NCLEX 2025 QUESTION AND ANSWERS
100% CORRECT!
,The nurse has instructed a client who has a newly prescribed transcutaneous electrical
nerve stimulation (TENS) unit. Which of the following statements by the client indicates
a correct understanding of the teaching?
A. "I should not take pain medications while this device is applied."
B. "I will adjust the current to the point at which I experience a sensation of pins and
needles."
C. "The electrodes will be placed all over my body."
D. "I should experience generalized twitching while this device is applied." - ANSWER
Choice B is correct. A transcutaneous electrical nerve stimulation (TENS) unit is an
over-the-counter pain-relieving device that provides a counter-current to an area of
localized pain. The electrodes are placed where the area of pain is, and the current is
adjusted until the client feels a 'pins and needles sensation which is theorized to release
endorphins. TENS units are commonly used as adjunctive pain relief for
musculoskeletal pain.
Choices A, C, and D are incorrect. A TENS unit is an adjunctive pain relieving device
and may be used with other modalities such as acetaminophen, naproxen, etc. The
electrodes are not applied all over the client's body; they are applied to where the client
is experiencing the pain. Generalized twitching is not the expected sensation of the
TENS unit; it is a pins-and-needles sensation experienced where the pain is localized.
C. edema
D. tenderness
Choice C is correct. The client should be advised to monitor for edema in one leg as a
sign of postpartum thrombophlebitis. If swelling is noted, the nurse should measure both
lower extremities and compare the circumference of the affected with the unaffected.
Choice D is correct. The client should be advised to monitor for tenderness in one leg
as a sign of postpartum thrombophlebitis. Edema, pain, and redness would be expected
findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the extremity is not an expected finding and
could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a clinical manifestation associated
with peripheral arterial disease. This is not a symptom associated with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discol - ANSWER C. edema
D. tenderness
Choice C is correct. The client should be advised to monitor for edema in one leg as a
sign of postpartum thrombophlebitis. If swelling is noted, the nurse should measure both
lower extremities and compare the circumference of the affected with the unaffected.
, Choice D is correct. The client should be advised to monitor for tenderness in one leg
as a sign of postpartum thrombophlebitis. Edema, pain, and redness would be expected
findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the extremity is not an expected finding and
could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a clinical manifestation associated
with peripheral arterial disease. This is not a symptom associated with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discoloration of the skin) or coolness in one limb
is a sign of venous obstruction, not thrombosis. Instead, when monitoring for signs of
postpartum thrombophlebitis, the client should be instructed to report symptoms of
inflammation such as warmth, swelling, or redness.
Choice F is incorrect. Patches of hair loss are a manifestation associated with arterial
insufficiency. Because of the decreased blood flow, less hair grows on the skin.
The nurse conducts a review course on older adults and medication
elimination/excretion.
It would be appropriate for the nurse to note which factor may impact drug elimination?
Select all that apply.
A. Diminished glomerular filtration
B. Decreased hepatic enzyme functioning
C. Decreased peristalsis
D. Lower pH of the gastric secretions
E. Increased acidity of the gastric secretions
F. Low functioning nephrons - ANSWER A. Diminished glomerular filtration
F. Low functioning nephrons
Choices A is correct. The regular physiological changes associated with the aging
process that can adversely affect the excretion and elimination of drugs in the human
body is the aging population's diminished glomerular filtration. This change can lead to
the accumulation of medications in the body because they are not properly eliminated
Choice F is correct. As people age, several physiological changes occur. Many of these
changes impact the pharmacokinetics and pharmacodynamics of medications. The
regular physiological changes associated with the aging process that can adversely
affect the excretion and elimination of drugs in the human body is the aging population's
low-functioning nephrons. This change can lead to the accumulation of medications in
the body because they are not properly eliminated.
Choice B is incorrect. Decreased hepatic enzyme functioning slows down the
metabolism of medications, but not the excretion and elimination of medications in the
human body.
Choice C is incorrect. Decreased peristalsis slows down the absorption of medications,
but not the excretion and elimination of drugs in the human body.
