NCLEX EXAM PREP TIMBYS 2026 COMPLETE
ANSWERS NURSING CONTENT REVIEW AND
PRACTICE RESOURCE
◉ A nurse is teaching an elderly client about developing good bowel
habits. Which statement by the client indicates to the nurse that
additional teaching is required?
Answer: "I need to use laxatives regularly to prevent constipation."
Explanation:
The client requires more teaching if he states that he'll use laxatives
regularly to prevent constipation. The nurse should teach this client
to gradually eliminate the use of laxatives because using laxatives to
promote regular bowel movements may have the opposite effect. A
high-fiber diet, ample amounts of fluids, and regular exercise
promote good bowel health.
◉ A client with newly diagnosed chronic obstructive pulmonary
disease (COPD) comes to the clinic for a routine examination. The
nurse teaches the client strategies for preventing airway irritation
and infection. Which statement by the client best indicates that
teaching was successful?
Answer: "I should avoid using powders."
,Explanation:
There are many considerations when a client is diagnosed with
COPD. A client with COPD should avoid exposure to powders, dust,
and smoke from cigarettes, pipes, and cigars. The client should stay
away from crowds should avoid aerosol sprays as a precaution. The
client should also obtain immunizations against pneumococcal
pneumonia as well as influenza. A combination of measures is
needed to maintain the client's highest level of respiratory function.
◉ A 15-year-old client is 4 cm dilated and 100% effaced and is in
active labor with her first baby. The nurse contacts the physician to
communicate the findings of fetal heart rate decelerations, thick
meconium in the amniotic fluid, and low fetal scalp pH results. What
is the most appropriate nursing action at this time?
Answer: Prepare the client for an assisted or cesarean birth.
Explanation:
Fetal heart decelerations, thick meconium, and low fetal scalp pH
indicate severe fetal distress. Because the client is a primigravida
and in early labor at 4 cm cervical dilatation, it is unlikely that the
baby will tolerate further labor and a vaginal birth. It is prudent for
the nurse to begin preparing the client for an assisted or operative
birth. While changing maternal position and increasing oxygen
availability may enhance placental perfusion and fetal oxygenation,
these interventions do not meet the immediate fetal needs. There
are no implications that a social worker needs to be involved in the
care provided at this particular stage.
,◉ A client is expecting her second child in 6 months. During the
psychosocial assessment, she says to the nurse, "I've been through
this before. Why are you asking me these questions?" What is the
nurse's best response?
Answer: "Each pregnancy has a unique psychosocial meaning."
Explanation:
With each pregnancy, a woman explores a new aspect of the mother
role and must reformulate her self-image as a pregnant woman and
a mother. The other options don't address the client's feelings. No
evidence suggests that a second pregnancy requires more
adjustment. Couvade symptoms occur in the father, not the mother.
◉ A client is admitted with a diagnosis of diabetic ketoacidosis. An
insulin drip is initiated with 50 units of insulin in 100 ml of normal
saline solution administered via an infusion pump set at 10 ml/hour.
The nurse determines that the client is receiving how many units of
insulin each hour? Record your answer using a whole number.
Answer: 5
Explanation:
To determine the number of insulin units the client is receiving per
hour, the nurse must first determine the number of units in each
milliliter of fluid (50 units ÷ 100 ml = 0.5 units/ml). Next, multiply
, the units per milliliter by the rate of milliliters per hour (0.5 units ×
10 ml/hr = 5 units).
◉ A client is scheduled for an arteriogram. The nurse should explain
to the client that the arteriogram will confirm the diagnosis of
occlusive arterial disease by:
Answer: showing the location of the obstruction and the collateral
circulation.
Explanation:
An arteriogram involves injecting a radiopaque contrast agent
directly into the vascular system to visualize the vessels. It usually
involves computed tomographic scanning.
The velocity of the blood flow can be estimated by duplex
ultrasound.
The client's ankle-brachial index is determined, and then the client is
requested to walk. The normal response is little or no drop in ankle
systolic pressure after exercise.
◉ The nurse is preparing a teaching plan about increased exercise
for a female client who is receiving long-term corticosteroid therapy.
What type of exercise is most appropriate for this client?
