QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
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3. Foods containing the most amount of calories
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
4. Foods containing the most amount of fiber
Incorrect - While this is a good practice, in light of the information given, this is not the
greatest priority.
A nurse is caring for a patient scheduled to have cataract surgery. The patient asks why
they developed cataracts and how they can prevent it from happening again. What is
the nurse's best response?
1. "Age is the biggest factor contributing to cataracts."
2. "Unprotected exposure to UV lights can cause cataracts"
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions." - ans1. "Age is the biggest factor
contributing to cataracts."
Incorrect - While true, this answer leaves out many other contributing factors to
cataracts and does not address prevention.
2. "Unprotected exposure to UV lights can cause cataracts"
Incorrect - While true, this answer is not complete
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
Correct - This answer covers the most common contributing factors for cataracts and
includes preventable risk factors.
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions."
Incorrect - While most cataracts are age-related cataracts, there are still ways to
prevent eye damage and cataract development.
A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns
to talk to the nurse. Which of these statements would require the most immediate
intervention?
1. "I'm feeling extremely thirsty. I'm going to get some water after this."
2. "I can feel my heart racing."
3. "My shoulder and arm is hurting."
4. "My blood pressure reading is 158/80" - ans1. "I'm feeling extremely thirsty. I'm going
to get some water after this."
, NCLEX RN NEWEST 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
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Incorrect - This does not require immediate intervention. This is a common response to
exercise and activity.
2. "I can feel my heart racing."
Incorrect - This does not require immediate intervention. This is a common response to
exercise and activity.
3. "My shoulder and arm is hurting."
Correct - Unilateral arm and shoulder pain is one of the classic symptoms of myocardial
ischemia. The stress test should be halted.
4. "My blood pressure reading is 158/80"
Incorrect - This does not require immediate intervention. Moderate elevation in blood
pressure is a common response to exercise and activity.
A nurse is caring for a patient who is suspected to have sustained a spinal cord injury.
What best describes the overarching principles used to guide the care for this type of
condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
3. Help the patient with activities of daily living and provide emotional and physical
support to help them adjust to their injury
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and breathing -
ans1. Immobilize the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
3. Help the patient with activities of daily living and provide emotional and physical
support to help them adjust to their injury
Incorrect - These are important in the later stages of a spinal cord injury after the patient
has been stabilized, but at this point would be premature.
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and breathing
Correct - Maintaining airway, breathing, and circulation is both essential and guides the
overall plan of care for a patient with a spinal cord injury.
A nurse is caring for a patient with a cast on the right leg. Which of these assessment
findings would most concern the nurse?
1. The capillary refill time is 2 seconds