BoardVitals NCLEX Prep RN Exam Questions &
Answers.
A nurse is caring for a client who is recovering after a myocardial infarction. When
advising the client to exercise gradually and slowly increase the distance walked, which
vital sign should the nurse teach the client to monitor determine whether to increase of
decrease exercise levels? - Correct Answer Pulse rate
*The client who is on a progressive exercise program at home after an MI should be
taught to monitor heart rate. The pulse rate is expected to increase with exercise but
should not increase more than 25 bpm above baseline.
A nurse is teaching a client who has osteoarthritis of the hip and knee about self-
management of the disease. Which of the following statements should the nurse include
in the teaching? SATA - Correct Answer -"Apply heat to your joints to alleviate pain."
-"Avoid bending your joints to the point it becomes painful when exercising."
-"Use a firm mattress for sleeping."
The nurse is preparing to teach a client with peptic ulcer disease about a diet that should
be followed after discharge. The nurse should encourage the client to eat which of the
following? - Correct Answer Any food that are tolerated
*Diet therapy for ulcer disease is controversial. There is no scientific evidence that diet
therapy promotes healing. Most clients are instructed to follow a diet they can tolerate.
A nurse is caring for an adult client who was admitted with manifestations of shock. The
client has a prescription for an afterload-reducing medication. They nurse should
recognize that this medication is administered for which of the following types of shock? -
Correct Answer Cardiogenic
A nurse is reviewing the medical record of a client who has cirrhosis. Which of the
following medications should the nurse expect the provider prescribe? SATA - Correct
Answer -Spironolactone
-Propranolol
-Lactulose
, A nurse is caring for a client who was admitted to the emergency department with
hematemesis. Which of the following is the priority nursing intervention? - Correct Answer
Establish IV access with a large-bore IV
A nurse is teaching a female client who is starting nicotine replacement therapy. Which of
the following statements by the client indicates an understanding of the teaching? -
Correct Answer "I should avoid eating right before I chew a piece of nicotine gum."
A nurse is assessing a preschooler who has heart failure. Which of the following
manifestations should the nurse expect? - Correct Answer Orthopnea
A nurse is providing teaching for a client who has hypothyroidism and a new prescription
for levothyroxine. Which of the following information should the nurse include in the
teaching? SATA - Correct Answer -Laboratory testing will be required while taking this
medication.
-Take the medication on an empty stomach
*Serum thyroid-stimulating hormone (TSH) levels are used to monitor the effectiveness
of the medication. The medication should be taken on an empty stomach to promote
absorption.
A charge nurse on a pediatric unit is reviewing the laboratory results for four preschooler.
Which of the following values should the nurse report to the provider? - Correct Answer
Iron 38 mcg/dL
*This iron level is below the expected reference range for children, which is 50 to 120
mcg/dL, and should be reported to the provider.
What type of colostomy is used for the management of anorectal malformation in a
neonate? - Correct Answer A divided descending colostomy
*Divided descending colostomy is also known as a double-barreled colostomy. This type
of colostomy completely diverts fecal contents, provides bowel decompression, and
preserves the distal colon for surgical repair at one or two months of life.
A nurse is caring for a client in a physician's office who has new laboratory test results
that reveal total cholesterol 230 mg/dL, HDL 30 mg/dL, and LDL 156 mg/dL. The client
states, "I am so upset about the results." Which of the following would be the nurse;s
Answers.
A nurse is caring for a client who is recovering after a myocardial infarction. When
advising the client to exercise gradually and slowly increase the distance walked, which
vital sign should the nurse teach the client to monitor determine whether to increase of
decrease exercise levels? - Correct Answer Pulse rate
*The client who is on a progressive exercise program at home after an MI should be
taught to monitor heart rate. The pulse rate is expected to increase with exercise but
should not increase more than 25 bpm above baseline.
A nurse is teaching a client who has osteoarthritis of the hip and knee about self-
management of the disease. Which of the following statements should the nurse include
in the teaching? SATA - Correct Answer -"Apply heat to your joints to alleviate pain."
-"Avoid bending your joints to the point it becomes painful when exercising."
-"Use a firm mattress for sleeping."
The nurse is preparing to teach a client with peptic ulcer disease about a diet that should
be followed after discharge. The nurse should encourage the client to eat which of the
following? - Correct Answer Any food that are tolerated
*Diet therapy for ulcer disease is controversial. There is no scientific evidence that diet
therapy promotes healing. Most clients are instructed to follow a diet they can tolerate.
A nurse is caring for an adult client who was admitted with manifestations of shock. The
client has a prescription for an afterload-reducing medication. They nurse should
recognize that this medication is administered for which of the following types of shock? -
Correct Answer Cardiogenic
A nurse is reviewing the medical record of a client who has cirrhosis. Which of the
following medications should the nurse expect the provider prescribe? SATA - Correct
Answer -Spironolactone
-Propranolol
-Lactulose
, A nurse is caring for a client who was admitted to the emergency department with
hematemesis. Which of the following is the priority nursing intervention? - Correct Answer
Establish IV access with a large-bore IV
A nurse is teaching a female client who is starting nicotine replacement therapy. Which of
the following statements by the client indicates an understanding of the teaching? -
Correct Answer "I should avoid eating right before I chew a piece of nicotine gum."
A nurse is assessing a preschooler who has heart failure. Which of the following
manifestations should the nurse expect? - Correct Answer Orthopnea
A nurse is providing teaching for a client who has hypothyroidism and a new prescription
for levothyroxine. Which of the following information should the nurse include in the
teaching? SATA - Correct Answer -Laboratory testing will be required while taking this
medication.
-Take the medication on an empty stomach
*Serum thyroid-stimulating hormone (TSH) levels are used to monitor the effectiveness
of the medication. The medication should be taken on an empty stomach to promote
absorption.
A charge nurse on a pediatric unit is reviewing the laboratory results for four preschooler.
Which of the following values should the nurse report to the provider? - Correct Answer
Iron 38 mcg/dL
*This iron level is below the expected reference range for children, which is 50 to 120
mcg/dL, and should be reported to the provider.
What type of colostomy is used for the management of anorectal malformation in a
neonate? - Correct Answer A divided descending colostomy
*Divided descending colostomy is also known as a double-barreled colostomy. This type
of colostomy completely diverts fecal contents, provides bowel decompression, and
preserves the distal colon for surgical repair at one or two months of life.
A nurse is caring for a client in a physician's office who has new laboratory test results
that reveal total cholesterol 230 mg/dL, HDL 30 mg/dL, and LDL 156 mg/dL. The client
states, "I am so upset about the results." Which of the following would be the nurse;s
