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RN NCLEX COMPREHENSIVE EXAM FINAL REVIEW
LATEST VERSION WITH ALL 500 QUESTIONS AND
CORRECT DETAILED SOLUTIONS RELEASED THIS YEAR
Question: A nurse who will be staffing a booth at a health fair is preparing pamphlets containing
information regarding the risk factors for osteoporosis. Which of the following risk factors does
the nurse include in the pamphlet? Select all that apply.
A. Smoking
B. A high-calcium diet
C. High alcohol intake
D. White or Asian ethnicity
E. Participation in physical activities that promote flexibility and muscle strength - CORRECT
ANSWER✔✔A. Smoking
C. High alcohol intake
D. White or Asian ethnicity
Rationale: Osteoporosis is a chronic metabolic disease in which bone loss results in decreased
density and sometimes fractures. Risk factors include being 65 years or older in women, 75
years or older in men, family history of the disorder, history of fracture after age 50, white or
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Asian ethnicity, low body weight and slender build, chronically low calcium intake, a history of
smoking, high alcohol intake, and lack of physical exercise or prolonged immobility.
Question: A licensed practice nurse is reinforcing instruction to a client with osteoporosis
regarding appropriate foods to include in the diet. The licensed practice nurse tells the client
that one food item high in calcium is:
A. Corn
B. Cocoa
C. Peaches
D. Sardines - CORRECT ANSWER✔✔D. Sardines
Rationale: Osteoporosis is a chronic metabolic disease in which bone loss results in decreased
density and sometimes fractures. Foods high in calcium include milk and milk products, dark-
green leafy vegetables, tofu and other soy products, sardines, and hard water. Corn, cocoa, and
peaches do not contain appreciable amounts of calcium.
Question: A licensed practice nurse is reinforcing information to a client with acute gout about
home care. Which of the following measures does the licensed practice nurse tell the client to
take? Select all that apply.
A. Drinking 2 to 3 L of fluid each day
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B. Applying heat packs to the affected joint
C. Resting and immobilizing the affected area
D. Consuming foods high in purines
E. Performing range-of-motion exercise to the affected joint three times a day - CORRECT
ANSWER✔✔A. Drinking 2 to 3 L of fluid each day
C. Resting and immobilizing the affected area
Rationale: Gout is a systemic disease in which urate crystals are deposited in the joints and
other tissues, resulting in inflammation. In acute gout, rest and immobilization are
recommended until the acute attack and inflammation have subsided. Local application of cold
may help relieve the pain. The application of heat is avoided because it may worsen the
inflammatory process. Dietary instructions include reducing or eliminating alcohol intake and
avoiding excessive intake of foods containing purines (e.g., sweetbreads, yeast, heart, herring,
herring roe, sardines). The client is encouraged to drink 2 to 3 L of fluid per day to help
eliminate uric acid and to prevent the formation of renal calculi.
Question: Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment
does the nurse perform as a priority before administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - CORRECT
ANSWER✔✔A. Checking the client's blood pressure
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Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose. Checking the
client's peripheral pulses, the results of the most recent potassium level, and the intake and
output for the previous 24 hours are not specifically associated with this mediation.
Question: A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
licensed practical nurse reinforces instructions to the client about the test. Which statement by
the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema
on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll have to drink
for the test can be constipating." - CORRECT ANSWER✔✔C. "I need to drink citrate of magnesia
the night before the test and give myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast medium
(usually barium), which is administered in a flavored milkshake. Films are taken at intervals
during the test, which takes about 30 minutes. No special preparation is necessary before a GI
series, except that NPO status must be maintained for 8 hours before the test. After an upper GI
series, the client is prescribed a laxative to hasten elimination of the barium. Barium that
remains in the colon may become hard and difficult to expel, leading to fecal impaction.
RN NCLEX COMPREHENSIVE EXAM FINAL REVIEW
LATEST VERSION WITH ALL 500 QUESTIONS AND
CORRECT DETAILED SOLUTIONS RELEASED THIS YEAR
Question: A nurse who will be staffing a booth at a health fair is preparing pamphlets containing
information regarding the risk factors for osteoporosis. Which of the following risk factors does
the nurse include in the pamphlet? Select all that apply.
