BPH NCLEX STUDY EXAM LATEST GUIDE
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is caring for a client who has a prescription for a sputum specimen for
culture and sensitivity (C & S). Which of the following actions should the nurse take?
1.Request a prescription for a bronchodilator to be administered before the specimen is
obtained.
2.Place the specimen in the refrigerator until it can be transported to the laboratory.
3. Tell the client to rinse the mouth with water before the specimen is obtained.
4.Obtain the sputum specimen before the client goes to bed at night. - ✔✔2.Place the
specimen in the refrigerator until it can be transported to the laboratory.
✔✔The nurse is caring for a client who has right-sided hemiplegia and is ambulating
using a walker. It would indicate a correct understanding of how to use the walker if the
client is observed
1.taking a step forward with the left leg and then advancing the right leg and the walker
2.moving the walker forward 12 in (30 cm) then swinging both legs forward together
3.moving the walker and the right leg forward 6 in (15 cm) and then moving the left leg
forward
4.placing the rear legs of the walker and the right leg forward and then moving the left
leg forward - ✔✔3.moving the walker and the right leg forward 6 in (15 cm) and then
moving the left leg forward
,✔✔The nurse is contributing to a staff education program about caring for a client with
active pulmonary tuberculosis (TB). Which of the following information should the nurse
suggest including?
1."It is mandatory to report a client's positive TB test results to the public health
department."
2."It is necessary to isolate a hospitalized client for 24 hours after initiating
antitubercular therapy."
3."Antitubercular therapy is continued until the client provides sputum cultures that test
negative for TB."
4."Droplet precautions must be implemented as soon as the hospitalized client is
suspected of active TB." - ✔✔1."It is mandatory to report a client's positive TB test
results to the public health department."
✔✔The nurse in a pediatric outpatient care facility has received telephone messages
from parents of clients who were previously seen at the facility. The nurse should first
telephone the parent of a client who has
1.acute otitis media and reports insomnia after taking prescribed amoxicillin 6 hours ago
2.a fracture of the left tibia and has placed a crayon in the cast
3.a colostomy and reports skin irritation around the stoma
4.epilepsy and has pink, frothy sputum - ✔✔4.epilepsy and has pink, frothy sputum
✔✔The nurse is caring for a client born 6 hours ago and observes the finding depicted
below. Which of the following actions should the nurse take in response to this finding?
1.Notify the primary health care provider of the findings.
2.Continue to perform routine newborn care.
3.Administer oxygen therapy prescribed p.r.n.
4.Prepare the client for phototherapy. - ✔✔3.Administer oxygen therapy prescribed
p.r.n.
✔✔The nurse has attended a staff development conference about advance directives.
Which of the following information should the nurse understand pertains to advance
directives? Select all that apply.
1.living will
2.organ donation
3.implied consent
4.do not resuscitate (DNR) prescriptions
5.power of attorney for health care - ✔✔1,2,3,4
✔✔The nurse is reinforcing teaching with a client who has iron-deficiency anemia.
Which of the following information should the nurse reinforce? Select all that apply.
1."Continue to take your prescribed iron supplement after your symptoms resolve."
, 2."Consult with a genetic counselor to establish inheritance patterns."
3."Alternate periods of activity and rest throughout the day."
4."Increase your dietary intake of foods such as legumes.""
5."Take the prescribed iron supplement with a glass of milk if you experience gastric
upset." - ✔✔5."Take the prescribed iron supplement with a glass of milk if you
experience gastric upset."
✔✔The nurse is contributing to the plan of care for a client who has a nasogastric (NG)
tube for feeding. Which of the following interventions should the nurse recommend
including in the client's plan of care?
1.Raise the head of the client's bed 15 degrees.
2.Apply sterile gloves to irrigate the client's NG tube.
3.Use pH paper to measure the pH of the client's aspirate.
4.Encourage the client to cough while removing the NG tube. - ✔✔2.Apply sterile gloves
to irrigate the client's NG tube.
✔✔The nurse has received the following information about assigned clients. The nurse
should first check the client
1.who has right-sided heart failure and is reporting frequent urination
2.with active pulmonary tuberculosis (TB) who is reporting expectorating blood-tinged
mucus
3.who has a fractured femur and received a dose of pain medication intramuscularly 1
hour ago and is reporting that the pain has not been relieved
4.with benign prostatic hyperplasia (BPH) who is reporting having no bowel movement
for the past 3 days and is requesting a dose of a prescribed laxative - ✔✔3.who has a
fractured femur and received a dose of pain medication intramuscularly 1 hour ago and
is reporting that the pain has not been relieved
✔✔The nurse is caring for a client who has a prescription to remove a nasogastric (NG)
tube. Which of the following actions should the nurse take?
1.Withdraw the tube steadily while the client takes shallow breaths.
2.Have the client hyperextend the neck before withdrawing the tube.
3.Withdraw the tube quickly while the client holds a deep breath.
4.Have the client flex the neck before withdrawing the tube. - ✔✔3.Withdraw the tube
quickly while the client holds a deep breath.
✔✔The nurse is caring for a client with a panic disorder. Which of the following findings
would the nurse expect to observe?
1.dry skin
2.chest pain
3.decreased pulse
4.delusional thinking - ✔✔2.chest pain
✔✔The nurse is caring for a client who has mycoplasma pneumonia. Which of the
following infection control precautions should the nurse implement?
