NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
A client with diabetes mellitus calls the
clinic nurse and reports that she has
been vomiting during the night and now
"Have you tested your blood glucose?"
has diarrhea. Which question does the
nurse make a priority of asking the
client?
A client's oral intake of liquids includes
120 mL on the night shift, 800 mL on
the day shift, and 650 mL on the evening
shift. The client is receiving an intra-
venous (IV) antibiotic every 12 hours,
diluted in 50 mL of normal saline solu-
tion. The nurse empties 700 mL of urine
from the client's Foley catheter at the
1670mL
end of the day shift. Thereafter, 500 mL
of urine is emptied at the end of the
evening shift and 325 mL at the end of
the night shift. Nasogastric tube drainage
totals 155 mL for the 24-hour period, and
the total drainage from the Jackson-Pratt
device is 175 mL. What is the client's total
intake during the 24-hour period?
A client with heart failure suddenly ex-
periences profound dyspnea, pallor, au-
dible wheezing, and cyanosis, and the Raise the head of the client's bed
nurse suspects pulmonary edema. The
nurse would first:
A client with cervical cancer who is
undergoing chemotherapy with cisplatin
Hearing loss
(Platinol). For which adverse effect of cis-
platin will the nurse assess the client?
Alendronate (Fosamax) is prescribed for
a client with postmenopausal osteoporo-
sis. The nurse provides information on Every morning before breakfast, with a
the medication to the client. When does full glass of water
the nurse tell the client to take the alen-
dronate?
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
A client with emphysema is receiving
theophylline (Theo-24). While providing
Apple juice
dietary instructions, the nurse tells the
client that it is acceptable to consume:
A nurse is reviewing the record of a client
scheduled for electroconvulsive therapy
(ECT). Which of the following diagnoses,
Recent stroke
if noted on the client's record, would indi-
cate a need to contact the physician who
is scheduled to perform the ECT?
An emergency department nurse is as-
sessing a client with acute closed-angle Nausea
glaucoma. Which of the following charac- Eye pain
teristics of the disorder does the nurse Vomiting
expect the client to exhibit? Select all that Headache
apply.
The nurse administers intravenous mor-
phine sulfate to a client in pulmonary
edema. For which intended effect of the Relief of anxiety
medication does the nurse monitor the
client?
An emergency department nurse is told
that a client with carbon monoxide poi-
soning resulting from a suicide attempt
is being brought to the hospital by emer- Administering 100% oxygen
gency medical services. Which interven-
tion will the nurse carry out as a priority
upon arrival of the client?
A client with agoraphobia will undergo
systematic desensitization through grad- Gradually introducing the client to a pho-
uated exposure. In explaining the treat- bic object or situation in a predetermined
ment to the client, the nurse tells the sequence of least to most frightening
client that this technique involves:
A client with a medical history of diabetes
mellitus is found to have sarcoidosis, and Closely monitor the blood glucose level
oral prednisone is prescribed. The nurse
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
provides instructions to the client about
the medication and tells the client to:
Enalapril maleate (Vasotec) is pre-
scribed for a hospitalized client. Which
assessment does the nurse perform as Checking the client's blood pressure
a priority before administering the med-
ication?
A client who has undergone abdominal
hysterectomy asks the nurse when she
In about 6 weeks, when the vaginal vault
will be able to resume sexual intercourse.
is satisfactorily healed
The nurse tells the client that sexual in-
tercourse may be resumed:
A nurse on the evening shift checks a
physician's prescriptions and notes that
the dose of a prescribed medication is
higher than the normal dose. The nurse Ask the answering service to contact the
calls the physician's answering service on-call physician
and is told that the physician is off for the
night and will be available in the morning.
The nurse should:
A hospitalized female client with ma-
nia enters the unit community room and
says to a client who is wearing a blue "Don't say that. If you can't control your-
shirt, "Boys in blue are fun to do! Boys self, we'll help you."
in blue are fun to do!" What is the appro-
priate response by the nurse?
