PassPoint NCLEX RN Exam Review
Questions | 100% Correct Answers |
Verified 2024 Version
Which is an expected outcome when a client is receiving an IV administration of furosemide? -
✔✔increased urine output
The nurse is caring for a 5-year-old child who had a hernia repair 1 day ago. The child is vomiting, has a
nasogastric (NG) tube to low intermittent suction, and has diarrhea. Which of the following laboratory
results would be the immediate priority for the nurse to assess? - ✔✔potassium level
The nurse is caring for a primigravid client at about 9 weeks' gestation. After explaining self-care
measures for common discomforts of pregnancy, the nurse determines that the client understands the
instructions when she makes which statement? - ✔✔"Nausea and vomiting can be decreased if I eat a
few crackers before arising."
A client has been taking imipramine for depression for 2 days. His sister asks the nurse, "Why is he still so
depressed?" Which response by the nurse is most appropriate? - ✔✔"It takes 2 to 4 weeks for the drug
to reach its full effect."
A child with asthma states, "I want to play some sports like my friends. What can I do?" The nurse
responds to the child based on the understanding of what information? - ✔✔Most children with asthma
can participate in sports if the asthma is controlled.
A client with pernicious anemia asks why she must take vitamin B12 injections forever. Which is the
nurse's best response? - ✔✔"The reason for your vitamin deficiency is an inability to absorb the vitamin
because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be
absorbed."
A 3-month-old infant with meningococcal meningitis has just been admitted to the pediatric unit. Which
nursing intervention has the highest priority? - ✔✔instituting droplet precautions
, The nurse is preparing to administer the initial dose of digoxin PO to a client. What is the nurse's priority
assessment before administering this medication? - ✔✔apical heart rate
A client underwent insertion of a nasogastric (NG) tube for partial bowel obstruction the previous
evening. The nurse notes that the tube is not secured to the client's face. How will the nurse proceed? -
✔✔Verify placement of the tube.
A female client who has diagnosis of borderline personality disorder is manipulative and very disruptive
on the hospital unit. She is not dangerous to herself or others, but is clearly not making any therapeutic
progress. She consistently refuses any medications. The nurse realizes that legally this client has which
option? - ✔✔Refuse treatment.
Which statement by a client taking trazodone as prescribed by the health care provider indicates to the
nurse that further teaching about the medication is needed? - ✔✔"My depression will be gone in about
5 to 7 days."
A client with a suspected brain tumor is scheduled for a computed tomography (CT) scan. What should
the nurse do when preparing the client for this test? - ✔✔Determine whether the client is allergic to
iodine, contrast dyes, or shellfish.
When caring for a client with a 3-cm stage I pressure ulcer on the coccyx, which action may the nurse
institute independently? - ✔✔Using normal saline solution to clean the ulcer and applying a protective
dressing as necessary
A client hospitalized with Crohn's disease is experiencing a migraine aura. The client requests that the
client's chiropractor be allowed to visit even though it is after visiting hours. What is the nurse's best
response? - ✔✔"Tell me what helps your migraines outside of the hospital."
A 22-year-old client reports substernal chest pain and states that their heart feels like "it's racing out of
my chest." The client reports no history of cardiac disorders. The nurse attaches the client to a cardiac
monitor and notes sinus tachycardia with a rate of 136 beats/minute. Breath sounds are clear, and the
respiratory rate is 26 breaths/minute. When a cardiorespiratory basis is eliminated, which drug would
the nurse question about usage? - ✔✔cocaine
Questions | 100% Correct Answers |
Verified 2024 Version
Which is an expected outcome when a client is receiving an IV administration of furosemide? -
✔✔increased urine output
The nurse is caring for a 5-year-old child who had a hernia repair 1 day ago. The child is vomiting, has a
nasogastric (NG) tube to low intermittent suction, and has diarrhea. Which of the following laboratory
results would be the immediate priority for the nurse to assess? - ✔✔potassium level
The nurse is caring for a primigravid client at about 9 weeks' gestation. After explaining self-care
measures for common discomforts of pregnancy, the nurse determines that the client understands the
instructions when she makes which statement? - ✔✔"Nausea and vomiting can be decreased if I eat a
few crackers before arising."
A client has been taking imipramine for depression for 2 days. His sister asks the nurse, "Why is he still so
depressed?" Which response by the nurse is most appropriate? - ✔✔"It takes 2 to 4 weeks for the drug
to reach its full effect."
A child with asthma states, "I want to play some sports like my friends. What can I do?" The nurse
responds to the child based on the understanding of what information? - ✔✔Most children with asthma
can participate in sports if the asthma is controlled.
A client with pernicious anemia asks why she must take vitamin B12 injections forever. Which is the
nurse's best response? - ✔✔"The reason for your vitamin deficiency is an inability to absorb the vitamin
because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be
absorbed."
A 3-month-old infant with meningococcal meningitis has just been admitted to the pediatric unit. Which
nursing intervention has the highest priority? - ✔✔instituting droplet precautions
, The nurse is preparing to administer the initial dose of digoxin PO to a client. What is the nurse's priority
assessment before administering this medication? - ✔✔apical heart rate
A client underwent insertion of a nasogastric (NG) tube for partial bowel obstruction the previous
evening. The nurse notes that the tube is not secured to the client's face. How will the nurse proceed? -
✔✔Verify placement of the tube.
A female client who has diagnosis of borderline personality disorder is manipulative and very disruptive
on the hospital unit. She is not dangerous to herself or others, but is clearly not making any therapeutic
progress. She consistently refuses any medications. The nurse realizes that legally this client has which
option? - ✔✔Refuse treatment.
Which statement by a client taking trazodone as prescribed by the health care provider indicates to the
nurse that further teaching about the medication is needed? - ✔✔"My depression will be gone in about
5 to 7 days."
A client with a suspected brain tumor is scheduled for a computed tomography (CT) scan. What should
the nurse do when preparing the client for this test? - ✔✔Determine whether the client is allergic to
iodine, contrast dyes, or shellfish.
When caring for a client with a 3-cm stage I pressure ulcer on the coccyx, which action may the nurse
institute independently? - ✔✔Using normal saline solution to clean the ulcer and applying a protective
dressing as necessary
A client hospitalized with Crohn's disease is experiencing a migraine aura. The client requests that the
client's chiropractor be allowed to visit even though it is after visiting hours. What is the nurse's best
response? - ✔✔"Tell me what helps your migraines outside of the hospital."
A 22-year-old client reports substernal chest pain and states that their heart feels like "it's racing out of
my chest." The client reports no history of cardiac disorders. The nurse attaches the client to a cardiac
monitor and notes sinus tachycardia with a rate of 136 beats/minute. Breath sounds are clear, and the
respiratory rate is 26 breaths/minute. When a cardiorespiratory basis is eliminated, which drug would
the nurse question about usage? - ✔✔cocaine