100% CORRECT!
,The nurse has instructed a client who has a newly prescribed transcutaneous electrical
nerve stimulation (TENS) unit. Which of the following statements by the client indicates
a correct understanding of the teaching?
A. "I should not take pain medications while this device is applied."
B. "I will adjust the current to the point at which I experience a sensation of pins and
needles."
C. "The electrodes will be placed all over my body."
D. "I should experience generalized twitching while this device is applied." - ANSWER
Choice B is correct. A transcutaneous electrical nerve stimulation (TENS) unit is an
over-the-counter pain-relieving device that provides a counter-current to an area of
localized pain. The electrodes are placed where the area of pain is, and the current is
adjusted until the client feels a 'pins and needles sensation which is theorized to release
endorphins. TENS units are commonly used as adjunctive pain relief for
musculoskeletal pain.
Choices A, C, and D are incorrect. A TENS unit is an adjunctive pain relieving device
and may be used with other modalities such as acetaminophen, naproxen, etc. The
electrodes are not applied all over the client's body; they are applied to where the client
is experiencing the pain. Generalized twitching is not the expected sensation of the
TENS unit; it is a pins-and-needles sensation experienced where the pain is localized.
C. edema
D. tenderness
Choice C is correct. The client should be advised to monitor for edema in one leg as a
sign of postpartum thrombophlebitis. If swelling is noted, the nurse should measure both
lower extremities and compare the circumference of the affected with the unaffected.
Choice D is correct. The client should be advised to monitor for tenderness in one leg
as a sign of postpartum thrombophlebitis. Edema, pain, and redness would be expected
findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the extremity is not an expected finding and
could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a clinical manifestation associated
with peripheral arterial disease. This is not a symptom associated with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discol - ANSWER C. edema
D. tenderness
Choice C is correct. The client should be advised to monitor for edema in one leg as a
sign of postpartum thrombophlebitis. If swelling is noted, the nurse should measure both
lower extremities and compare the circumference of the affected with the unaffected.
, Choice D is correct. The client should be advised to monitor for tenderness in one leg
as a sign of postpartum thrombophlebitis. Edema, pain, and redness would be expected
findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the extremity is not an expected finding and
could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a clinical manifestation associated
with peripheral arterial disease. This is not a symptom associated with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discoloration of the skin) or coolness in one limb
is a sign of venous obstruction, not thrombosis. Instead, when monitoring for signs of
postpartum thrombophlebitis, the client should be instructed to report symptoms of
inflammation such as warmth, swelling, or redness.
Choice F is incorrect. Patches of hair loss are a manifestation associated with arterial
insufficiency. Because of the decreased blood flow, less hair grows on the skin.
The nurse conducts a review course on older adults and medication
elimination/excretion.
It would be appropriate for the nurse to note which factor may impact drug elimination?
Select all that apply.
A. Diminished glomerular filtration
B. Decreased hepatic enzyme functioning
C. Decreased peristalsis
D. Lower pH of the gastric secretions
E. Increased acidity of the gastric secretions
F. Low functioning nephrons - ANSWER A. Diminished glomerular filtration
F. Low functioning nephrons
Choices A is correct. The regular physiological changes associated with the aging
process that can adversely affect the excretion and elimination of drugs in the human
body is the aging population's diminished glomerular filtration. This change can lead to
the accumulation of medications in the body because they are not properly eliminated
Choice F is correct. As people age, several physiological changes occur. Many of these
changes impact the pharmacokinetics and pharmacodynamics of medications. The
regular physiological changes associated with the aging process that can adversely
affect the excretion and elimination of drugs in the human body is the aging population's
low-functioning nephrons. This change can lead to the accumulation of medications in
the body because they are not properly eliminated.
Choice B is incorrect. Decreased hepatic enzyme functioning slows down the
metabolism of medications, but not the excretion and elimination of medications in the
human body.
Choice C is incorrect. Decreased peristalsis slows down the absorption of medications,
but not the excretion and elimination of drugs in the human body.
