Geri Final Nclex Questions and Answers
(Graded A)
A nurse is providing teaching to a client who has a new diagnosis of Ménière's disease. Which
of the following instructions should the nurse include in the teaching?
A. Increase caffeine intake
B. Avoid sudden movements
C. Increase sodium intake
D. Avoid bearing down - ANSWER - B. Avoid sudden movements
A 42-year-old woman with Ménière's disease is admitted with vertigo, nausea, and vomiting.
Which nursing intervention will be included in the care plan?
A. Dim the lights in the patient's room
B. Encourage increased oral fluid intake
C. Change the patient's position every 30 minutes
D. Keep the head of the bed elevated 30 degrees - ANSWER - A. Dim the lights in the patient's
room
The nurse is reviewing the physician's orders for a client with Meniere's disease. Which diet will
most likely be prescribed?
A. Low-cholesterol diet
B. Low-sodium diet
C. Low-carbohydrate diet
D. Low-fat diet - ANSWER - B. Low-sodium diet
Which of the following most accurately describes diabetic retinopathy?
A. High blood glucose causes the retina to detach and bleed.
,B. The retina loses its circulation.
C. Chronic high blood glucose damages retinal capillaries, leading to fluid leakage, swelling,
and growth of abnormal, new blood vessels.
D. High internal eye pressure damages the retina and optic nerve. - ANSWER - C. Chronic high
blood glucose damages retinal capillaries, leading to fluid leakage, swelling, and growth of
abnormal, new blood vessels.
Which are appropriate therapies for patients with diabetic retinopathy? (Select all that apply).
A. Anti-VEGF Injection Therapy
B. Focal/grid Macular Laser Surgery
C. Corticosteroids
D. Use of diuretics
E. Vitrectomy - ANSWER - A. Anti-VEGF Injection Therapy
B. Focal/grid Macular Laser Surgery
C. Corticosteroids
The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes.
Which of these is most helpful in evaluating this patient's long-term glucose management?
A. Urine Specific Gravity
B. Hemoglobin A1c
C. Patient's food diary
D. Fasting blood glucose level - ANSWER - B. Hemoglobin A1c
All of the following individuals are at a higher risk for developing depression except:
A. The 66-year old female who has been taking spironolactone for the past six weeks for a
newly diagnosed heart condition.
B. The 67-year old female who stopped attending church luncheons because they interfere with
her time with her grandchildren.
C. The 84-year old female who lost her husband two years ago.
, D. The 65-year old male who retired 2 months ago from his career as an Airline pilot. -
ANSWER - B. The 67-year old female who stopped attending church luncheons because they
interfere with her time with her grandchildren.
Signs and symptoms of depression in the older adult population may include all of the following
except:
A. Insomnia, fatigue, anorexia and constipation
B. Expression of guilt, remorse, hopelessness and being a burden to others
C. Sleep and psychomotor activity changes
D. Racing thoughts, diaphoresis and paranoia - ANSWER - D. Racing thoughts, diaphoresis and
paranoia
The nurse is developing a plan of care for the client scheduled for cataract surgery. The nurse
documents which more appropriate nursing diagnosis in the plan of care?
A. Self-care deficit
B. Imbalanced nutrition
C. Disturbed sensory perception
D. Anxiety - ANSWER - C. Disturbed sensory perception
The client's vision is tested with a Snellen's chart. The results of the tests are documented as
20/60. The nurse interprets this as:
A. The client can read at a distance of 60 feet what a client with normal vision can read at 20
feet.
B. The client is legally blind.
C. The client's vision is normal
D. The client can read only at a distance of 20 feet what a client with normal vision can read at
60 feet. - ANSWER - D. The client can read only at a distance of 20 feet what a client with
normal vision can read at 60 feet
The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of
the following identifies the accurate procedure for this visual acuity test?
(Graded A)
A nurse is providing teaching to a client who has a new diagnosis of Ménière's disease. Which
of the following instructions should the nurse include in the teaching?
A. Increase caffeine intake
B. Avoid sudden movements
C. Increase sodium intake
D. Avoid bearing down - ANSWER - B. Avoid sudden movements
A 42-year-old woman with Ménière's disease is admitted with vertigo, nausea, and vomiting.
Which nursing intervention will be included in the care plan?
A. Dim the lights in the patient's room
B. Encourage increased oral fluid intake
C. Change the patient's position every 30 minutes
D. Keep the head of the bed elevated 30 degrees - ANSWER - A. Dim the lights in the patient's
room
The nurse is reviewing the physician's orders for a client with Meniere's disease. Which diet will
most likely be prescribed?
A. Low-cholesterol diet
B. Low-sodium diet
C. Low-carbohydrate diet
D. Low-fat diet - ANSWER - B. Low-sodium diet
Which of the following most accurately describes diabetic retinopathy?
A. High blood glucose causes the retina to detach and bleed.
,B. The retina loses its circulation.
C. Chronic high blood glucose damages retinal capillaries, leading to fluid leakage, swelling,
and growth of abnormal, new blood vessels.
D. High internal eye pressure damages the retina and optic nerve. - ANSWER - C. Chronic high
blood glucose damages retinal capillaries, leading to fluid leakage, swelling, and growth of
abnormal, new blood vessels.
Which are appropriate therapies for patients with diabetic retinopathy? (Select all that apply).
A. Anti-VEGF Injection Therapy
B. Focal/grid Macular Laser Surgery
C. Corticosteroids
D. Use of diuretics
E. Vitrectomy - ANSWER - A. Anti-VEGF Injection Therapy
B. Focal/grid Macular Laser Surgery
C. Corticosteroids
The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes.
Which of these is most helpful in evaluating this patient's long-term glucose management?
A. Urine Specific Gravity
B. Hemoglobin A1c
C. Patient's food diary
D. Fasting blood glucose level - ANSWER - B. Hemoglobin A1c
All of the following individuals are at a higher risk for developing depression except:
A. The 66-year old female who has been taking spironolactone for the past six weeks for a
newly diagnosed heart condition.
B. The 67-year old female who stopped attending church luncheons because they interfere with
her time with her grandchildren.
C. The 84-year old female who lost her husband two years ago.
, D. The 65-year old male who retired 2 months ago from his career as an Airline pilot. -
ANSWER - B. The 67-year old female who stopped attending church luncheons because they
interfere with her time with her grandchildren.
Signs and symptoms of depression in the older adult population may include all of the following
except:
A. Insomnia, fatigue, anorexia and constipation
B. Expression of guilt, remorse, hopelessness and being a burden to others
C. Sleep and psychomotor activity changes
D. Racing thoughts, diaphoresis and paranoia - ANSWER - D. Racing thoughts, diaphoresis and
paranoia
The nurse is developing a plan of care for the client scheduled for cataract surgery. The nurse
documents which more appropriate nursing diagnosis in the plan of care?
A. Self-care deficit
B. Imbalanced nutrition
C. Disturbed sensory perception
D. Anxiety - ANSWER - C. Disturbed sensory perception
The client's vision is tested with a Snellen's chart. The results of the tests are documented as
20/60. The nurse interprets this as:
A. The client can read at a distance of 60 feet what a client with normal vision can read at 20
feet.
B. The client is legally blind.
C. The client's vision is normal
D. The client can read only at a distance of 20 feet what a client with normal vision can read at
60 feet. - ANSWER - D. The client can read only at a distance of 20 feet what a client with
normal vision can read at 60 feet
The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of
the following identifies the accurate procedure for this visual acuity test?