Answer: walking
ANSWERS NURSING CONTENT REVIEW AND
PRACTICE RESOURCE
◉ A nurse is teaching an elderly client about developing good bowel
habits. Which statement by the client indicates to the nurse that
additional teaching is required?
Answer: "I need to use laxatives regularly to prevent constipation."
Explanation:
The client requires more teaching if he states that he'll use laxatives
regularly to prevent constipation. The nurse should teach this client
to gradually eliminate the use of laxatives because using laxatives to
promote regular bowel movements may have the opposite effect. A
high-fiber diet, ample amounts of fluids, and regular exercise
promote good bowel health.
◉ A client with newly diagnosed chronic obstructive pulmonary
disease (COPD) comes to the clinic for a routine examination. The
nurse teaches the client strategies for preventing airway irritation
and infection. Which statement by the client best indicates that
teaching was successful?
Answer: "I should avoid using powders."
,Explanation:
There are many considerations when a client is diagnosed with
COPD. A client with COPD should avoid exposure to powders, dust,
and smoke from cigarettes, pipes, and cigars. The client should stay
away from crowds should avoid aerosol sprays as a precaution. The
client should also obtain immunizations against pneumococcal
pneumonia as well as influenza. A combination of measures is
needed to maintain the client's highest level of respiratory function.
◉ A 15-year-old client is 4 cm dilated and 100% effaced and is in
active labor with her first baby. The nurse contacts the physician to
communicate the findings of fetal heart rate decelerations, thick
meconium in the amniotic fluid, and low fetal scalp pH results. What
is the most appropriate nursing action at this time?
Answer: Prepare the client for an assisted or cesarean birth.
Explanation:
Fetal heart decelerations, thick meconium, and low fetal scalp pH
indicate severe fetal distress. Because the client is a primigravida
and in early labor at 4 cm cervical dilatation, it is unlikely that the
baby will tolerate further labor and a vaginal birth. It is prudent for
the nurse to begin preparing the client for an assisted or operative
birth. While changing maternal position and increasing oxygen
availability may enhance placental perfusion and fetal oxygenation,
these interventions do not meet the immediate fetal needs. There
are no implications that a social worker needs to be involved in the
care provided at this particular stage.
,◉ A client is expecting her second child in 6 months. During the
psychosocial assessment, she says to the nurse, "I've been through
this before. Why are you asking me these questions?" What is the
nurse's best response?
Answer: "Each pregnancy has a unique psychosocial meaning."
Explanation:
With each pregnancy, a woman explores a new aspect of the mother
role and must reformulate her self-image as a pregnant woman and
a mother. The other options don't address the client's feelings. No
evidence suggests that a second pregnancy requires more
adjustment. Couvade symptoms occur in the father, not the mother.
◉ A client is admitted with a diagnosis of diabetic ketoacidosis. An
insulin drip is initiated with 50 units of insulin in 100 ml of normal
saline solution administered via an infusion pump set at 10 ml/hour.
The nurse determines that the client is receiving how many units of
insulin each hour? Record your answer using a whole number.
Answer: 5
Explanation:
To determine the number of insulin units the client is receiving per
hour, the nurse must first determine the number of units in each
milliliter of fluid (50 units ÷ 100 ml = 0.5 units/ml). Next, multiply
, the units per milliliter by the rate of milliliters per hour (0.5 units ×
10 ml/hr = 5 units).
◉ A client is scheduled for an arteriogram. The nurse should explain
to the client that the arteriogram will confirm the diagnosis of
occlusive arterial disease by:
Answer: showing the location of the obstruction and the collateral
circulation.
Explanation:
An arteriogram involves injecting a radiopaque contrast agent
directly into the vascular system to visualize the vessels. It usually
involves computed tomographic scanning.
The velocity of the blood flow can be estimated by duplex
ultrasound.
The client's ankle-brachial index is determined, and then the client is
requested to walk. The normal response is little or no drop in ankle
systolic pressure after exercise.
◉ The nurse is preparing a teaching plan about increased exercise
for a female client who is receiving long-term corticosteroid therapy.
What type of exercise is most appropriate for this client?
Answer: walking
