NCLEX- CRIS-TEST 2025| BRAND NEW
ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
The nurse on the maternity unit must accept a transfer client from a
medical/surgical unit. The nurse considers which transfer client
appropriate?
1. A 38-year-old client with a diagnosis of systemic lupus
erythematosus.
2. A 45-year-old client receiving daily external radiation therapy
treatments for breast cancer.
3. A 58-year-old client receiving antibiotic treatment for cellulitis of
the left leg.
4. A 74-year-old client who has received intravenous antibiotics for 7
days. - ANSWERS_1) CORRECT - Implementation: outcome desired;
autoimmune disease; not infectious
2) Implementation: outcome not desired; possible skin damage and
suppression of bone marrow with decreased white-blood-cell levels;
increased risk for infection
3) Implementation: outcome not desired; generalized skin infection
of deeper connective tissue; usually caused by Streptococcus or
Staphylococcus; increased risk for infection
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4) Implementation: outcome not desired; elderly clients receiving
long-term antibiotic therapy are at risk for Clostridium difficile
infection; highly contagious; increased risk for infection
The client is receiving an IV infusion of heparin. The bag contains
25,000 units of heparin in 500 mL of 5% dextrose in water. The
heparin is to be infused at 1200 units per hour. At what rate should the
nurse set the infusion pump? Calculate and record the rate in
milliliters.
Calculate and record the answer in the box. - ANSWERS_Your
Response:
Correct Response: 24
mL
X = 24
A 50-year-old man scheduled for a vasectomy asks the nurse if he
will be able to have sexual intercourse when he recovers from the
surgery. Which statement, if made by the nurse, would be MOST
accurate?
1. "My understanding is that each case is different after this
procedure."
2. "There will be a short period of time during which you will be
unable to sustain an erection."
3. "Most couples find that their sexual activity is more spontaneous
after a vasectomy."
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4. "This surgery should have no permanent effect on your sexual
functioning." - ANSWERS_1) Dismisses concerns
2) Provides incorrect information
3) Provides false reassurance
4) CORRECT- Provides factual answer
The nurse instructs a client on 100 mg losartan (Cozaar) and 25 mg
hydrochlorothiazide (Hyzaar 100-25) tablets to be taken once daily.
Which statement requires an intervention by the nurse?
1. "I will eat more fresh fruits while taking this medication."
2. "I should call my health care provider if I develop swelling of my
lips."
3. "I can take this medication with or without food."
4. "I understand that I may develop a dry cough while taking this
medication." - ANSWERS_1) Implementation: outcome desired;
hydrochlorothiazide is potassium-wasting diuretic
2) Implementation: outcome desired; angiotensin receptor blockers
(ARBs) may cause angioedema
3) Implementation: outcome desired; may be taken with or without
food
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4) CORRECT- Implementation: outcome not expected; dry,
nonproductive cough may occur with angiotensin-converting enzyme
inhibitors (ACE inhibitors), not ARBs
The nurse cares for the client diagnosed with Parkinson's. The nurse
notes that the client is ambulating with short, accelerating steps.
Which action is the MOST appropriate for the nurse to take?
1. Offer the client a wheelchair.
2. Provide the client a walker.
3. Suggest that the client wear comfortably fitting shoes.
4. Teach the client to walk with a broad-based gait. - ANSWERS_1)
Implementation: outcome not desired; would make the client
dependent
2) Implementation: outcome not desired; client needs to alter method
of walking
3) Implementation: outcome not desired
4) CORRECT- Implementation: outcome desired; concentrate on
walking erect with eyes on horizon
The healthcare provider has ordered a fenestrated tracheostomy tube
to be capped. Which is the MOST important action for the nurse to
take before the tracheostomy tube is plugged?
1. Administer 100% oxygen.