Saunders Comprehensive Review for the
NCLEX-RN Exam Unit 1: Preparation
A client is scheduled for angioplasty. The client says to the nurse, "I'm so afraid that
it will hurt and will make me worse off than I am." Which response by the nurse is
therapeutic?
1. "Can you tell me what you understand about the procedure?"
2. "Your fears are a sign that you really should have this procedure."
3. "Those are very normal fears, but please be assured that everything will be okay."
4. Try not to worry. This is a well-known and easy procedure for the health care
provider." - ANS-1.
\a client who experienced a myocardial infarction is being monitored via cardiac
telemetry. The nurse notes the sudden onset of this cardiac rhythm on the monitor
(refer to figure and immediately takes which action? - ANS-
\A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which client statement indicates an understanding of this
stress reduction measure?
1. "This will help only if I play music at the same time."
2. "This will work for me only if I am alone in a quiet area."
3. "I need to do this only when I lie down in case I fall asleep."
4. The best thing about this is that I can use it anywhere, anytime." - ANS-4.
\A client with Parkinson's disease develops akinesia while ambulating, increasing the
risk for falls. Which suggestion should the nurse provide to the client to alleviate this
problem?
1. Use a wheelchair to move around.
2. Stand erect and use a cane to ambulate.
3. Keep the feet close together while ambulating and use a walker.
4. Consciously think about walking over imaginary lines on the floor. - ANS-4.
\A client with renal insuffeciency has a magnesium level of 3.5 mEq/L (1.75 mmol/L).
On the basis of this laboratory result, the nurse interprets which sign as significant?
1. Hyperpnea
2. Drowsiness
3. Hypertension
4. Physical hyperactivity - ANS-2.
\A magnetic resonance imaging (MRI) study is prescribed for a client with a
suspected brain tumor. The nurse should implement which action to prepare the
client for this test?
1. Shave the groin for insertion of a femoral catheter.
2. Remove all metal-containing objects from the client.
3. Keep the client NPO (nil per os; nothing by mouth) for 6 hours before the test.
NCLEX-RN Exam Unit 1: Preparation
A client is scheduled for angioplasty. The client says to the nurse, "I'm so afraid that
it will hurt and will make me worse off than I am." Which response by the nurse is
therapeutic?
1. "Can you tell me what you understand about the procedure?"
2. "Your fears are a sign that you really should have this procedure."
3. "Those are very normal fears, but please be assured that everything will be okay."
4. Try not to worry. This is a well-known and easy procedure for the health care
provider." - ANS-1.
\a client who experienced a myocardial infarction is being monitored via cardiac
telemetry. The nurse notes the sudden onset of this cardiac rhythm on the monitor
(refer to figure and immediately takes which action? - ANS-
\A client with coronary artery disease has selected guided imagery to help cope with
psychological stress. Which client statement indicates an understanding of this
stress reduction measure?
1. "This will help only if I play music at the same time."
2. "This will work for me only if I am alone in a quiet area."
3. "I need to do this only when I lie down in case I fall asleep."
4. The best thing about this is that I can use it anywhere, anytime." - ANS-4.
\A client with Parkinson's disease develops akinesia while ambulating, increasing the
risk for falls. Which suggestion should the nurse provide to the client to alleviate this
problem?
1. Use a wheelchair to move around.
2. Stand erect and use a cane to ambulate.
3. Keep the feet close together while ambulating and use a walker.
4. Consciously think about walking over imaginary lines on the floor. - ANS-4.
\A client with renal insuffeciency has a magnesium level of 3.5 mEq/L (1.75 mmol/L).
On the basis of this laboratory result, the nurse interprets which sign as significant?
1. Hyperpnea
2. Drowsiness
3. Hypertension
4. Physical hyperactivity - ANS-2.
\A magnetic resonance imaging (MRI) study is prescribed for a client with a
suspected brain tumor. The nurse should implement which action to prepare the
client for this test?
1. Shave the groin for insertion of a femoral catheter.
2. Remove all metal-containing objects from the client.
3. Keep the client NPO (nil per os; nothing by mouth) for 6 hours before the test.
