Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
NCLEX
1. The nurse is caring for a client diagnosed with a magnesium imbalance
whose magnesium level is 4 mEq/L (2 mmol/L). The nurse interprets that
the electrolyte imbalance is resolving if the client has relief from which
sign/symptom?
Loss of deep tendon reflexes
2. The nurse is caring for a client diagnosed with depression. Which
therapeutic intervention should the nurse employ to promote sleep
for the client?
Sugggest restful, quiet music and sleep-inducing relaxation techniques.
3. The nurse is monitoring the laboratory values of a child diagnosed with
leukemia who is receiving chemotherapy. The nurse prepares to
implement bleeding precautions if the child becomes severely
thrombocytopenic, indicated by a platelet count at or below which
level? 20,000 mm3 (20 × 109/L)
4. A client presents to the emergency department with lethargy and a fruity
odor to the breath, and has deep, regular respirations. The client's arterial
blood gas (ABG) results are pH of 7.25; Pco2, 34 mm Hg; Po2, 86 mm Hg;
and HCO3, 14 mEq/L. The nurse should interpret that the client has which
acid-base disturbance?
Metabolic acidosis
5. The nurse manager of a hemodialysis unit observes a new nurse
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
,Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
preparing hemodialysis on a client with a diagnosis of chronic kidney
disease. The nurse manager should note that the new nurse needs
further teaching and intervene if which action is carried out by the new
nurse? Covers the connection site with a bath blanket to enhance
extremity warmth
6. The mother of an infant newly diagnosed with cystic fibrosis is being
taught proper nutritional needs for the infant. Which comment by the
mother most indicates that the mother understands the infant's
nutritional needs?
"I know I need to monitor my infant's stools, and if there are more than four
stools a day, I will increase the pancreatic enzyme."
7. The nurse is monitoring a client diagnosed with cardiac disease for the
presence of cyanosis. The nurse monitors the client, knowing that which
body area will be the best site for checking for the presence of cyanosis?
Nail beds
8. The nurse is preparing to collect a sterile urine specimen from a client
who has an indwelling Foley catheter. The nurse clamps the catheter and
returns to the client to collect the specimen 30 minutes later. Arrange the
actions in the order that they should be performed. All options must be
used.
Explain the procedure to the
client. Perform hand hygiene
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
,Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
and put on gloves.
Cleanse the needle entry port with disinfectant, and insert the needle into
the sampling port. Draw urine into the syringe and place into the urine
specimen container
Unclamp the catheter.
Label the specimen according to agency protocol and send to laboratory.
9. The nurse is taking care of a client who earlier today had surgery under
spinal anesthesia. Which nursing interventions will best prevent headache
in this client? Select all that apply.
Keeping the client lying
flat Maintaining a quiet
environment
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
, Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
10. A male client being treated for a diagnosis of urethritis from chlamydial
infection asks the nurse how long it will be necessary to refrain from
sexual relations. The nurse bases the response on which information
regarding chlamydial infection transmission?
Should refrain from sexual activity until fully cured
11. The nurse is participating in end-of-life care for a client who has recently
immigrated from Vietnam. Which interventions should the nurse consider
in the plan of care for this client? Select all that apply.
Respect family wishes for use of herbal medicines
Acknowledge that lack of eye contact does not mean disinterest
12. A home care nurse is instructing a mother of a child diagnosed with cystic
fibrosis (CF) about the appropriate dietary measures. Which diet should the
nurse tell the mother that the child needs to consume?
High-calorie, high-protein diet
13. The client with a diagnosis of bladder cancer is to undergo weekly
intravesical chemotherapy for the next 8 weeks. Which statement by the
client should indicate to the nurse that the client understands how to
manage urine as a biohazard?
Disinfect the toilet with household bleach after voiding for 6 hours after a
treatment
14. A client has been taught to use a walker to aid in mobility after internal
fixation of a hip fracture. After which observation should the nurse
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
NCLEX
1. The nurse is caring for a client diagnosed with a magnesium imbalance
whose magnesium level is 4 mEq/L (2 mmol/L). The nurse interprets that
the electrolyte imbalance is resolving if the client has relief from which
sign/symptom?
