N151 Final Exam nursing NCLEX EXAM
LATEST VERSION QUESTIONS AND
VERIFIED CORRECT ANSWERS
During the examination portion of her annual checkup, a 55-year-old client has several new
complaints. Which subjective symptoms of menopause would the nurse expect to find during
data collection?
a Hair growth on the upper lip
b Decreased skin elasticity
c Night sweats
d Rise in vaginal Ph - answer-:C
A nurse caring for a client who has begun menopause selects the nursing diagnosis of deficient
knowledge when the client makes which statement?
a "I must be coming down with the flu because I am having hot flashes."
b "I need to begin weight-bearing exercises such as walking."
c "I should increase my daily calcium intake to 1200 mg."
d "I need to obtain yearly mammograms." - answer-:A
A 53-year-old woman asks the nurse if there are any definitive laboratory tests that would show
that she has entered menopause. The nurse responds that which test is done to clarify the
diagnosis?
,a Complete blood count
b Blood, urea, nitrogen (BUN) levels
c Follicle-stimulating hormone (FSH) level
d Estrogen levels - answer-:C
A spouse and his client who is perimenopausal is questioning the nurse regarding self-care
during this process. The nurse plans to focus teaching for this client on which priority of care?
a Referring the client to a support group
b Reducing the risks associated with menopause
c Recommending hormonal therapy
d Stressing the importance of foot care - answer-:B
The nurse is caring for a client with an endometrial implant. The client asks the nurse what
happens to the implant now that she is experiencing menopause. The best reply by the nurse is
that the implant:
a tends to become malignant.
b enlarges in size.
c tends to atrophy and disappear.
d increases in numbers. - answer-:C
A client who is post menopausal with an intact uterus asks the nurse why her hormone
medicine has two drugs, estrogen and progesterone. Which statement by the nurse provides
the client with accurate information?
,A) The progesterone will help prevent cervical cancer
B) The progesterone will help prevent breast cancer
C) The progesterone will help prevent liver disease
D) The progesterone will help prevent endometrial cancer - answer-:D
A menopausal woman is taking hormone replacement therapy (HRT). The nurse teaches the
client that a warning sign for endometrial cancer that needs to be reported is:
A. hot flashes
B. irregular vaginal bleeding
C. urinary urgency
D. dyspareunia - answer-:B
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse
suspect that the client is experiencing a myocardial infarction?
A. Midepigastric pain and pyrosis
B. Diaphoresis and cool clammy skin
C. Intermittent claudication and paloor
D. Jugular vein distention and dependent edema - answer-:B
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while
walking to the bathroom. Which action should the nurse implement first?
A. Administer sublingual nitroglycerin
B. Obtain a stat 12 Lead ECG
C. Have the client sit down immediately
, D. Assess the client's vital signs - answer-:C
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest
pain. Which interventions should the nurse implement first? (Select All that Apply)
A. Administer morphine sulfate Intramuscularly
B. Administer an aspirin orall
C. Apply oxygen via nasal cannula
D. Place the client in a supine position
E. Administer nitroglycerin subcutaneously - answer-:B, C
The client who has had a myocardial infarction is admitted to the telementry unit from intensive
care. Which referral would be most appropriate for the client?
A. Social worker
B. Physical therapy
C. Cardiac rehabilitation
D. Occupation therapy - answer-:C
The client is one day postoperative coronary artery bypass surgery. The client complains of
chest pain. Which intervention should the nurse implement first?
A. Medicate the client with intravenous morphine
B. Assess the client's chest dressing and vital signs
C. Encourage the client to turn from side to side
D. Check the client's telemetry monitor - answer-:B
LATEST VERSION QUESTIONS AND
VERIFIED CORRECT ANSWERS
During the examination portion of her annual checkup, a 55-year-old client has several new
complaints. Which subjective symptoms of menopause would the nurse expect to find during
data collection?
a Hair growth on the upper lip
b Decreased skin elasticity
c Night sweats
d Rise in vaginal Ph - answer-:C
A nurse caring for a client who has begun menopause selects the nursing diagnosis of deficient
knowledge when the client makes which statement?
a "I must be coming down with the flu because I am having hot flashes."
b "I need to begin weight-bearing exercises such as walking."
c "I should increase my daily calcium intake to 1200 mg."
d "I need to obtain yearly mammograms." - answer-:A
A 53-year-old woman asks the nurse if there are any definitive laboratory tests that would show
that she has entered menopause. The nurse responds that which test is done to clarify the
diagnosis?
,a Complete blood count
b Blood, urea, nitrogen (BUN) levels
c Follicle-stimulating hormone (FSH) level
d Estrogen levels - answer-:C
A spouse and his client who is perimenopausal is questioning the nurse regarding self-care
during this process. The nurse plans to focus teaching for this client on which priority of care?
a Referring the client to a support group
b Reducing the risks associated with menopause
c Recommending hormonal therapy
d Stressing the importance of foot care - answer-:B
The nurse is caring for a client with an endometrial implant. The client asks the nurse what
happens to the implant now that she is experiencing menopause. The best reply by the nurse is
that the implant:
a tends to become malignant.
b enlarges in size.
c tends to atrophy and disappear.
d increases in numbers. - answer-:C
A client who is post menopausal with an intact uterus asks the nurse why her hormone
medicine has two drugs, estrogen and progesterone. Which statement by the nurse provides
the client with accurate information?
,A) The progesterone will help prevent cervical cancer
B) The progesterone will help prevent breast cancer
C) The progesterone will help prevent liver disease
D) The progesterone will help prevent endometrial cancer - answer-:D
A menopausal woman is taking hormone replacement therapy (HRT). The nurse teaches the
client that a warning sign for endometrial cancer that needs to be reported is:
A. hot flashes
B. irregular vaginal bleeding
C. urinary urgency
D. dyspareunia - answer-:B
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse
suspect that the client is experiencing a myocardial infarction?
A. Midepigastric pain and pyrosis
B. Diaphoresis and cool clammy skin
C. Intermittent claudication and paloor
D. Jugular vein distention and dependent edema - answer-:B
The client diagnosed with rule-out myocardial infarction is experiencing chest pain while
walking to the bathroom. Which action should the nurse implement first?
A. Administer sublingual nitroglycerin
B. Obtain a stat 12 Lead ECG
C. Have the client sit down immediately
, D. Assess the client's vital signs - answer-:C
The nurse is caring for a client diagnosed with a myocardial infarction who is experiencing chest
pain. Which interventions should the nurse implement first? (Select All that Apply)
A. Administer morphine sulfate Intramuscularly
B. Administer an aspirin orall
C. Apply oxygen via nasal cannula
D. Place the client in a supine position
E. Administer nitroglycerin subcutaneously - answer-:B, C
The client who has had a myocardial infarction is admitted to the telementry unit from intensive
care. Which referral would be most appropriate for the client?
A. Social worker
B. Physical therapy
C. Cardiac rehabilitation
D. Occupation therapy - answer-:C
The client is one day postoperative coronary artery bypass surgery. The client complains of
chest pain. Which intervention should the nurse implement first?
A. Medicate the client with intravenous morphine
B. Assess the client's chest dressing and vital signs
C. Encourage the client to turn from side to side
D. Check the client's telemetry monitor - answer-:B
