Past Nclex Questions 7
1. 156. Which instruction should the nurse discuss with the client
diagnosed with Raynaud’s phenomenon?
A. Explain exacerbations will not occur in the summer.
B. Use nicotine gum to help quit smoking.
C. Wear extra warm clothing during cold exposure.
D. Avoid prolonged exposure to direct sunlight.
2. 157. The client diagnosed with diabetes mellitus type 2 is admitted
to the hospital with cellulitis of the right foot secondary to an
insect bite. Which intervention should the nurse implement first?
A. Administer intravenous antibiotics.
B. Apply warm moist packs every two (2) hours.
C. Elevate the right foot on two (2) pillows.
D. Teach the client about skin and foot care.
3. 158. 9. Which discharge instruction should the nurse teach the
client diagnosed with varicose veins who has received
sclerotherapy?
A. Walk 15 to 20 minutes three (3) times a day.
B. Keep the legs in the dependent position when sitting.
C. Remove compression bandages before going to bed.
D. Perform Berger-Allen exercises four (4) times a day.
4. 159. The nurse is teaching the client with peripheral vascular
disease. Which intervention should the nurse discuss with the
client? Select all that apply.
A. Wash your feet in antimicrobial soap.
B. Wear comfortable, well-fitting shoes.
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, C. Cut your toenails in an arch.
D. Keep the area between the toes dry.
E. Use a heating pad when feet are cold.
5. 160. The unlicensed nursing assistant is applying elastic
compression stockings to the client. Which action by the assistant
would warrant immediate intervention by the nurse?
A. The assistant is putting the stockings on while the
client is in the chair.
B. The assistant inserted two (2) fingers under the proximal
end of the stocking.
C. The assistant elevated the feet while lying down prior to
putting on the stockings.
D. The assistant made sure the toes were warm after putting
the stockings on.
6. 161. The nurse is administering a beta blocker to the client
diagnosed with essential hypertension. Which data would cause the
nurse to question administering the medication?
A. The client’s BP is 110/70.
B. The client’s potassium level is 3.4 mEq/L.
C. The client has a barky cough.
D. The client’s apical pulse is 56.
7. 162. The client diagnosed with acute deep vein thrombosis is
receiving a continuous heparin drip, an intravenous anticoagulant.
The health-care provider orders warfarin (Coumadin), an oral
anticoagulant. Which action should the nurse take?
A. Discontinue the heparin drip prior to initiating the
Coumadin.
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 06:28:49 GMT -06:00
https://www.coursehero.com/file/85696092/Past-Nclex-Questions-7docx/
1. 156. Which instruction should the nurse discuss with the client
diagnosed with Raynaud’s phenomenon?
A. Explain exacerbations will not occur in the summer.
B. Use nicotine gum to help quit smoking.
C. Wear extra warm clothing during cold exposure.
D. Avoid prolonged exposure to direct sunlight.
2. 157. The client diagnosed with diabetes mellitus type 2 is admitted
to the hospital with cellulitis of the right foot secondary to an
insect bite. Which intervention should the nurse implement first?
A. Administer intravenous antibiotics.
B. Apply warm moist packs every two (2) hours.
C. Elevate the right foot on two (2) pillows.
D. Teach the client about skin and foot care.
3. 158. 9. Which discharge instruction should the nurse teach the
client diagnosed with varicose veins who has received
sclerotherapy?
A. Walk 15 to 20 minutes three (3) times a day.
B. Keep the legs in the dependent position when sitting.
C. Remove compression bandages before going to bed.
D. Perform Berger-Allen exercises four (4) times a day.
4. 159. The nurse is teaching the client with peripheral vascular
disease. Which intervention should the nurse discuss with the
client? Select all that apply.
A. Wash your feet in antimicrobial soap.
B. Wear comfortable, well-fitting shoes.
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 06:28:49 GMT -06:00
https://www.coursehero.com/file/85696092/Past-Nclex-Questions-7docx/
, C. Cut your toenails in an arch.
D. Keep the area between the toes dry.
E. Use a heating pad when feet are cold.
5. 160. The unlicensed nursing assistant is applying elastic
compression stockings to the client. Which action by the assistant
would warrant immediate intervention by the nurse?
A. The assistant is putting the stockings on while the
client is in the chair.
B. The assistant inserted two (2) fingers under the proximal
end of the stocking.
C. The assistant elevated the feet while lying down prior to
putting on the stockings.
D. The assistant made sure the toes were warm after putting
the stockings on.
6. 161. The nurse is administering a beta blocker to the client
diagnosed with essential hypertension. Which data would cause the
nurse to question administering the medication?
A. The client’s BP is 110/70.
B. The client’s potassium level is 3.4 mEq/L.
C. The client has a barky cough.
D. The client’s apical pulse is 56.
7. 162. The client diagnosed with acute deep vein thrombosis is
receiving a continuous heparin drip, an intravenous anticoagulant.
The health-care provider orders warfarin (Coumadin), an oral
anticoagulant. Which action should the nurse take?
A. Discontinue the heparin drip prior to initiating the
Coumadin.
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 06:28:49 GMT -06:00
https://www.coursehero.com/file/85696092/Past-Nclex-Questions-7docx/
