Past Nclex Questions 8
1. 176. The nurse is preparing the postoperative nursing care plan for
the client recovering from a hemorrhoidectomy. Which
intervention should the nurse implement?
A. Establish a rapport with the client to decrease
embarrassment of assessing site.
B. Encourage the client to lie in the lithotomy position twice
a day.
C. Milk the tube inserted during surgery to allow the passage
of flatus.
D. Digitally dilate the rectal sphincter to express old blood.
2. 177. The client has recently been diagnosed with irritable bowel
syndrome (IBS). Which intervention should the nurse teach the
client to reduce symptoms?
A. Instruct the client to avoid drinking fluids with meals.
B. Explain the need to decrease intake of flatus-forming
foods.
C. Teach the client how to perform gentle perianal care.
D. Encourage the client to see a psychologist.
3. 178. The client is admitted into the emergency department
complaining of acute epigastric pain and reports vomiting a large
amount of bright-red blood at home. Which interventions should
the nurse implement? List in order of priority.
A. Assess the client’s vital signs.
B. Insert a nasogastric tube.
C. Begin iced saline lavage.
D. Start an IV with an 18-gauge needle.
, E. Type and crossmatch for a blood transfusion.
F. Ans (priority order): 1,4, 5, 2, and 3
4. 179. The nurse is teaching a community class to people with Type
2 diabetes mellitus. Which explanation would explain the
development of Type 2 diabetes?
A. The islet cells in the pancreas stop producing insulin.
B. The client eats too many foods that are high in sugar.
C. The pituitary gland does not produce vasopressin.
D. The cells become resistant to the circulating insulin.
5. 180. The nurse is teaching the client diagnosed with Type 2
diabetes mellitus about diet. Which diet selection indicates the
client understands the teaching?
A. A submarine sandwich, potato chips, and diet cola.
B. Four (4) slices of a supreme thin-crust pizza and milk.
C. Smoked turkey sandwich, celery sticks, and
unsweetened tea.
D. A roast beef sandwich, fried onion rings, and a cola.
6. 181. Which laboratory data indicate the client’s pancreatitis is
improving?
A. The amylase and lipase serum levels are decreased.
B. The white blood cell count (WBC. is decreased.
C. The conjugated and unconjugated bilirubin levels are
decreased.
D. The blood urea nitrogen (BUN) serum level is decreased.
1. 176. The nurse is preparing the postoperative nursing care plan for
the client recovering from a hemorrhoidectomy. Which
intervention should the nurse implement?
A. Establish a rapport with the client to decrease
embarrassment of assessing site.
B. Encourage the client to lie in the lithotomy position twice
a day.
C. Milk the tube inserted during surgery to allow the passage
of flatus.
D. Digitally dilate the rectal sphincter to express old blood.
2. 177. The client has recently been diagnosed with irritable bowel
syndrome (IBS). Which intervention should the nurse teach the
client to reduce symptoms?
A. Instruct the client to avoid drinking fluids with meals.
B. Explain the need to decrease intake of flatus-forming
foods.
C. Teach the client how to perform gentle perianal care.
D. Encourage the client to see a psychologist.
3. 178. The client is admitted into the emergency department
complaining of acute epigastric pain and reports vomiting a large
amount of bright-red blood at home. Which interventions should
the nurse implement? List in order of priority.
A. Assess the client’s vital signs.
B. Insert a nasogastric tube.
C. Begin iced saline lavage.
D. Start an IV with an 18-gauge needle.
, E. Type and crossmatch for a blood transfusion.
F. Ans (priority order): 1,4, 5, 2, and 3
4. 179. The nurse is teaching a community class to people with Type
2 diabetes mellitus. Which explanation would explain the
development of Type 2 diabetes?
A. The islet cells in the pancreas stop producing insulin.
B. The client eats too many foods that are high in sugar.
C. The pituitary gland does not produce vasopressin.
D. The cells become resistant to the circulating insulin.
5. 180. The nurse is teaching the client diagnosed with Type 2
diabetes mellitus about diet. Which diet selection indicates the
client understands the teaching?
A. A submarine sandwich, potato chips, and diet cola.
B. Four (4) slices of a supreme thin-crust pizza and milk.
C. Smoked turkey sandwich, celery sticks, and
unsweetened tea.
D. A roast beef sandwich, fried onion rings, and a cola.
6. 181. Which laboratory data indicate the client’s pancreatitis is
improving?
A. The amylase and lipase serum levels are decreased.
B. The white blood cell count (WBC. is decreased.
C. The conjugated and unconjugated bilirubin levels are
decreased.
D. The blood urea nitrogen (BUN) serum level is decreased.
