NCLEX Challenge 5
1. A nurse is providing teaching about a heart healthy diet to a group of
clients with hypertension. Which of the following statements by one of
the clients indicates a need for further teaching?
“I may eat 10 ounces of lean protein each day.”
2. A nurse is providing teaching to a client who has hypertension and a
new prescription for captopril. Which of the following instructions
should the nurse provide?
Do not use salt substitutes while taking this medication.
3. A nurse is reviewing discharge instructions with a client who has
Raynaud’s disease. Which of the following client statements indicates
an understanding of the teaching?
“I am going to take a stress management class.”
4. A nurse is caring for a client who has congestive heart failure and is
taking digoxin daily. The client refused breakfast and is complaining of
nausea and weakness. Which of the following actions should the nurse
take first?
Check the client’s vital signs.
5. A nurse is assessing a client who is taking lisinopril to treat
hypertension. Which of the following findings is a priority to report?
Swelling of the tongue.
6. A nurse is caring for a client who has deep vein thrombosis and is
prescribed heparin by continuous IV infusion at 1,200 units/hr.
Available is heparin 25,000 units in 500 mL D5W. The nurse should set
the IV pump to deliver how many mL/hr?
24 mL/hr
7. A nurse is assessing a client who has chronic venous insufficiency.
Which of the following findings should the nurse expect?
Edema.
, 8. A nurse is providing discharge teaching to a client who has peripheral
arterial disease (PAD). Which of the following instructions should the
nurse include in the teaching?
Adjust the thermostat so that the environment is warm.
9. A nurse is caring for a male client who has peripheral vascular disease
(PVD), is taking dietary supplements, and has a new prescription for
warfarin. The nurse should instruct the client to stop which of the
following supplements prior to starting the warfarin? (Select all that
apply.)
Saw palmetto
Glucosamine
Gingko biloba
10. A nurse is caring for a client who has hypertension and asks the nurse
about a prescription for propranolol. The nurse should inform theclient
that this medication is contraindicated in clients who have a history of
which of the following conditions?
Asthma.
11. A nurse is teaching a client who has a new diagnosis of venous
insufficiency. Which of the following instructions should the nurse
include?
“Use elastic stockings.”
12. A nurse is caring for a client who has hypertension and is afraid to take
his blood pressure medication. Which of the following nursing
statements is an example of the therapeutic communication response
of reflection?
“You seem upset about taking your blood pressure medication.”
13. A nurse is providing teaching to a client who has hypertension and a
new prescription for hydrochlorothiazide. Which of the following
instructions should the nurse provide?
Take the medication early in the day.
1. A nurse is providing teaching about a heart healthy diet to a group of
clients with hypertension. Which of the following statements by one of
the clients indicates a need for further teaching?
“I may eat 10 ounces of lean protein each day.”
2. A nurse is providing teaching to a client who has hypertension and a
new prescription for captopril. Which of the following instructions
should the nurse provide?
Do not use salt substitutes while taking this medication.
3. A nurse is reviewing discharge instructions with a client who has
Raynaud’s disease. Which of the following client statements indicates
an understanding of the teaching?
“I am going to take a stress management class.”
4. A nurse is caring for a client who has congestive heart failure and is
taking digoxin daily. The client refused breakfast and is complaining of
nausea and weakness. Which of the following actions should the nurse
take first?
Check the client’s vital signs.
5. A nurse is assessing a client who is taking lisinopril to treat
hypertension. Which of the following findings is a priority to report?
Swelling of the tongue.
6. A nurse is caring for a client who has deep vein thrombosis and is
prescribed heparin by continuous IV infusion at 1,200 units/hr.
Available is heparin 25,000 units in 500 mL D5W. The nurse should set
the IV pump to deliver how many mL/hr?
24 mL/hr
7. A nurse is assessing a client who has chronic venous insufficiency.
Which of the following findings should the nurse expect?
Edema.
, 8. A nurse is providing discharge teaching to a client who has peripheral
arterial disease (PAD). Which of the following instructions should the
nurse include in the teaching?
Adjust the thermostat so that the environment is warm.
9. A nurse is caring for a male client who has peripheral vascular disease
(PVD), is taking dietary supplements, and has a new prescription for
warfarin. The nurse should instruct the client to stop which of the
following supplements prior to starting the warfarin? (Select all that
apply.)
Saw palmetto
Glucosamine
Gingko biloba
10. A nurse is caring for a client who has hypertension and asks the nurse
about a prescription for propranolol. The nurse should inform theclient
that this medication is contraindicated in clients who have a history of
which of the following conditions?
Asthma.
11. A nurse is teaching a client who has a new diagnosis of venous
insufficiency. Which of the following instructions should the nurse
include?
“Use elastic stockings.”
12. A nurse is caring for a client who has hypertension and is afraid to take
his blood pressure medication. Which of the following nursing
statements is an example of the therapeutic communication response
of reflection?
“You seem upset about taking your blood pressure medication.”
13. A nurse is providing teaching to a client who has hypertension and a
new prescription for hydrochlorothiazide. Which of the following
instructions should the nurse provide?
Take the medication early in the day.
