NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
Introduction to NCLEX Questions
• When an older adult die from complications of a cerebrovascular
accident (CVA), the client ‘s partner is present the bedside. Which
action should the nurse take?
a) Give the partner time alone
b) Stay with the partner at the bedside
c) Ask the chaplain to come be with the partner
d) Escort the partner to the hallway outside the room
• A client who has just been diagnoses with rheumatoid arthritis is
required to receive 3 months of methotrexate therapy. The nurse
recognizes which of the following are adverse effects associated
with the therapy? SATA
a) WBC 1,200 mm3
b) Platelets 5,000 mm3
c) Weight gain 2.27 kg (5lb)
d) Urine specific gravity 1,003
e) Oral temperature of 37.2 C (99 F)
• A nurse is organizing care for a group of clients. Which task should
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
,NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
the nurse assign to the assistive personnel (AP)
a) Record a client’s vital signs during a transfusion of blood
b) Assist a client who is requesting a bedpan 1-day post hysterectomy
c) Offer a pamphlet regarding advance directives to a newly admitted client
d) Ask a client if pain was relieved after administration of acetaminophen
• A nurse is observing a client attempt three-point crutch walking.
Which action should be of concern to the nurse?
a) The client kip arms flexed
b) The client moves legs with opposite arm
c) The client backs up to a chair before sitting
d) The client asks for a height adjustment of the crutches.
• A school nurse observes several children playing on a
playground. Which child should concern the nurse most?
a) A child squatting after a game of ball
b) A child arguing with another child
c) A child breathing heavily after running
d) A child climbing on swing set supports
• A client who is semi-comatose after a cerebrovascular accident
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
,NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
(CVA), has an NG tube, and was started on total parenteral nutrition
today. Which action should the nurse implement to prevent fluid
volume deficit?
a) Administer 120 ml bolus
of water b) Monitor blood
glucose every 4-6 hr
c) Determine total fluid intake every 8 hr
d) Increase oral fluid intake to 3 liters per day
• A nurse admits a client who sustained C3 spinal cord injury.
Which finding should the nurse recognize as priority of care?
a) Heart rate
b) Respirations 10/min
c) Temperature 97 F (36 C)
d) Blood pressure 88/54 mmHg
• A nurse prepares an older adult for a scheduled colonoscopy. Which
should be the nurse’s initial action?
a) Chill bowel cleansing solution
b) Monitor frequency of elimination
c) Provide oral intake of clear liquids
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
, NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
d) Place portable commode at bedside.
• A client presents to the emergency department (ED) and reports a history of
Gravida 3 Para
2. Which should be the nurse’s initial action after observing a presenting part?
A) Provide emotional support to the client
B) Notify labor and delivery staff members.
C) Time frequency and duration of contractions
D) Prepare for delivery of the newborn in the emergency department
• A nurse enters the room of a client who is at the foot of the bed
lying on the floor. Which should be the initial nursing action?
a) Examine the client’s injuries.
b) Obtain pulse and blood pressure
c) Assess vital signs and level of consciousness
d) Determine intensity of pain with range of motion.
• Four days after a ventral hernia repair, a client who is obese and has
history of COPD vomits and reports severe abdominal pain. The
oxygen saturation is 90%. Which action should the nurse implement
first?
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
POR TEMAS NEW UPDATE 2022
Introduction to NCLEX Questions
• When an older adult die from complications of a cerebrovascular
accident (CVA), the client ‘s partner is present the bedside. Which
action should the nurse take?
a) Give the partner time alone
b) Stay with the partner at the bedside
c) Ask the chaplain to come be with the partner
d) Escort the partner to the hallway outside the room
• A client who has just been diagnoses with rheumatoid arthritis is
required to receive 3 months of methotrexate therapy. The nurse
recognizes which of the following are adverse effects associated
with the therapy? SATA
a) WBC 1,200 mm3
b) Platelets 5,000 mm3
c) Weight gain 2.27 kg (5lb)
d) Urine specific gravity 1,003
e) Oral temperature of 37.2 C (99 F)
• A nurse is organizing care for a group of clients. Which task should
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
,NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
the nurse assign to the assistive personnel (AP)
a) Record a client’s vital signs during a transfusion of blood
b) Assist a client who is requesting a bedpan 1-day post hysterectomy
c) Offer a pamphlet regarding advance directives to a newly admitted client
d) Ask a client if pain was relieved after administration of acetaminophen
• A nurse is observing a client attempt three-point crutch walking.
Which action should be of concern to the nurse?
a) The client kip arms flexed
b) The client moves legs with opposite arm
c) The client backs up to a chair before sitting
d) The client asks for a height adjustment of the crutches.
• A school nurse observes several children playing on a
playground. Which child should concern the nurse most?
a) A child squatting after a game of ball
b) A child arguing with another child
c) A child breathing heavily after running
d) A child climbing on swing set supports
• A client who is semi-comatose after a cerebrovascular accident
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
,NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
(CVA), has an NG tube, and was started on total parenteral nutrition
today. Which action should the nurse implement to prevent fluid
volume deficit?
a) Administer 120 ml bolus
of water b) Monitor blood
glucose every 4-6 hr
c) Determine total fluid intake every 8 hr
d) Increase oral fluid intake to 3 liters per day
• A nurse admits a client who sustained C3 spinal cord injury.
Which finding should the nurse recognize as priority of care?
a) Heart rate
b) Respirations 10/min
c) Temperature 97 F (36 C)
d) Blood pressure 88/54 mmHg
• A nurse prepares an older adult for a scheduled colonoscopy. Which
should be the nurse’s initial action?
a) Chill bowel cleansing solution
b) Monitor frequency of elimination
c) Provide oral intake of clear liquids
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
, NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
d) Place portable commode at bedside.
• A client presents to the emergency department (ED) and reports a history of
Gravida 3 Para
2. Which should be the nurse’s initial action after observing a presenting part?
A) Provide emotional support to the client
B) Notify labor and delivery staff members.
C) Time frequency and duration of contractions
D) Prepare for delivery of the newborn in the emergency department
• A nurse enters the room of a client who is at the foot of the bed
lying on the floor. Which should be the initial nursing action?
a) Examine the client’s injuries.
b) Obtain pulse and blood pressure
c) Assess vital signs and level of consciousness
d) Determine intensity of pain with range of motion.
• Four days after a ventral hernia repair, a client who is obese and has
history of COPD vomits and reports severe abdominal pain. The
oxygen saturation is 90%. Which action should the nurse implement
first?
NCLEX LIVE-REVIEW QUESTIONS AND ANSWERS 100%CORRECT/CERTIFIED
POR TEMAS NEW UPDATE 2022
