NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
for the past 120 days. Elevations in the blood glucose level will cause elevations in
the amount of glycosylation. Thus, the test is useful in identifying clients who have
periods of hyperglycemia that are undetected in other ways. The estimated average
glucose for a glycosylated hemoglobin A1c of 8% is 205 mg/dL (11.42 mmol/L).
Elevations indicate continued need for teaching related to the prevention of
hyperglycemic episodes.
The nurse is instructing a client how to perform a testicular self-examination
(TSE). The nurse should explain that which is the best time to perform this
exam?
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before
arising A
Rationale:
The nurse needs to teach the client how to perform a TSE. The nurse should
instruct the client to perform the exam on the same day each month. The nurse
should also instruct the client that the best time to perform a TSE is after a shower
or bath when the hands are warm and soapy and the scrotum is warm. Palpation is
easier and the client will be better able to identify any abnormalities. The client
would stand to perform the exam, but it would be difficult to perform the exam
while voiding. Having a bowel movement is unrelated to performing a TSE.
The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which should
the nurse include for this type of assessment? Select all that apply.
A. Auscultating lung sounds
B. Obtaining the client's temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client's respirations
E. Performing a musculoskeletal and neurological examination
F. Asking the client about a family history of any illness
or disease A, B, D
Rationale:
, NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
A focused assessment focuses on a limited or short-term problem, such as the
client's complaint. Because the client is complaining of symptoms of a cold, a
cough, and lung congestion, the nurse would focus on the respiratory system and
the presence of an infection. A complete assessment includes a complete health
history and physical examination and forms a baseline database.
Assessing the strength of peripheral pulses relates to a vascular assessment, which
is not related to this client's complaints. A musculoskeletal and neurological
examination also is not related to this client's complaints. However, strength of
peripheral pulses and a musculoskeletal and
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
for the past 120 days. Elevations in the blood glucose level will cause elevations in
the amount of glycosylation. Thus, the test is useful in identifying clients who have
periods of hyperglycemia that are undetected in other ways. The estimated average
glucose for a glycosylated hemoglobin A1c of 8% is 205 mg/dL (11.42 mmol/L).
Elevations indicate continued need for teaching related to the prevention of
hyperglycemic episodes.
The nurse is instructing a client how to perform a testicular self-examination
(TSE). The nurse should explain that which is the best time to perform this
exam?
A. After a shower or bath
B. While standing to void
C. After having a bowel movement
D. While lying in bed before
arising A
Rationale:
The nurse needs to teach the client how to perform a TSE. The nurse should
instruct the client to perform the exam on the same day each month. The nurse
should also instruct the client that the best time to perform a TSE is after a shower
or bath when the hands are warm and soapy and the scrotum is warm. Palpation is
easier and the client will be better able to identify any abnormalities. The client
would stand to perform the exam, but it would be difficult to perform the exam
while voiding. Having a bowel movement is unrelated to performing a TSE.
The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which should
the nurse include for this type of assessment? Select all that apply.
A. Auscultating lung sounds
B. Obtaining the client's temperature
C. Assessing the strength of peripheral pulses
D. Obtaining information about the client's respirations
E. Performing a musculoskeletal and neurological examination
F. Asking the client about a family history of any illness
or disease A, B, D
Rationale:
, NGN NCLEX RN EXAM TEST BANK ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS WITH
RATIONALES
A focused assessment focuses on a limited or short-term problem, such as the
client's complaint. Because the client is complaining of symptoms of a cold, a
cough, and lung congestion, the nurse would focus on the respiratory system and
the presence of an infection. A complete assessment includes a complete health
history and physical examination and forms a baseline database.
Assessing the strength of peripheral pulses relates to a vascular assessment, which
is not related to this client's complaints. A musculoskeletal and neurological
examination also is not related to this client's complaints. However, strength of
peripheral pulses and a musculoskeletal and
