Page 1 of 215
NCLEX RN STUDY GUIDE TEST BANK LATEST
UPDATE THIS YEAR
NCLEX RN – STUDY GUIDE
A nurse is tasked with the education of an 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?
A. Increased susceptibility to bone fractures from minimal trauma
B. Consequences of long-term estrogen deficiency post-menopause
C. The impact of sustained negative calcium balance on bone density
D. The progression of spinal deformities such as a kyphotic curvature
E. Potential for height loss over time due to vertebral compression
F. Risk of developing chronic pain associated with skeletal weakness
A
A community health nurse is conducting a workshop on breast health for a group of women
with diverse backgrounds, ranging from those who have never performed Breast Self-
Examination (BSE) to some who have had benign breast conditions in the past. As part of the
educational session, the nurse emphasizes the importance of BSE for the early detection of
potential breast anomalies. What should the nurse identify as the primary goal for these
women in performing regular BSE?
A. To detect any cancerous lumps early in their development
B. To identify areas of thickness or fullness that differ from the rest of the breast tissue
C. To notice any changes in the breast tissue from what is normal for each individual
D. To differentiate between fibrocystic masses and other types of breast lumps
E. To promote self-awareness of breast health and encourage routine health screening
F. To understand the normal texture and appearance
1
,Page 2 of 215
C
During the endorsement, which of the following clients should the on-duty nurse assess first?
A. The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of
126/76 mm Hg, and a respiratory rate of 22 breaths/minute.
B. The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm
Hg, and a “do not resuscitate” order.
C. The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving
L.V. heparin.
D. The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and
is receiving L.V. diltiazem (Cardizem).
D
The nurse is attending to a 35-year-old patient presenting to the emergency department with
difficulty breathing, audible inspiratory and expiratory wheezes, and a significant reduction in
peak expiratory flow rate. The patient has a known history of asthma and is currently
experiencing an exacerbation. Which of the following medication classes should the nurse
anticipate administering first to address the patient’s immediate needs?
A. Beta-adrenergic blockers
B. Bronchodilators
C. Inhaled steroids
D. Oral steroids
E. Anticholinergics
B
A 77-year-old male client is admitted with a diagnosis of dehydration and change in mental
status. He's being hydrated with I.V. fluids. When the nurse takes his vital signs, she notes he
has a fever of 103°F (39.4°C) a cough producing yellow sputum and pleuritic chest pain. The
nurse suspects this client may have which of the following conditions?
A. Adult respiratory distress syndrome (ARDS)
2
,Page 3 of 215
B. Myocardial infarction (MI)
C. Pneumonia
D. Tuberculosis
C
After insertion of a chest tube for a pneumothorax, a client becomes hypotensive with neck
vein distention, tracheal shift, absent breath sounds, and diaphoresis. Nurse Amanda
suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should
the nurse check for?
A. Infection of the lung
B. Kinked or obstructed chest tube
C. Excessive water in the water-seal chamber
D. Excessive chest tube drainage
B
A 15-year-old female with a history of depression and recent relationship troubles with her
close friends is brought to the emergency department by her concerned parents after they
found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning,
the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is
visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial
scratches.
As the nurse prepares to address the situation, several orders from the primary care provider
come in. Which of the following orders should the nurse prioritize and carry out first?
A. Perform gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV with Dextrose 5% and 0.33% normal saline
D. Have the patient drink activated charcoal mixed with water
E. Conduct a psychiatric evaluation.
F. Apply wrist restraints to prevent further self-ha
B
When a central venous catheter 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.
3
, Page 4 of 215
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.
C
The nurse is caring for a 65-year-old 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
C
A 72-year-old male patient with a history of 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
B
4
NCLEX RN STUDY GUIDE TEST BANK LATEST
UPDATE THIS YEAR
NCLEX RN – STUDY GUIDE
A nurse is tasked with the education of an 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?
A. Increased susceptibility to bone fractures from minimal trauma
B. Consequences of long-term estrogen deficiency post-menopause
C. The impact of sustained negative calcium balance on bone density
D. The progression of spinal deformities such as a kyphotic curvature
E. Potential for height loss over time due to vertebral compression
F. Risk of developing chronic pain associated with skeletal weakness
A
A community health nurse is conducting a workshop on breast health for a group of women
with diverse backgrounds, ranging from those who have never performed Breast Self-
Examination (BSE) to some who have had benign breast conditions in the past. As part of the
educational session, the nurse emphasizes the importance of BSE for the early detection of
potential breast anomalies. What should the nurse identify as the primary goal for these
women in performing regular BSE?
A. To detect any cancerous lumps early in their development
B. To identify areas of thickness or fullness that differ from the rest of the breast tissue
C. To notice any changes in the breast tissue from what is normal for each individual
D. To differentiate between fibrocystic masses and other types of breast lumps
E. To promote self-awareness of breast health and encourage routine health screening
F. To understand the normal texture and appearance
1
,Page 2 of 215
C
During the endorsement, which of the following clients should the on-duty nurse assess first?
A. The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of
126/76 mm Hg, and a respiratory rate of 22 breaths/minute.
B. The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm
Hg, and a “do not resuscitate” order.
C. The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving
L.V. heparin.
D. The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and
is receiving L.V. diltiazem (Cardizem).
D
The nurse is attending to a 35-year-old patient presenting to the emergency department with
difficulty breathing, audible inspiratory and expiratory wheezes, and a significant reduction in
peak expiratory flow rate. The patient has a known history of asthma and is currently
experiencing an exacerbation. Which of the following medication classes should the nurse
anticipate administering first to address the patient’s immediate needs?
A. Beta-adrenergic blockers
B. Bronchodilators
C. Inhaled steroids
D. Oral steroids
E. Anticholinergics
B
A 77-year-old male client is admitted with a diagnosis of dehydration and change in mental
status. He's being hydrated with I.V. fluids. When the nurse takes his vital signs, she notes he
has a fever of 103°F (39.4°C) a cough producing yellow sputum and pleuritic chest pain. The
nurse suspects this client may have which of the following conditions?
A. Adult respiratory distress syndrome (ARDS)
2
,Page 3 of 215
B. Myocardial infarction (MI)
C. Pneumonia
D. Tuberculosis
C
After insertion of a chest tube for a pneumothorax, a client becomes hypotensive with neck
vein distention, tracheal shift, absent breath sounds, and diaphoresis. Nurse Amanda
suspects a tension pneumothorax has occurred. What cause of tension pneumothorax should
the nurse check for?
A. Infection of the lung
B. Kinked or obstructed chest tube
C. Excessive water in the water-seal chamber
D. Excessive chest tube drainage
B
A 15-year-old female with a history of depression and recent relationship troubles with her
close friends is brought to the emergency department by her concerned parents after they
found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning,
the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is
visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial
scratches.
As the nurse prepares to address the situation, several orders from the primary care provider
come in. Which of the following orders should the nurse prioritize and carry out first?
A. Perform gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV with Dextrose 5% and 0.33% normal saline
D. Have the patient drink activated charcoal mixed with water
E. Conduct a psychiatric evaluation.
F. Apply wrist restraints to prevent further self-ha
B
When a central venous catheter 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.
3
, Page 4 of 215
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.
C
The nurse is caring for a 65-year-old 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
C
A 72-year-old male patient with a history of 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
B
4
