RN NCLEX practice test with Complete Solutions Graded A+
1. The nurse is caring for a client di- - Hypertension
agnosed with chronic renal fail- - Hemoptysis
ure who has been taking Epoetin - Dependent edema
alfa for 2 months. What should
the nurse monitor for pertaining Epoetin alfa can cause or worsen high
to Epoetin alfa during the client's blood pressure, induce rapid weight gain,
clinic visit? and swelling of feet and hands. Clients
- Hypertension may experience coughing up of blood as
- Halitosis a result of a rapid increased number of
- Hemoptysis RBCs
- Oliguria
- Dependent edema
2. A nurse is observing two - Stands straight with feet together
unlicensed assistive personnel
(UAP) changing sheets for an im-
mobile, obese client. What un-
acceptable action by the UAPs
would require the nurse to inter-
vene?
- Stands straight with feet to-
gether
- Asks client to lift head off of bed
- Pulls draw sheet with both
hands
- Faces slightly toward head of
bed
3. The housekeeper and a nurse, Not permissible because the housekeep-
having lunch together in the er is not medical personnel
staff lounge, begin discussing
the housekeeper's neighbor who
has been admitted to the floor.
The housekeeper occasionally
helps the neighbor with shop-
ping and cleaning. The conversa-
tion is overheard by the unit sec-
retary, though no names were
mentioned. The conversation is
, RN NCLEX practice test with Complete Solutions Graded A+
reported to the nurse manager,
who determines the situation re-
flects what HIPAA criteria?
- Not permissible because the
housekeeper is not medical per-
sonnel
- Is permissible since the house-
keeper does care for the neigh-
bor
- Not permissible despite fami-
ly stating housekeeper is "Like
family"
- Is permissible given that no
other family members are avail-
able now
4. A nurse is caring for a client A long-term prescription of clonazepam
who has been prescribed clon- should be discontinued gradually
azepam for 6 months. What edu-
cation should the nurse provide The physical symptoms of abruptly dis-
to the client? continuing clonazepam including nausea,
- Your glucose level should feeling tired, and headache..
be monitored while prescribed Integumentary symptoms include rash,
clonazepam alopecia, and hirsutism
- You may experience dry skin Clonazepam is administered by mouth,
periodically while prescribed tablet and disintegrating tablet
clonazepam
- Schedule appointments to have
clonazepam administered intra-
venously
- A long-term prescription of
clonazepam should be discon-
tinued gradually
5. A nurse is planning a health fair - Blood pressure screening
in a Hispanic community com- - Glucose monitoring
posed of primarily young adults. - Influenza vaccination
What would be essential for the - BMI calculation
nurse to provide to this commu- - Test urine for protein
1. The nurse is caring for a client di- - Hypertension
agnosed with chronic renal fail- - Hemoptysis
ure who has been taking Epoetin - Dependent edema
alfa for 2 months. What should
the nurse monitor for pertaining Epoetin alfa can cause or worsen high
to Epoetin alfa during the client's blood pressure, induce rapid weight gain,
clinic visit? and swelling of feet and hands. Clients
- Hypertension may experience coughing up of blood as
- Halitosis a result of a rapid increased number of
- Hemoptysis RBCs
- Oliguria
- Dependent edema
2. A nurse is observing two - Stands straight with feet together
unlicensed assistive personnel
(UAP) changing sheets for an im-
mobile, obese client. What un-
acceptable action by the UAPs
would require the nurse to inter-
vene?
- Stands straight with feet to-
gether
- Asks client to lift head off of bed
- Pulls draw sheet with both
hands
- Faces slightly toward head of
bed
3. The housekeeper and a nurse, Not permissible because the housekeep-
having lunch together in the er is not medical personnel
staff lounge, begin discussing
the housekeeper's neighbor who
has been admitted to the floor.
The housekeeper occasionally
helps the neighbor with shop-
ping and cleaning. The conversa-
tion is overheard by the unit sec-
retary, though no names were
mentioned. The conversation is
, RN NCLEX practice test with Complete Solutions Graded A+
reported to the nurse manager,
who determines the situation re-
flects what HIPAA criteria?
- Not permissible because the
housekeeper is not medical per-
sonnel
- Is permissible since the house-
keeper does care for the neigh-
bor
- Not permissible despite fami-
ly stating housekeeper is "Like
family"
- Is permissible given that no
other family members are avail-
able now
4. A nurse is caring for a client A long-term prescription of clonazepam
who has been prescribed clon- should be discontinued gradually
azepam for 6 months. What edu-
cation should the nurse provide The physical symptoms of abruptly dis-
to the client? continuing clonazepam including nausea,
- Your glucose level should feeling tired, and headache..
be monitored while prescribed Integumentary symptoms include rash,
clonazepam alopecia, and hirsutism
- You may experience dry skin Clonazepam is administered by mouth,
periodically while prescribed tablet and disintegrating tablet
clonazepam
- Schedule appointments to have
clonazepam administered intra-
venously
- A long-term prescription of
clonazepam should be discon-
tinued gradually
5. A nurse is planning a health fair - Blood pressure screening
in a Hispanic community com- - Glucose monitoring
posed of primarily young adults. - Influenza vaccination
What would be essential for the - BMI calculation
nurse to provide to this commu- - Test urine for protein
