______________________________________
NCLEX-RN EXAM:
Mark K Blue bk (ALL) NCLEX Study Guide
4 SET EXAMS
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: Nursing (Registered Nurse – RN)
COURSE NAME: Nursing Review / NCLEX Preparation / RN Program
(National Council Licensure Examination for Registered Nurses)
EXAM NAME: NCLEX-RN Examination
NCLEX-RN
(National Council Licensure Examination
for Registered Nurses)
, Table of Contents
NCLEX-RN EXAM.................................................................................................2
NCLEX-RN EXAM.............................................................................................. 50
NCLEX-RN EXAM............................................................................................ 137
NCLEX-RN EXAM............................................................................................ 198
NCLEX-RN EXAM REVIEW ............................................................................ 260
Mark Klimek Blue book (ALL) NCLEX Study Guide (2000 TERMS) 285
NCLEX-RN EXAM Set 1
Symptomatic Sinus Bradycardia (Select All That Apply)
A nurse is caring for a client who reports feeling faint, dizzy, and weak. The cardiac
monitor shows sinus bradycardia, with a regular rhythm and a heart rate significantly
below normal. The nurse recognizes that the client is symptomatic and may require
immediate intervention to improve cardiac output and tissue perfusion. Which of the
following actions would be appropriate for the nurse to take? Select all that apply.
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
,2. transcutaneous pacing
- external pacing that stimulates the ventricles to pump at a set rate
5. Assess the client for angina
- Angina (Chest pain) can be caused by both tachycardia (most common) and
bradycardia (rare but can happen). Assessment of angina is appropriate
Rationale:
1. Beta blocker would further decrease HR
3. Valsalva maneuver/Vagal stimulation would further decrease HR. (can be
indicated for sinus Tachy)
4. Chest compressions are for cardiac arrest
The nurse is planning care for a client with moderate Alzheimer's disease
(AD).
Which of the following interventions should the nurse include in the client's
plan of care?
1. Encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behaviors occur.
3. Administer to the client the cholinesterase inhibitor to reverse the course
of AD.
4. Provide the client with information about activity choices in the morning
so the client can make plans for the day.
1. Encourage the client to reminisce about happy memories. Its
possible for AD patients to retain long-term memories
Rationale:
2. Acknowledge feelings --> Redirect is protocol for Dementia. Don't
confront; they can't learn
3. AD is irreversible
4. In moderate AD, dementia has already progressed to where pt needs
help with ADLs and planning daily activities. Asking them to plan can
frustrate them and cause distress.
, STRUCTURED pleasant activities that consider the persons likes and interests
are the best.
Crutch Walking Education
A nurse is teaching a client how to safely ambulate using crutches following a lower-
extremity injury. The nurse explains that proper crutch use helps prevent falls, promotes
mobility, and reduces the risk of nerve and muscle injury. Which of the following
information should the nurse include in the teaching?
1. "Use your hands and arms to support your body weight."
2. "Wear slippers when ambulating with the crutches in your home."
3. "Maintain the crutches 12 in (30 cm) in front of your feet while standing."
4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
1. "Use your hands and arms to support your body weight."
True! But watch out if it isn't 2-3 finger-widths, crutch paralysis can occur.
s/s: paresis and paresthesias in wrists and hands
Rationales:
2. Fall risk!
3. Should be 6 in. in front and 6 in. lateral
4. Elbows should be bent at 30 degree angle
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would indicate a correct
understanding of the teaching?
5. "I will complete all of my household chores in the morning when I
am well rested."
6. "I have learned how to massage my bladder to help empty my
bladder completely."
7. "I will take a hot bath in the evening to help me relax if I have had a
stressful day at work."
8. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
4. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
MS causes nerve damage and can result in optic neuritis (vision loss, burry
NCLEX-RN EXAM:
Mark K Blue bk (ALL) NCLEX Study Guide
4 SET EXAMS
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: Nursing (Registered Nurse – RN)
COURSE NAME: Nursing Review / NCLEX Preparation / RN Program
(National Council Licensure Examination for Registered Nurses)
EXAM NAME: NCLEX-RN Examination
NCLEX-RN
(National Council Licensure Examination
for Registered Nurses)
, Table of Contents
NCLEX-RN EXAM.................................................................................................2
NCLEX-RN EXAM.............................................................................................. 50
NCLEX-RN EXAM............................................................................................ 137
NCLEX-RN EXAM............................................................................................ 198
NCLEX-RN EXAM REVIEW ............................................................................ 260
Mark Klimek Blue book (ALL) NCLEX Study Guide (2000 TERMS) 285
NCLEX-RN EXAM Set 1
Symptomatic Sinus Bradycardia (Select All That Apply)
A nurse is caring for a client who reports feeling faint, dizzy, and weak. The cardiac
monitor shows sinus bradycardia, with a regular rhythm and a heart rate significantly
below normal. The nurse recognizes that the client is symptomatic and may require
immediate intervention to improve cardiac output and tissue perfusion. Which of the
following actions would be appropriate for the nurse to take? Select all that apply.
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
,2. transcutaneous pacing
- external pacing that stimulates the ventricles to pump at a set rate
5. Assess the client for angina
- Angina (Chest pain) can be caused by both tachycardia (most common) and
bradycardia (rare but can happen). Assessment of angina is appropriate
Rationale:
1. Beta blocker would further decrease HR
3. Valsalva maneuver/Vagal stimulation would further decrease HR. (can be
indicated for sinus Tachy)
4. Chest compressions are for cardiac arrest
The nurse is planning care for a client with moderate Alzheimer's disease
(AD).
Which of the following interventions should the nurse include in the client's
plan of care?
1. Encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behaviors occur.
3. Administer to the client the cholinesterase inhibitor to reverse the course
of AD.
4. Provide the client with information about activity choices in the morning
so the client can make plans for the day.
1. Encourage the client to reminisce about happy memories. Its
possible for AD patients to retain long-term memories
Rationale:
2. Acknowledge feelings --> Redirect is protocol for Dementia. Don't
confront; they can't learn
3. AD is irreversible
4. In moderate AD, dementia has already progressed to where pt needs
help with ADLs and planning daily activities. Asking them to plan can
frustrate them and cause distress.
, STRUCTURED pleasant activities that consider the persons likes and interests
are the best.
Crutch Walking Education
A nurse is teaching a client how to safely ambulate using crutches following a lower-
extremity injury. The nurse explains that proper crutch use helps prevent falls, promotes
mobility, and reduces the risk of nerve and muscle injury. Which of the following
information should the nurse include in the teaching?
1. "Use your hands and arms to support your body weight."
2. "Wear slippers when ambulating with the crutches in your home."
3. "Maintain the crutches 12 in (30 cm) in front of your feet while standing."
4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
1. "Use your hands and arms to support your body weight."
True! But watch out if it isn't 2-3 finger-widths, crutch paralysis can occur.
s/s: paresis and paresthesias in wrists and hands
Rationales:
2. Fall risk!
3. Should be 6 in. in front and 6 in. lateral
4. Elbows should be bent at 30 degree angle
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would indicate a correct
understanding of the teaching?
5. "I will complete all of my household chores in the morning when I
am well rested."
6. "I have learned how to massage my bladder to help empty my
bladder completely."
7. "I will take a hot bath in the evening to help me relax if I have had a
stressful day at work."
8. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
4. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
MS causes nerve damage and can result in optic neuritis (vision loss, burry