A client with HIV infection who has been
found to have histoplasmosis is being
treated with intravenous amphotericin B
Intake and output
(Fungizone). Which parameter does the
nurse check to detect the most common
adverse effect of this medication?
A nurse is gathering subjective and ob-
jective data from a client with suspect-
Fatigue
ed rheumatoid arthritis (RA). Which early
Low-grade fever
manifestations of RA would the nurse
expect to note? Select all that apply.
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
Phenelzine sulfate (Nardil) is prescribed
for a client with depression. The nurse
provides information to the client about
Neck stiffness or soreness
the adverse effects of the medication and
tells the client to contact the physician
immediately if she experiences:
A client is receiving an intravenous in-
fusion of oxytocin (Pitocin) to stimulate
labor. The nurse monitoring the client Stops the oxytocin infusion
notes uterine hypertonicity and immedi-
ately:
A nurse is assessing a pregnant woman
for the presence of edema. The nurse
places a thumb on the top of the client's
foot, then exerts pressure and releases Pitting edema is present
it and notes that the thumb has left a
persistent depression. On the basis of
this finding, the nurse concludes that:
A nurse is caring for a client with commu-
nity-acquired pneumonia who is being
treated with levofloxacin (Levaquin). For
Fever
which of the following findings, indicating
an adverse reaction to the medication,
does the nurse monitor the client?
A client receiving parenteral nutrition
(PN) suddenly experiences chest pain
and dyspnea, and the nurse suspects
an air embolism. The nurse immediately Clamping the intravenous catheter
places the client in a lateral Trendelen-
burg position, on the left side. What ac-
tion does the nurse take next?
A nurse is preparing a poster for a health
fair booth promoting primary prevention
Seek medical advice if you find a skin
of skin cancer. Which of the following rec-
lesion.
ommendations does the nurse include
on the poster? Select all that apply.
Study online at https://quizlet.com/_464h9g
A client with diabetes mellitus calls the
clinic nurse and reports that she has
been vomiting during the night and now
"Have you tested your blood glucose?"
has diarrhea. Which question does the
nurse make a priority of asking the
client?
A client's oral intake of liquids includes
120 mL on the night shift, 800 mL on
the day shift, and 650 mL on the evening
shift. The client is receiving an intra-
venous (IV) antibiotic every 12 hours,
diluted in 50 mL of normal saline solu-
tion. The nurse empties 700 mL of urine
from the client's Foley catheter at the
1670mL
end of the day shift. Thereafter, 500 mL
of urine is emptied at the end of the
evening shift and 325 mL at the end of
the night shift. Nasogastric tube drainage
totals 155 mL for the 24-hour period, and
the total drainage from the Jackson-Pratt
device is 175 mL. What is the client's total
intake during the 24-hour period?
A client with heart failure suddenly ex-
periences profound dyspnea, pallor, au-
dible wheezing, and cyanosis, and the Raise the head of the client's bed
nurse suspects pulmonary edema. The
nurse would first:
A client with cervical cancer who is
undergoing chemotherapy with cisplatin
Hearing loss
(Platinol). For which adverse effect of cis-
platin will the nurse assess the client?
Alendronate (Fosamax) is prescribed for
a client with postmenopausal osteoporo-
sis. The nurse provides information on Every morning before breakfast, with a
the medication to the client. When does full glass of water
the nurse tell the client to take the alen-
dronate?
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
A client with emphysema is receiving
theophylline (Theo-24). While providing
Apple juice
dietary instructions, the nurse tells the
client that it is acceptable to consume:
A nurse is reviewing the record of a client
scheduled for electroconvulsive therapy
(ECT). Which of the following diagnoses,
Recent stroke
if noted on the client's record, would indi-
cate a need to contact the physician who
is scheduled to perform the ECT?
