Comprehensive NCLEX-RN Challenge
Exam #1 100%Complete Graded A+
Verified Answers
1. Pharmacological and Parenteral Therapies
The nurse is caring for a 65-year-old male client with a history of ischemic heart
disease who has been admitted to the ICU following a myocardial infarction. The
client is currently receiving lidocaine I.V. to manage his ventricular ectopy, which
has been persistent. Which of the following factors would be most important for
the nurse to consider in relation to the administration of this medication?
ANS: -Presence of premature ventricular contractions (PVCs) on a cardiac
monitor
2. Pharmacological and Parenteral Therapies
A 72-year-old male patient with a history of atrial fibrillation and controlled
hypertension has been initiated on warfarin therapy. Upon assessment of the
patient’s history, it was revealed that he has a history of peptic ulcer. This patient
also has a recent history of a peptic ulcer. Given the client’s medical history and
current medication regimen, which of the following instructions should the nurse
prioritize when providing discharge teaching?
ANS: - B. Avoid foods high in vitamin K
3. Reduction of Risk Potential
In a busy surgical unit, a nurse is preparing to insert an I.V. catheter for a 33-
year-old patient who is scheduled for elective surgery and has a notably hairy
forearm where the I.V. is to be placed. The patient is allergic to a variety of
adhesives and has sensitive skin that is prone to irritation. Given these
considerations, how should the nurse manage excess hair at the intended
catheter insertion site?
ANS:- C. Clipping the hair in the area
, 4. Health Promotion and Maintenance
A nurse is tasked with the education of an elderly female patient who has been
recently diagnosed with osteoporosis. The patient leads a sedentary lifestyle, has
a diet low in calcium, has undergone menopause ten years prior, and has a
visibly kyphotic posture. In planning the education for this patient, which of the
following complications should the nurse emphasize as the most significant risk
associated with osteoporosis, especially considering the patient’s profile?
ANS: - A. Increased susceptibility to bone fractures from minimal trauma
5. Health Promotion and Maintenance
A community health nurse is conducting a workshop on breast health for a group
of women with diverse backgrounds, ranging from those who have never
performed Breast Self-Examination (BSE) to some who have had benign breast
conditions in the past. As part of the educational session, the nurse emphasizes
the importance of BSE for the early detection of potential breast anomalies. What
should the nurse identify as the primary goal for these women in performing
regular BSE?
ANS: - To notice any changes in the breast tissue from what is normal for each
individual
6. Health Promotion and Maintenance
A community health nurse is conducting a workshop on breast health for a group
of women with diverse backgrounds, ranging from those who have never
performed Breast Self-Examination (BSE) to some who have had benign breast
conditions in the past. As part of the educational session, the nurse emphasizes
the importance of BSE for the early detection of potential breast anomalies. What
should the nurse identify as the primary goal for these women in performing
regular BSE?
ANS: -C. Create a balance between the client's periods of activity and rest to
manage fatigue without exacerbating symptoms
7. Health Promotion and Maintenance
A nurse is providing discharge education to a 55-year-old client who has been
hospitalized with symptoms leading to a diagnosis of atherosclerosis. The client
Exam #1 100%Complete Graded A+
Verified Answers
1. Pharmacological and Parenteral Therapies
The nurse is caring for a 65-year-old male client with a history of ischemic heart
disease who has been admitted to the ICU following a myocardial infarction. The
client is currently receiving lidocaine I.V. to manage his ventricular ectopy, which
has been persistent. Which of the following factors would be most important for
the nurse to consider in relation to the administration of this medication?
ANS: -Presence of premature ventricular contractions (PVCs) on a cardiac
monitor
2. Pharmacological and Parenteral Therapies
A 72-year-old male patient with a history of atrial fibrillation and controlled
hypertension has been initiated on warfarin therapy. Upon assessment of the
patient’s history, it was revealed that he has a history of peptic ulcer. This patient
also has a recent history of a peptic ulcer. Given the client’s medical history and
current medication regimen, which of the following instructions should the nurse
prioritize when providing discharge teaching?
ANS: - B. Avoid foods high in vitamin K
3. Reduction of Risk Potential
In a busy surgical unit, a nurse is preparing to insert an I.V. catheter for a 33-
year-old patient who is scheduled for elective surgery and has a notably hairy
forearm where the I.V. is to be placed. The patient is allergic to a variety of
adhesives and has sensitive skin that is prone to irritation. Given these
considerations, how should the nurse manage excess hair at the intended
catheter insertion site?
ANS:- C. Clipping the hair in the area
, 4. Health Promotion and Maintenance
A nurse is tasked with the education of an elderly female patient who has been
recently diagnosed with osteoporosis. The patient leads a sedentary lifestyle, has
a diet low in calcium, has undergone menopause ten years prior, and has a
visibly kyphotic posture. In planning the education for this patient, which of the
following complications should the nurse emphasize as the most significant risk
associated with osteoporosis, especially considering the patient’s profile?
ANS: - A. Increased susceptibility to bone fractures from minimal trauma
5. Health Promotion and Maintenance
A community health nurse is conducting a workshop on breast health for a group
of women with diverse backgrounds, ranging from those who have never
performed Breast Self-Examination (BSE) to some who have had benign breast
conditions in the past. As part of the educational session, the nurse emphasizes
the importance of BSE for the early detection of potential breast anomalies. What
should the nurse identify as the primary goal for these women in performing
regular BSE?
ANS: - To notice any changes in the breast tissue from what is normal for each
individual
6. Health Promotion and Maintenance
A community health nurse is conducting a workshop on breast health for a group
of women with diverse backgrounds, ranging from those who have never
performed Breast Self-Examination (BSE) to some who have had benign breast
conditions in the past. As part of the educational session, the nurse emphasizes
the importance of BSE for the early detection of potential breast anomalies. What
should the nurse identify as the primary goal for these women in performing
regular BSE?
ANS: -C. Create a balance between the client's periods of activity and rest to
manage fatigue without exacerbating symptoms
7. Health Promotion and Maintenance
A nurse is providing discharge education to a 55-year-old client who has been
hospitalized with symptoms leading to a diagnosis of atherosclerosis. The client
