NCLEX FINAL EXAM MULTIPLE CHOICE
QUESTIONS COVERING THE WHOLE TOPIC
COMPREHENSIVELY. #A+ #2025
A nurse is advocating for local leaders to place a newly approved community health clinic in an
area of the city that has fewer resources than other areas. The nurse is advocating for the
leaders to uphold which of the following ethical principles?
a.Distributive justice
b.Fidelity
c.Respect for autonomy
d.Veracity - correct answers-a.Distributive justice
A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nurse using primary prevention?
a.Performing a home safety check at a client's home
b.Teaching healthy nutrition to clients who have hypertension
c.Providing influenza immunizations to employees
at a local preschool
d.Implementing a program to notify individuals exposed
to a communicable disease - correct answers-c.Providing influenza immunizations to employees
A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
,a. Determine health patterns within collected data.
b. Compile collected data into a database.
c. Ensure data collection is complete.
d. Identify health needs of the local community. - correct answers-b. Compile collected data into
a database.
A nurse is working with a client who has systemic lupus erythematosus and recently lost her
health insurance. Which of the following actions should the nurse take in the implementation
phase of the case management process?
a. Coordinating services to meet the client's needs
b. Comparing outcomes with original goals
c. Determining the client's financial constraints
d. Clarifying roles of interprofessional team members - correct answers-a. Coordinating services
to meet the client's needs
A nurse who is admitting a client who has a fractured femur obtains a blood pressure reading of
140/94 mm Hg. The client denies any history of hypertension. Which of the following actions
should the nurse take first
a. Request a prescription for an antihypertensive medication.
b. Ask the client if she is having pain.
c. Request a prescription for an antianxiety medication.
d. Return in 30 min to recheck the client's blood pressure. - correct answers-b. Ask the client if
she is having pain.
,A nurse is caring for a client who is pregnant and reviewing signs of complications the client
should promptly report to the provider. Which of the following complications should the nurse
include in the teaching?
a. Vaginal bleeding
b. Swelling of the ankles
c. Heartburn after eating
d. Lightheadedness when lying on back - correct answers-a. Vaginal bleeding
A nurse is assessing a client for Chvostek's sign. Which of the following techniques should the
nurse use to perform this test?
a. Apply a blood pressure cuff to the client's arm.
b. Place the stethoscope bell over the client's carotid artery.
c. Tap lightly on the client's cheek.
d. Ask the client to lower her chin to her chest - correct answers-c. Tap lightly on the client's
cheek.
A nurse is teaching a client who has intermittent explosive disorder about a new prescription for
fluoxetine. Which of the following information should the nurse provide? (select all that apply.)
a. An adverse effect of this medication is CNS depression.
b. Administer the medication in the morning.
c. Monitor for weight loss while taking this medication.
d. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
e. This medication blocks the blocking the synaptic reuptake of serotonin in the brain - correct
answers-b. Administer the medication in the morning.
c. Monitor for weight loss while taking this medication.
, e. This medication blocks the blocking the synaptic reuptake of serotonin in the brain
A nurse is completing an integumentary assessment of a client who has anemia. Which of the
following findings should the nurse expect?
a. Absent turgor
b. Spoon-shaped nails
c. Shiny, hairless legs
d. Yellow mucous membranes - correct answers-b. Spoon-shaped nails
A nurse is reviewing the health record of a client who asks about using propranolol to treat
hypertension. The nurse should recognize which of the following conditions is a contraindication
for taking propranolol
a. Asthma
b. Glaucoma
c. Hypertension
d. Tachycardia - correct answers-a. Asthma
A nurse is caring for a client with a new prescription for captopril for hypertension. The nurse
should monitor the client for which of the following adverse effects of this medication?
