NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Withhold lithium if experiencing diarrhea, vomiting, or diaphoresis. -
ANSWER--NO.402 A female client has been recently diagnosed as bipolar.
She has taken lithium for the past several weeks to control mania. What
must be included in client education regarding lithium toxicity?
Encourage or direct client to attend activities that offer simple methods to
attain success - ANSWER--NO.403 A 56-year-old psychiatric inpatient has
had recurring episodes of depression and chronic low self-esteem. She
feels that her family does not want her around, experiences a sense of
helplessness, and has a negative view of herself. To assist the client in
focusing on her strengths and positive traits,
Explore with the client her perceptions of why she is unable to go to the
hospital - ANSWER--NO.404 The physician recommends immediate
hospital admission for a client with PIH. She says to the nurse, "It's not so
easy for me to just go right to the hospital like that." After acknowled ging
feelings, which of these approaches by the nurse would probably be best?
Drink a glass of water - ANSWER--NO.405 A male client has asthma and
his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in
addition to his other medications. After taking his beclomethasone, the
client should be instructed to:
Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and
pallor - ANSWER--NO.406 An obstructing stone in the renal pelvis or upper
ureter causes:
Mother's increased blood volume - ANSWER--NO.407 A first-trimester
primigravida is diagnosed with anemia The nurse should suspect that this
anemia is a result of:
, NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Blowing air under the cast using a hair dryer on cool setting often relieves
itching. - ANSWER--NO.408 The nurse is teaching a mother care of her
child's spica cast. The mother states that he complains of itching under the
edge of the cast. One nonpharmacological technique the nurse might
suggest would be:
Bradycardia - ANSWER--NO.409 A client is resting comfortably after
delivering her first child. When assessing her pulse rate, the nurse would
recognize the following finding to be typical:
Be direct, honest, and attentive - ANSWER--NO.410 When interviewing
parents who are suspected of child abuse, the nurse would use which of
the following interview techniques?
Thirty grams powdered skim milk and 1 egg - ANSWER--NO.411 A
pregnant woman at 36 weeks' gestation is followed for PIH and develops
proteinuria. To increase protein in her diet, which of the following foods will
provide the greatest amount of protein when added to her intake of 100 mL
of milk?
Abdominal pain - ANSWER--NO.412 The nurse teaches a pregnant client
that a high-risk symptom occurring at any time during pregnancy that needs
to be reported immediately to a healthcare provider is:
It is not easy, but the rules must be followed so that everyone can get a fair
chance. - ANSWER--NO.413 A 15-year-old female adolescent is frequently
breaking the rules of the unit. She has left the unit and was found smoking
in the bathroom and spending a large amount of time in the male ward.
, NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Which statement by the nurse would best explain to the teenager why she
must follow the rules of the unit?
A tracheostomy set, 02, and suction are available at the bedside. -
ANSWER--NO.414 A 28-year-old woman was admitted to the hospital for a
thyroidectomy. Postoperatively she is taken to the postanesthesia care unit
for several hours. In preparing for the client's return to her room, which
nursing measure best demonstrates the nurse's thorough understanding of
possible postthyroidectomy complications?
Advise the mother not to give her aspirin - ANSWER--NO.415 A 6-year-old
girl is visiting the outpatient clinic because she has a fever and a rash. The
doctor diagnoses chickenpox. Her mother asks the nurse how many baby
aspirins her daughter can have for fever. The nurse should
Give antiemetics prior to the client receiving chemotherapy and continue on
a regular basis for at least 24-48 hours after chemotherapy - ANSWER--
NO.416 A 50-year-old male client is to receive chemotherapy. The
physician's orders include antiemetics. When planning his care, the nurse
should take into consideration that antiemetics are best administered in the
following way:
Nausea and vomiting - ANSWER--NO.417 The nurse practitioner
determines that a client is approximately 9 weeks' gestation. During the
visit, the practitioner informs the client about symptoms of physical changes
that she will experience during her first trimester, such as:
Noise or bright lights may precipitate a convulsion. - ANSWER--NO.418 A
client with severe PIH receiving MgS04 is placed in a quiet, darkened
room. The nurse bases this action on the following understanding:
, NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Reduces the possibility of air embolism - ANSWER--NO.419 A client has
consented to have a central venous catheter placed. The best position in
which to place the client is the Trendelenburg position. The reason is that
the Trendelenburg position:
Sternal and subcostal retractions - ANSWER--NO.420 A newborn infant is
exhibiting signs of respiratory distress. Which of the following would the
nurse recognize as the earliest clinical sign of respiratory distress?
He will be able to deal with his feelings through participation in group
therapy sessions. - ANSWER--NO.421 A 32-year-old male client is a
marketing representative. His job requires him to have a tremendous
amount of energy during the day. He frequently uses cocaine to sustain his
energy level. Lately he has increased his use of cocaine and even
experimented with crack cocaine. Realizing he can no longer continue this
destructive behavior, he is seeking treatment for addiction. In planning
nursing care for the client's inpatient stay, which expected outcome is most
appropriate?
The medication should relieve his symptoms of depression - ANSWER--
NO.422 The physician prescribes amitriptyline (Elavil) for a client. What
does the patient need to know about this medication?
State nursing practice act - ANSWER--NO.423 A registered nurse is trying
to determine the appropriate care that she should provide for her obstetrical
clients. Which of the following documents is considered the legal standard
of practice?
