NCLEX-RN EXAM
(4 SET EXAMS + REVIEW)
Mark K Blue bk (ALL)
NCLEX Study Guide (2000
TERMS)
Each Set with 150
Questions
Expert-Verified
Explanations & Solutions
,The guide consists of :
multiple-choice items,
multiple response,
fill-in-the-blank calculation,
ordered response, and hot spot questions.
Expert-Verified Explanations & Solutions
,Contents
NCLEX-RN EXAM Set 1..............................................................................................................4
NCLEX-RN EXAM.....................................................................................................................34
NCLEX-RN EXAM.....................................................................................................................91
NCLEX-RN EXAM...................................................................................................................130
NCLEX-RN EXAM REVIEW.....................................................................................................168
Mark Klimek Blue book (ALL) NCLEX Study Guide (2000 TERMS).......................................186
, NCLEX-RN EXAM Set 1
The nurse is caring for a client who reports feeling faint and is experiencing the cardiac rhythm
shown in the electrocardiogram (ECG) strip below.
- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm)
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.
The nurse is teaching a client how to ambulate using crutches. Which of the following information
should the nurse include?
(4 SET EXAMS + REVIEW)
Mark K Blue bk (ALL)
NCLEX Study Guide (2000
TERMS)
Each Set with 150
Questions
Expert-Verified
Explanations & Solutions
,The guide consists of :
multiple-choice items,
multiple response,
fill-in-the-blank calculation,
ordered response, and hot spot questions.
Expert-Verified Explanations & Solutions
,Contents
NCLEX-RN EXAM Set 1..............................................................................................................4
NCLEX-RN EXAM.....................................................................................................................34
NCLEX-RN EXAM.....................................................................................................................91
NCLEX-RN EXAM...................................................................................................................130
NCLEX-RN EXAM REVIEW.....................................................................................................168
Mark Klimek Blue book (ALL) NCLEX Study Guide (2000 TERMS).......................................186
, NCLEX-RN EXAM Set 1
The nurse is caring for a client who reports feeling faint and is experiencing the cardiac rhythm
shown in the electrocardiogram (ECG) strip below.
- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm)
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.
The nurse is teaching a client how to ambulate using crutches. Which of the following information
should the nurse include?