A. Smoking
B. A high-calcium diet
C. High alcohol intake
D. White or Asian ethnicity
E. Participation in physical activities that promote flexibility and muscle strength - CORRECT
ANSWER✔✔A. Smoking
C. High alcohol intake
D. White or Asian ethnicity
Rationale: Osteoporosis is a chronic metabolic disease in which bone loss results in decreased
density and sometimes fractures. Risk factors include being 65 years or older in women, 75
years or older in men, family history of the disorder, history of fracture after age 50, white or
, Page 2 of 190
Asian ethnicity, low body weight and slender build, chronically low calcium intake, a history of
smoking, high alcohol intake, and lack of physical exercise or prolonged immobility.
Question: A licensed practice nurse is reinforcing instruction to a client with osteoporosis
regarding appropriate foods to include in the diet. The licensed practice nurse tells the client
that one food item high in calcium is:
A. Corn
B. Cocoa
C. Peaches
D. Sardines - CORRECT ANSWER✔✔D. Sardines
Rationale: Osteoporosis is a chronic metabolic disease in which bone loss results in decreased
density and sometimes fractures. Foods high in calcium include milk and milk products, dark-
green leafy vegetables, tofu and other soy products, sardines, and hard water. Corn, cocoa, and
peaches do not contain appreciable amounts of calcium.
Question: A licensed practice nurse is reinforcing information to a client with acute gout about
home care. Which of the following measures does the licensed practice nurse tell the client to
take? Select all that apply.
A. Drinking 2 to 3 L of fluid each day
, Page 3 of 190
B. Applying heat packs to the affected joint
C. Resting and immobilizing the affected area
D. Consuming foods high in purines
E. Performing range-of-motion exercise to the affected joint three times a day - CORRECT
ANSWER✔✔A. Drinking 2 to 3 L of fluid each day
C. Resting and immobilizing the affected area
Rationale: Gout is a systemic disease in which urate crystals are deposited in the joints and
other tissues, resulting in inflammation. In acute gout, rest and immobilization are
recommended until the acute attack and inflammation have subsided. Local application of cold
may help relieve the pain. The application of heat is avoided because it may worsen the
inflammatory process. Dietary instructions include reducing or eliminating alcohol intake and
avoiding excessive intake of foods containing purines (e.g., sweetbreads, yeast, heart, herring,
herring roe, sardines). The client is encouraged to drink 2 to 3 L of fluid per day to help
eliminate uric acid and to prevent the formation of renal calculi.
Question: Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment
does the nurse perform as a priority before administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours - CORRECT
ANSWER✔✔A. Checking the client's blood pressure
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Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would
check the client's blood pressure immediately before administering each dose. Checking the
client's peripheral pulses, the results of the most recent potassium level, and the intake and
output for the previous 24 hours are not specifically associated with this mediation.
Question: A client is scheduled to undergo an upper gastrointestinal (GI) series, and the
licensed practical nurse reinforces instructions to the client about the test. Which statement by
the client indicates a need for further instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema
on the morning of the test."
D. "I need to take a laxative after the test is completed, because the liquid that I'll have to drink
for the test can be constipating." - CORRECT ANSWER✔✔C. "I need to drink citrate of magnesia
the night before the test and give myself a Fleet enema on the morning of the test."
Rationale: An upper GI series involves visualization of the esophagus, duodenum, and upper
jejunum by means of the use of a contrast medium. It involves swallowing a contrast medium
(usually barium), which is administered in a flavored milkshake. Films are taken at intervals
during the test, which takes about 30 minutes. No special preparation is necessary before a GI
series, except that NPO status must be maintained for 8 hours before the test. After an upper GI
series, the client is prescribed a laxative to hasten elimination of the barium. Barium that
remains in the colon may become hard and difficult to expel, leading to fecal impaction.