a. Hypokalemia
b. Hypernatremia
c. Neutropenia
d. Bradycardia - correct answers-c. Neutropenia
QUESTIONS COVERING THE WHOLE TOPIC
COMPREHENSIVELY. #A+ #2025
A nurse is advocating for local leaders to place a newly approved community health clinic in an
area of the city that has fewer resources than other areas. The nurse is advocating for the
leaders to uphold which of the following ethical principles?
a.Distributive justice
b.Fidelity
c.Respect for autonomy
d.Veracity - correct answers-a.Distributive justice
A community health nurse is implementing health programs with several populations in the
local area. In which of the following situations is the nurse using primary prevention?
a.Performing a home safety check at a client's home
b.Teaching healthy nutrition to clients who have hypertension
c.Providing influenza immunizations to employees
at a local preschool
d.Implementing a program to notify individuals exposed
to a communicable disease - correct answers-c.Providing influenza immunizations to employees
A nurse is completing a needs assessment and beginning analysis of data. Which of the
following actions should the nurse take first?
,a. Determine health patterns within collected data.
b. Compile collected data into a database.
c. Ensure data collection is complete.
d. Identify health needs of the local community. - correct answers-b. Compile collected data into
a database.
A nurse is working with a client who has systemic lupus erythematosus and recently lost her
health insurance. Which of the following actions should the nurse take in the implementation
phase of the case management process?
a. Coordinating services to meet the client's needs
b. Comparing outcomes with original goals
c. Determining the client's financial constraints
d. Clarifying roles of interprofessional team members - correct answers-a. Coordinating services
to meet the client's needs
A nurse who is admitting a client who has a fractured femur obtains a blood pressure reading of
140/94 mm Hg. The client denies any history of hypertension. Which of the following actions
should the nurse take first
a. Request a prescription for an antihypertensive medication.
b. Ask the client if she is having pain.
c. Request a prescription for an antianxiety medication.
d. Return in 30 min to recheck the client's blood pressure. - correct answers-b. Ask the client if
she is having pain.
,A nurse is caring for a client who is pregnant and reviewing signs of complications the client
should promptly report to the provider. Which of the following complications should the nurse
include in the teaching?
a. Vaginal bleeding
b. Swelling of the ankles
c. Heartburn after eating
d. Lightheadedness when lying on back - correct answers-a. Vaginal bleeding
A nurse is assessing a client for Chvostek's sign. Which of the following techniques should the
nurse use to perform this test?
a. Apply a blood pressure cuff to the client's arm.
b. Place the stethoscope bell over the client's carotid artery.
c. Tap lightly on the client's cheek.
d. Ask the client to lower her chin to her chest - correct answers-c. Tap lightly on the client's
cheek.
A nurse is teaching a client who has intermittent explosive disorder about a new prescription for
fluoxetine. Which of the following information should the nurse provide? (select all that apply.)
a. An adverse effect of this medication is CNS depression.
b. Administer the medication in the morning.
c. Monitor for weight loss while taking this medication.
d. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop.
e. This medication blocks the blocking the synaptic reuptake of serotonin in the brain - correct
answers-b. Administer the medication in the morning.
c. Monitor for weight loss while taking this medication.
, e. This medication blocks the blocking the synaptic reuptake of serotonin in the brain
A nurse is completing an integumentary assessment of a client who has anemia. Which of the
following findings should the nurse expect?
a. Absent turgor
b. Spoon-shaped nails
c. Shiny, hairless legs
d. Yellow mucous membranes - correct answers-b. Spoon-shaped nails
A nurse is reviewing the health record of a client who asks about using propranolol to treat
hypertension. The nurse should recognize which of the following conditions is a contraindication
for taking propranolol
a. Asthma
b. Glaucoma
c. Hypertension
d. Tachycardia - correct answers-a. Asthma
A nurse is caring for a client with a new prescription for captopril for hypertension. The nurse
should monitor the client for which of the following adverse effects of this medication?
a. Hypokalemia
b. Hypernatremia
c. Neutropenia
d. Bradycardia - correct answers-c. Neutropenia