Loss of deep tendon reflexes
2. The nurse is caring for a client diagnosed with depression. Which
therapeutic intervention should the nurse employ to promote sleep
for the client?
Sugggest restful, quiet music and sleep-inducing relaxation techniques.
3. The nurse is monitoring the laboratory values of a child diagnosed with
leukemia who is receiving chemotherapy. The nurse prepares to
implement bleeding precautions if the child becomes severely
thrombocytopenic, indicated by a platelet count at or below which
level? 20,000 mm3 (20 × 109/L)
4. A client presents to the emergency department with lethargy and a fruity
odor to the breath, and has deep, regular respirations. The client's arterial
blood gas (ABG) results are pH of 7.25; Pco2, 34 mm Hg; Po2, 86 mm Hg;
and HCO3, 14 mEq/L. The nurse should interpret that the client has which
acid-base disturbance?
Metabolic acidosis
5. The nurse manager of a hemodialysis unit observes a new nurse
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
,Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
preparing hemodialysis on a client with a diagnosis of chronic kidney
disease. The nurse manager should note that the new nurse needs
further teaching and intervene if which action is carried out by the new
nurse? Covers the connection site with a bath blanket to enhance
extremity warmth
6. The mother of an infant newly diagnosed with cystic fibrosis is being
taught proper nutritional needs for the infant. Which comment by the
mother most indicates that the mother understands the infant's
nutritional needs?
"I know I need to monitor my infant's stools, and if there are more than four
stools a day, I will increase the pancreatic enzyme."
7. The nurse is monitoring a client diagnosed with cardiac disease for the
presence of cyanosis. The nurse monitors the client, knowing that which
body area will be the best site for checking for the presence of cyanosis?
Nail beds
8. The nurse is preparing to collect a sterile urine specimen from a client
who has an indwelling Foley catheter. The nurse clamps the catheter and
returns to the client to collect the specimen 30 minutes later. Arrange the
actions in the order that they should be performed. All options must be
used.
Explain the procedure to the
client. Perform hand hygiene
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
,Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
and put on gloves.
Cleanse the needle entry port with disinfectant, and insert the needle into
the sampling port. Draw urine into the syringe and place into the urine
specimen container
Unclamp the catheter.
Label the specimen according to agency protocol and send to laboratory.
9. The nurse is taking care of a client who earlier today had surgery under
spinal anesthesia. Which nursing interventions will best prevent headache
in this client? Select all that apply.
Keeping the client lying
flat Maintaining a quiet
environment
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
, Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
10. A male client being treated for a diagnosis of urethritis from chlamydial
infection asks the nurse how long it will be necessary to refrain from
sexual relations. The nurse bases the response on which information
regarding chlamydial infection transmission?
Should refrain from sexual activity until fully cured
11. The nurse is participating in end-of-life care for a client who has recently
immigrated from Vietnam. Which interventions should the nurse consider
in the plan of care for this client? Select all that apply.
Respect family wishes for use of herbal medicines
Acknowledge that lack of eye contact does not mean disinterest
12. A home care nurse is instructing a mother of a child diagnosed with cystic
fibrosis (CF) about the appropriate dietary measures. Which diet should the
nurse tell the mother that the child needs to consume?
High-calorie, high-protein diet
13. The client with a diagnosis of bladder cancer is to undergo weekly
intravesical chemotherapy for the next 8 weeks. Which statement by the
client should indicate to the nurse that the client understands how to
manage urine as a biohazard?
Disinfect the toilet with household bleach after voiding for 6 hours after a
treatment
14. A client has been taught to use a walker to aid in mobility after internal
fixation of a hip fracture. After which observation should the nurse
Fortis College NUR 101 NCLEX Exam QUESTION
and Answers 100%Correct/Verified Rated A+
Latest Update 2022-2023