An emergency department nurse is as-
sessing a client with acute closed-angle Nausea
glaucoma. Which of the following charac- Eye pain
teristics of the disorder does the nurse Vomiting
expect the client to exhibit? Select all that Headache
apply.
The nurse administers intravenous mor-
phine sulfate to a client in pulmonary
edema. For which intended effect of the Relief of anxiety
medication does the nurse monitor the
client?
An emergency department nurse is told
that a client with carbon monoxide poi-
soning resulting from a suicide attempt
is being brought to the hospital by emer- Administering 100% oxygen
gency medical services. Which interven-
tion will the nurse carry out as a priority
upon arrival of the client?
A client with agoraphobia will undergo
systematic desensitization through grad- Gradually introducing the client to a pho-
uated exposure. In explaining the treat- bic object or situation in a predetermined
ment to the client, the nurse tells the sequence of least to most frightening
client that this technique involves:
A client with a medical history of diabetes
mellitus is found to have sarcoidosis, and Closely monitor the blood glucose level
oral prednisone is prescribed. The nurse
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
provides instructions to the client about
the medication and tells the client to:
Enalapril maleate (Vasotec) is pre-
scribed for a hospitalized client. Which
assessment does the nurse perform as Checking the client's blood pressure
a priority before administering the med-
ication?
A client who has undergone abdominal
hysterectomy asks the nurse when she
In about 6 weeks, when the vaginal vault
will be able to resume sexual intercourse.
is satisfactorily healed
The nurse tells the client that sexual in-
tercourse may be resumed:
A nurse on the evening shift checks a
physician's prescriptions and notes that
the dose of a prescribed medication is
higher than the normal dose. The nurse Ask the answering service to contact the
calls the physician's answering service on-call physician
and is told that the physician is off for the
night and will be available in the morning.
The nurse should:
A hospitalized female client with ma-
nia enters the unit community room and
says to a client who is wearing a blue "Don't say that. If you can't control your-
shirt, "Boys in blue are fun to do! Boys self, we'll help you."
in blue are fun to do!" What is the appro-
priate response by the nurse?
A client with HIV infection who has been
found to have histoplasmosis is being
treated with intravenous amphotericin B
Intake and output
(Fungizone). Which parameter does the
nurse check to detect the most common
adverse effect of this medication?
A nurse is gathering subjective and ob-
jective data from a client with suspect-
Fatigue
ed rheumatoid arthritis (RA). Which early
Low-grade fever
manifestations of RA would the nurse
expect to note? Select all that apply.
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_464h9g
Phenelzine sulfate (Nardil) is prescribed
for a client with depression. The nurse
provides information to the client about
Neck stiffness or soreness
the adverse effects of the medication and
tells the client to contact the physician
immediately if she experiences:
A client is receiving an intravenous in-
fusion of oxytocin (Pitocin) to stimulate
labor. The nurse monitoring the client Stops the oxytocin infusion
notes uterine hypertonicity and immedi-
ately:
A nurse is assessing a pregnant woman
for the presence of edema. The nurse
places a thumb on the top of the client's
foot, then exerts pressure and releases Pitting edema is present
it and notes that the thumb has left a
persistent depression. On the basis of
this finding, the nurse concludes that:
A nurse is caring for a client with commu-
nity-acquired pneumonia who is being
treated with levofloxacin (Levaquin). For
Fever
which of the following findings, indicating
an adverse reaction to the medication,
does the nurse monitor the client?
A client receiving parenteral nutrition
(PN) suddenly experiences chest pain
and dyspnea, and the nurse suspects
an air embolism. The nurse immediately Clamping the intravenous catheter
places the client in a lateral Trendelen-
burg position, on the left side. What ac-
tion does the nurse take next?
A nurse is preparing a poster for a health
fair booth promoting primary prevention
Seek medical advice if you find a skin
of skin cancer. Which of the following rec-
lesion.
ommendations does the nurse include
on the poster? Select all that apply.
