NCLEX-PN Comprehensive Final Exam Review
The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The
child is in the convalescent stage and is being prepared for discharge. Which statement by the parents
indicates a need for further teaching?
1. We need to encourage adequate fluid intake
2. Coughing spells may be triggered by dust or smoke
3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks
4. Good hand-washing techniques need to be instituted to prevent spreading the disease to others -
(ANSWER)3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks
A client enters the emergency department confused, twitching, & having seizures. His family states he
recently was placed on corticosteroids for arthritis & was feeling better & exercising daily. Upon
assessment, he has flushed skin, dry mucous membranes, an elevated temperature, & poor skin turgor.
His serum sodium level is 172 mEq/L. Which interventions would the health care provider likely
prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements - (ANSWER)1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
The nurse is monitoring a client receiving glipizide (glucotrol). Which outcome indicates an ineffective
response from the medication.
1. A decrease in polyuria
,NCLEX-PN Comprehensive Final Exam Review
2. A decrease in polyphagia
3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% - (ANSWER)4. A glycosylated hemoglobin level of 12%
The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should be
included in the plan of care for instructions?
1. Maintain a high fluid intake
2. Discontinue the medication when feeling better
3. If the urine turns dark brown, call the health care provider immediately
4. Decrease the dosage when symptoms are improving to prevent an allergic response - (ANSWER)1.
Maintain a high fluid intake
Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for
gastric residual volume. Which is the best rationale for checking gastric residual volume before
administering the tube feeding?
1. Observe the digestion of formula
2. Check fluid & electrolyte status
3. Evaluate absorption of the last feeding
4. Confirm proper nasogastric tube placement - (ANSWER)3. Evaluate absorption of the last feeding
A postoperative client requests medication for flatulence (gas pains). Which medication from the
following PRN list should the nurse administer to this client
1. Ondansetron (zofran)
2. Simethicone (mylicon)
3. Acetaminophen (tylenol)
4. Magnesium hydroxide ( milk of mag) - (ANSWER)2. Simethicone (mylicon)
, NCLEX-PN Comprehensive Final Exam Review
A client is admitted to the hospital with a diagnosis of major depression. During the admission interview,
the nurse determines that a major concern is the client's altered nutrition related to poor nutritional
intake. Which nursing intervention related to altered nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake
3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult as soon as possible
4. Offer the client several small, frequent meals daily, and schedule brief nursing interactions with the
client during these times - (ANSWER)4. Offer the client several small, frequent meals daily, and schedule
brief nursing interactions with the client during these times
A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the client
for a potential hypoglycemic reaction at which time?
1. 5:00 pm
2. 10:00 am
3. 11:00 am
4. 11:00 pm - (ANSWER)1. 5:00 pm
The nurse assist in developing a plan of care for a client with hyperparathyroidism receiving calcitonin-
human (Cibacalcin). Which outcome has the highest priority regarding this medication?
1. Relief of pain
2. Absence of side effects
3. Reaching normal serum calcium levels
4. Verbalization of appropriate medication knowledge - (ANSWER)3. Reaching normal serum calcium
levels
The nursing instructor asks a nursing student about the cause of hemophilia. The student correctly
responds by telling the instructor which fact about hemophilia.
The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The
child is in the convalescent stage and is being prepared for discharge. Which statement by the parents
indicates a need for further teaching?
1. We need to encourage adequate fluid intake
2. Coughing spells may be triggered by dust or smoke
3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks
4. Good hand-washing techniques need to be instituted to prevent spreading the disease to others -
(ANSWER)3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks
A client enters the emergency department confused, twitching, & having seizures. His family states he
recently was placed on corticosteroids for arthritis & was feeling better & exercising daily. Upon
assessment, he has flushed skin, dry mucous membranes, an elevated temperature, & poor skin turgor.
His serum sodium level is 172 mEq/L. Which interventions would the health care provider likely
prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements - (ANSWER)1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
The nurse is monitoring a client receiving glipizide (glucotrol). Which outcome indicates an ineffective
response from the medication.
1. A decrease in polyuria
,NCLEX-PN Comprehensive Final Exam Review
2. A decrease in polyphagia
3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% - (ANSWER)4. A glycosylated hemoglobin level of 12%
The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should be
included in the plan of care for instructions?
1. Maintain a high fluid intake
2. Discontinue the medication when feeling better
3. If the urine turns dark brown, call the health care provider immediately
4. Decrease the dosage when symptoms are improving to prevent an allergic response - (ANSWER)1.
Maintain a high fluid intake
Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for
gastric residual volume. Which is the best rationale for checking gastric residual volume before
administering the tube feeding?
1. Observe the digestion of formula
2. Check fluid & electrolyte status
3. Evaluate absorption of the last feeding
4. Confirm proper nasogastric tube placement - (ANSWER)3. Evaluate absorption of the last feeding
A postoperative client requests medication for flatulence (gas pains). Which medication from the
following PRN list should the nurse administer to this client
1. Ondansetron (zofran)
2. Simethicone (mylicon)
3. Acetaminophen (tylenol)
4. Magnesium hydroxide ( milk of mag) - (ANSWER)2. Simethicone (mylicon)
, NCLEX-PN Comprehensive Final Exam Review
A client is admitted to the hospital with a diagnosis of major depression. During the admission interview,
the nurse determines that a major concern is the client's altered nutrition related to poor nutritional
intake. Which nursing intervention related to altered nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake
3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult as soon as possible
4. Offer the client several small, frequent meals daily, and schedule brief nursing interactions with the
client during these times - (ANSWER)4. Offer the client several small, frequent meals daily, and schedule
brief nursing interactions with the client during these times
A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the client
for a potential hypoglycemic reaction at which time?
1. 5:00 pm
2. 10:00 am
3. 11:00 am
4. 11:00 pm - (ANSWER)1. 5:00 pm
The nurse assist in developing a plan of care for a client with hyperparathyroidism receiving calcitonin-
human (Cibacalcin). Which outcome has the highest priority regarding this medication?
1. Relief of pain
2. Absence of side effects
3. Reaching normal serum calcium levels
4. Verbalization of appropriate medication knowledge - (ANSWER)3. Reaching normal serum calcium
levels
The nursing instructor asks a nursing student about the cause of hemophilia. The student correctly
responds by telling the instructor which fact about hemophilia.