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is caring for a client who has a prescription for a sputum specimen for
culture and sensitivity (C & S). Which of the following actions should the nurse take?
1.Request a prescription for a bronchodilator to be administered before the specimen is
obtained.
2.Place the specimen in the refrigerator until it can be transported to the laboratory.
3. Tell the client to rinse the mouth with water before the specimen is obtained.
4.Obtain the sputum specimen before the client goes to bed at night. - ✔✔2.Place the
specimen in the refrigerator until it can be transported to the laboratory.
✔✔The nurse is caring for a client who has right-sided hemiplegia and is ambulating
using a walker. It would indicate a correct understanding of how to use the walker if the
client is observed
1.taking a step forward with the left leg and then advancing the right leg and the walker
2.moving the walker forward 12 in (30 cm) then swinging both legs forward together
3.moving the walker and the right leg forward 6 in (15 cm) and then moving the left leg
forward
4.placing the rear legs of the walker and the right leg forward and then moving the left
leg forward - ✔✔3.moving the walker and the right leg forward 6 in (15 cm) and then
moving the left leg forward
,✔✔The nurse is contributing to a staff education program about caring for a client with
active pulmonary tuberculosis (TB). Which of the following information should the nurse
suggest including?
1."It is mandatory to report a client's positive TB test results to the public health
department."
2."It is necessary to isolate a hospitalized client for 24 hours after initiating
antitubercular therapy."
3."Antitubercular therapy is continued until the client provides sputum cultures that test
negative for TB."
4."Droplet precautions must be implemented as soon as the hospitalized client is
suspected of active TB." - ✔✔1."It is mandatory to report a client's positive TB test
results to the public health department."
✔✔The nurse in a pediatric outpatient care facility has received telephone messages
from parents of clients who were previously seen at the facility. The nurse should first
telephone the parent of a client who has
1.acute otitis media and reports insomnia after taking prescribed amoxicillin 6 hours ago
2.a fracture of the left tibia and has placed a crayon in the cast
3.a colostomy and reports skin irritation around the stoma
4.epilepsy and has pink, frothy sputum - ✔✔4.epilepsy and has pink, frothy sputum
✔✔The nurse is caring for a client born 6 hours ago and observes the finding depicted
below. Which of the following actions should the nurse take in response to this finding?
1.Notify the primary health care provider of the findings.
2.Continue to perform routine newborn care.
3.Administer oxygen therapy prescribed p.r.n.
4.Prepare the client for phototherapy. - ✔✔3.Administer oxygen therapy prescribed
p.r.n.
✔✔The nurse has attended a staff development conference about advance directives.
Which of the following information should the nurse understand pertains to advance
directives? Select all that apply.
1.living will
2.organ donation
3.implied consent
4.do not resuscitate (DNR) prescriptions
5.power of attorney for health care - ✔✔1,2,3,4
✔✔The nurse is reinforcing teaching with a client who has iron-deficiency anemia.
Which of the following information should the nurse reinforce? Select all that apply.
1."Continue to take your prescribed iron supplement after your symptoms resolve."
, 2."Consult with a genetic counselor to establish inheritance patterns."
3."Alternate periods of activity and rest throughout the day."
4."Increase your dietary intake of foods such as legumes.""
5."Take the prescribed iron supplement with a glass of milk if you experience gastric
upset." - ✔✔5."Take the prescribed iron supplement with a glass of milk if you
experience gastric upset."
✔✔The nurse is contributing to the plan of care for a client who has a nasogastric (NG)
tube for feeding. Which of the following interventions should the nurse recommend
including in the client's plan of care?
1.Raise the head of the client's bed 15 degrees.
2.Apply sterile gloves to irrigate the client's NG tube.
3.Use pH paper to measure the pH of the client's aspirate.
4.Encourage the client to cough while removing the NG tube. - ✔✔2.Apply sterile gloves
to irrigate the client's NG tube.
✔✔The nurse has received the following information about assigned clients. The nurse
should first check the client
1.who has right-sided heart failure and is reporting frequent urination
2.with active pulmonary tuberculosis (TB) who is reporting expectorating blood-tinged
mucus
3.who has a fractured femur and received a dose of pain medication intramuscularly 1
hour ago and is reporting that the pain has not been relieved
4.with benign prostatic hyperplasia (BPH) who is reporting having no bowel movement
for the past 3 days and is requesting a dose of a prescribed laxative - ✔✔3.who has a
fractured femur and received a dose of pain medication intramuscularly 1 hour ago and
is reporting that the pain has not been relieved
✔✔The nurse is caring for a client who has a prescription to remove a nasogastric (NG)
tube. Which of the following actions should the nurse take?
1.Withdraw the tube steadily while the client takes shallow breaths.
2.Have the client hyperextend the neck before withdrawing the tube.
3.Withdraw the tube quickly while the client holds a deep breath.
4.Have the client flex the neck before withdrawing the tube. - ✔✔3.Withdraw the tube
quickly while the client holds a deep breath.
✔✔The nurse is caring for a client with a panic disorder. Which of the following findings
would the nurse expect to observe?
1.dry skin
2.chest pain
3.decreased pulse
4.delusional thinking - ✔✔2.chest pain
✔✔The nurse is caring for a client who has mycoplasma pneumonia. Which of the
following infection control precautions should the nurse implement?
