3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
NCLEX-RN QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
Terms in this set (99)
When a central venous catheter C
dressing becomes moist or loose,
what should a nurse do first?
A. Draw a circle around the moist spot
and note the date and time.
B. Notify the physician.
C. Remove the dressing, clean the site, and
apply a new dressing.
D. Remove the catheter, check for
catheter integrity, and send the tip for
culture.
1/47
,3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
The nurse is caring for a 65-year-old C
male client with a history of ischemic
heart disease who has been admitted to
the ICU following a myocardial infarction.
The client is currently receiving lidocaine
I.V. to
manage his ventricular ectopy, which has
been persistent. Which of the following
factors would be most important for the
nurse to consider in relation to the
administration of this medication?
A. Decrease in arterial oxygen
saturation (SaO2) when measured
with a pulse
oximeter
B.Increase in systemic blood pressure
C. Presence of premature ventricular
contractions (PVCs) on a cardiac monitor
D.Increase in intracranial pressure (ICP)
E.A drop in serum potassium levels
as indicated in the latest lab
results
F.Observation of a widening QRS
complex on the ECG
2/47
,3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
A 72-year-old male patient with a history of B
atrial fibrillation and controlled
hypertension has been initiated on warfarin
therapy. Upon assessment of the patient's
history, it was revealed that he has a
history of peptic ulcer. This patient also
has a
recent history of a peptic ulcer. Given the
client's medical history and current
medication regimen, which of the following
instructions should the nurse prioritize
when providing discharge teaching?
A. Report incidents of diarrhea
B. Avoid foods high in vitamin K
C. Use a straight razor when shaving
D.Take aspirin for pain relief
E. Monitor for signs of bleeding, such as
bruising or black tarry stools
F.Check blood pressure regularly at home
G. Inform all healthcare providers about
the anticoagulant therapy
3/47
, 3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
n a busy surgical unit, a nurse is C
preparing to insert an I.V. catheter for a
33-year-old patient who is scheduled
for elective
surgery and has a notably hairy forearm
where the I.V. is to be placed. The patient is
allergic to a variety of adhesives and
has sensitive skin that is prone to
irritation.
Given these considerations, how should the
nurse manage excess hair at the
intended
catheter insertion site?
A. Leaving the hair intact
B.Shaving the area
C. Clipping the hair in the area
D.Removing the hair with a depilatory
E.Applying a small amount of water-
soluble gel to tame the hair without cutting
F.Use a sterile surgical scalpel to trim
the hair as close to the skin as possible
without causing abrasions
A nurse is tasked with the education of an A
elderly female patient who has been
recently diagnosed with osteoporosis. The
patient leads a sedentary lifestyle, has a
diet low in calcium, has undergone
menopause ten years prior, and has a
visibly kyphotic posture. In planning the
education for this patient, which of
the
following complications should the nurse
emphasize as the most significant risk
associated with osteoporosis, especially
considering the patient's profile?
4/47
PM
NCLEX-RN QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE
Terms in this set (99)
When a central venous catheter C
dressing becomes moist or loose,
what should a nurse do first?
A. Draw a circle around the moist spot
and note the date and time.
B. Notify the physician.
C. Remove the dressing, clean the site, and
apply a new dressing.
D. Remove the catheter, check for
catheter integrity, and send the tip for
culture.
1/47
,3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
The nurse is caring for a 65-year-old C
male client with a history of ischemic
heart disease who has been admitted to
the ICU following a myocardial infarction.
The client is currently receiving lidocaine
I.V. to
manage his ventricular ectopy, which has
been persistent. Which of the following
factors would be most important for the
nurse to consider in relation to the
administration of this medication?
A. Decrease in arterial oxygen
saturation (SaO2) when measured
with a pulse
oximeter
B.Increase in systemic blood pressure
C. Presence of premature ventricular
contractions (PVCs) on a cardiac monitor
D.Increase in intracranial pressure (ICP)
E.A drop in serum potassium levels
as indicated in the latest lab
results
F.Observation of a widening QRS
complex on the ECG
2/47
,3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
A 72-year-old male patient with a history of B
atrial fibrillation and controlled
hypertension has been initiated on warfarin
therapy. Upon assessment of the patient's
history, it was revealed that he has a
history of peptic ulcer. This patient also
has a
recent history of a peptic ulcer. Given the
client's medical history and current
medication regimen, which of the following
instructions should the nurse prioritize
when providing discharge teaching?
A. Report incidents of diarrhea
B. Avoid foods high in vitamin K
C. Use a straight razor when shaving
D.Take aspirin for pain relief
E. Monitor for signs of bleeding, such as
bruising or black tarry stools
F.Check blood pressure regularly at home
G. Inform all healthcare providers about
the anticoagulant therapy
3/47
, 3/21/25, 2:45 NCLEX-RN QUESTIONS Flashcards |
PM
n a busy surgical unit, a nurse is C
preparing to insert an I.V. catheter for a
33-year-old patient who is scheduled
for elective
surgery and has a notably hairy forearm
where the I.V. is to be placed. The patient is
allergic to a variety of adhesives and
has sensitive skin that is prone to
irritation.
Given these considerations, how should the
nurse manage excess hair at the
intended
catheter insertion site?
A. Leaving the hair intact
B.Shaving the area
C. Clipping the hair in the area
D.Removing the hair with a depilatory
E.Applying a small amount of water-
soluble gel to tame the hair without cutting
F.Use a sterile surgical scalpel to trim
the hair as close to the skin as possible
without causing abrasions
A nurse is tasked with the education of an A
elderly female patient who has been
recently diagnosed with osteoporosis. The
patient leads a sedentary lifestyle, has a
diet low in calcium, has undergone
menopause ten years prior, and has a
visibly kyphotic posture. In planning the
education for this patient, which of
the
following complications should the nurse
emphasize as the most significant risk
associated with osteoporosis, especially
considering the patient's profile?
4/47