QUESTIONS &ANSWERS NCLEX 2023
Withhold lithium if experiencing diarrhea, vomiting, or diaphoresis. -
ANSWER--NO.402 A female client has been recently diagnosed as bipolar.
She has taken lithium for the past several weeks to control mania. What
must be included in client education regarding lithium toxicity?
Encourage or direct client to attend activities that offer simple methods to
attain success - ANSWER--NO.403 A 56-year-old psychiatric inpatient has
had recurring episodes of depression and chronic low self-esteem. She
feels that her family does not want her around, experiences a sense of
helplessness, and has a negative view of herself. To assist the client in
focusing on her strengths and positive traits,
Explore with the client her perceptions of why she is unable to go to the
hospital - ANSWER--NO.404 The physician recommends immediate
hospital admission for a client with PIH. She says to the nurse, "It's not so
easy for me to just go right to the hospital like that." After acknowled ging
feelings, which of these approaches by the nurse would probably be best?
Drink a glass of water - ANSWER--NO.405 A male client has asthma and
his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in
addition to his other medications. After taking his beclomethasone, the
client should be instructed to:
Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and
pallor - ANSWER--NO.406 An obstructing stone in the renal pelvis or upper
ureter causes:
Mother's increased blood volume - ANSWER--NO.407 A first-trimester
primigravida is diagnosed with anemia The nurse should suspect that this
anemia is a result of:
, NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Blowing air under the cast using a hair dryer on cool setting often relieves
itching. - ANSWER--NO.408 The nurse is teaching a mother care of her
child's spica cast. The mother states that he complains of itching under the
edge of the cast. One nonpharmacological technique the nurse might
suggest would be:
Bradycardia - ANSWER--NO.409 A client is resting comfortably after
delivering her first child. When assessing her pulse rate, the nurse would
recognize the following finding to be typical:
Be direct, honest, and attentive - ANSWER--NO.410 When interviewing
parents who are suspected of child abuse, the nurse would use which of
the following interview techniques?
Thirty grams powdered skim milk and 1 egg - ANSWER--NO.411 A
pregnant woman at 36 weeks' gestation is followed for PIH and develops
proteinuria. To increase protein in her diet, which of the following foods will
provide the greatest amount of protein when added to her intake of 100 mL
of milk?
Abdominal pain - ANSWER--NO.412 The nurse teaches a pregnant client
that a high-risk symptom occurring at any time during pregnancy that needs
to be reported immediately to a healthcare provider is:
It is not easy, but the rules must be followed so that everyone can get a fair
chance. - ANSWER--NO.413 A 15-year-old female adolescent is frequently
breaking the rules of the unit. She has left the unit and was found smoking
in the bathroom and spending a large amount of time in the male ward.
, NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Which statement by the nurse would best explain to the teenager why she
must follow the rules of the unit?
A tracheostomy set, 02, and suction are available at the bedside. -
ANSWER--NO.414 A 28-year-old woman was admitted to the hospital for a
thyroidectomy. Postoperatively she is taken to the postanesthesia care unit
for several hours. In preparing for the client's return to her room, which
nursing measure best demonstrates the nurse's thorough understanding of
possible postthyroidectomy complications?
Advise the mother not to give her aspirin - ANSWER--NO.415 A 6-year-old
girl is visiting the outpatient clinic because she has a fever and a rash. The
doctor diagnoses chickenpox. Her mother asks the nurse how many baby
aspirins her daughter can have for fever. The nurse should
Give antiemetics prior to the client receiving chemotherapy and continue on
a regular basis for at least 24-48 hours after chemotherapy - ANSWER--
NO.416 A 50-year-old male client is to receive chemotherapy. The
physician's orders include antiemetics. When planning his care, the nurse
should take into consideration that antiemetics are best administered in the
following way:
Nausea and vomiting - ANSWER--NO.417 The nurse practitioner
determines that a client is approximately 9 weeks' gestation. During the
visit, the practitioner informs the client about symptoms of physical changes
that she will experience during her first trimester, such as:
Noise or bright lights may precipitate a convulsion. - ANSWER--NO.418 A
client with severe PIH receiving MgS04 is placed in a quiet, darkened
room. The nurse bases this action on the following understanding:
, NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Reduces the possibility of air embolism - ANSWER--NO.419 A client has
consented to have a central venous catheter placed. The best position in
which to place the client is the Trendelenburg position. The reason is that
the Trendelenburg position:
Sternal and subcostal retractions - ANSWER--NO.420 A newborn infant is
exhibiting signs of respiratory distress. Which of the following would the
nurse recognize as the earliest clinical sign of respiratory distress?
He will be able to deal with his feelings through participation in group
therapy sessions. - ANSWER--NO.421 A 32-year-old male client is a
marketing representative. His job requires him to have a tremendous
amount of energy during the day. He frequently uses cocaine to sustain his
energy level. Lately he has increased his use of cocaine and even
experimented with crack cocaine. Realizing he can no longer continue this
destructive behavior, he is seeking treatment for addiction. In planning
nursing care for the client's inpatient stay, which expected outcome is most
appropriate?
The medication should relieve his symptoms of depression - ANSWER--
NO.422 The physician prescribes amitriptyline (Elavil) for a client. What
does the patient need to know about this medication?
State nursing practice act - ANSWER--NO.423 A registered nurse is trying
to determine the appropriate care that she should provide for her obstetrical
clients. Which of the following documents is considered the legal standard
of practice?
