. The client is
receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50
mL of normal saline solution. The nurse empties 700 mL of urine from
the client's Foley catheter at the end of the day shift. Thereafter, 500
mL of urine is emptied at the end of the evening shift and 325 mL at
the end of the night shift. Nasogastric tube drainage totals 155 mL for
the 24-hour period, and the total drainage from the Jackson-Pratt
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device is 175 mL. What is the client's total intake during the 24-hour
period?
Ans: 1670mL
A client with heart failure suddenly experiences profound dyspnea,
pallor, audible wheezing, and cyanosis, and the nurse suspects
pulmonary edema. The nurse would first:
Ans: Raise the head of the client's bed
A client with cervical cancer who is undergoing chemotherapy with
cisplatin (Platinol). For which adverse effect of cisplatin will the nurse
assess the client?
Ans: Hearing loss
Alendronate (Fosamax) is prescribed for a client with
postmenopausal osteoporosis. The nurse provides information on the
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medication to the client. When does the nurse tell the client to take
the alendronate?
Ans: Every morning before breakfast, with a full glass of water
A client with emphysema is receiving theophylline (Theo-24). While
providing dietary instructions, the nurse tells the client that it is
acceptable to consume:
Ans: Apple juice
A nurse is reviewing the record of a client scheduled for
electroconvulsive therapy (ECT). Which of the following diagnoses, if
noted on the client's record, would indicate a need to contact the
physician who is scheduled to perform the ECT?
Ans: Recent stroke
An emergency department nurse is assessing a client with acute
closed-angle glaucoma. Which of the following characteristics of
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the disorder does the nurse expect the client to exhibit? Select all
that apply.
Ans: Nausea
Eye pain
Vomiting
Headache
The nurse administers intravenous morphine sulfate to a client in
pulmonary edema. For which intended effect of the medication
does the nurse monitor the client?
Ans: Relief of anxiety
An emergency department nurse is told that a client with carbon
monoxide poisoning resulting from a suicide attempt is being
brought to the hospital by emergency medical services. Which
intervention will the nurse carry out as a priority upon arrival of the
client?
NCLEX Review Study Guide Comprehensive
Questions and Correct Answers/ Latest
Update / Already Graded A client with
diabetes mellitus calls the clinic nurse
and reports that she has been vomiting
during the night and now has diarrhea.
Which question does the nurse make a
priority of asking the client?
Ans: "Have you tested your blood glucose?"
A client's oral intake of liquids includes 120 mL on the night shift, 800
mL on the day shift, and 650 mL on the evening shift. The client is
receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50
mL of normal saline solution. The nurse empties 700 mL of urine from
the client's Foley catheter at the end of the day shift. Thereafter, 500
mL of urine is emptied at the end of the evening shift and 325 mL at
the end of the night shift. Nasogastric tube drainage totals 155 mL for
the 24-hour period, and the total drainage from the Jackson-Pratt
,2 | Page
device is 175 mL. What is the client's total intake during the 24-hour
period?
Ans: 1670mL
A client with heart failure suddenly experiences profound dyspnea,
pallor, audible wheezing, and cyanosis, and the nurse suspects
pulmonary edema. The nurse would first:
Ans: Raise the head of the client's bed
A client with cervical cancer who is undergoing chemotherapy with
cisplatin (Platinol). For which adverse effect of cisplatin will the nurse
assess the client?
Ans: Hearing loss
Alendronate (Fosamax) is prescribed for a client with
postmenopausal osteoporosis. The nurse provides information on the
,3 | Page
medication to the client. When does the nurse tell the client to take
the alendronate?
Ans: Every morning before breakfast, with a full glass of water
A client with emphysema is receiving theophylline (Theo-24). While
providing dietary instructions, the nurse tells the client that it is
acceptable to consume:
Ans: Apple juice
A nurse is reviewing the record of a client scheduled for
electroconvulsive therapy (ECT). Which of the following diagnoses, if
noted on the client's record, would indicate a need to contact the
physician who is scheduled to perform the ECT?
Ans: Recent stroke
An emergency department nurse is assessing a client with acute
closed-angle glaucoma. Which of the following characteristics of
, 4 | Page
the disorder does the nurse expect the client to exhibit? Select all
that apply.
Ans: Nausea
Eye pain
Vomiting
Headache
The nurse administers intravenous morphine sulfate to a client in
pulmonary edema. For which intended effect of the medication
does the nurse monitor the client?
Ans: Relief of anxiety
An emergency department nurse is told that a client with carbon
monoxide poisoning resulting from a suicide attempt is being
brought to the hospital by emergency medical services. Which
intervention will the nurse carry out as a priority upon arrival of the
client?
