1
“
Fundamentals of Nursing NCLEX Challenge Exam
2025 | 75 A+ Verified Real Exam Questions & Answers
| Guaranteed Pass”
1. 1. Question
1 point(s)
A 72-year-old female patient with a history of type 2 diabetes and hypertension
was admitted to the medical-surgical unit due to a minor stroke. On assessment,
the nurse noted generalized skin dryness, particularly on the arms, legs, and face.
The nurse understands the importance of skin integrity, especially considering the
patient’s age and comorbidities. Which of the following nursing interventions
should the nurse consider when addressing the patient’s skin dryness? Select all
that apply.
A. Consult the dietitian about increasing the patient’s fat intake, and take
necessary measures to prevent infection.
Incorrect
B. Use hypoallergenic soap when bathing the patient.
, 2
Correct
C. Encourage the patient to drink at least 2 liters of water per day.
Correct
D. Coordinate with the physician to refer the patient to a dermatologist.
E. Replace hospital-issued gowns with home-laundered ones.
F. Frequently apply a hydrating lotion to the patient's skin.
Correct
G. Offer the patient warm tea thrice daily.
Incorrect
Correct Answers: B, C, and F.
Using hypoallergenic soap prevents further irritation and drying of the skin.
Drinking adequate water assists in maintaining skin hydration and health.
Applying a hydrating lotion helps seal in moisture, preventing further drying and
nourishing the skin. These interventions directly address the root cause of skin
dryness and provide comprehensive care to promote skin integrity. While some of
the other interventions may have benefits in certain contexts, B, C, and F are the
most directly applicable to the patient’s skin condition in this scenario.
Related topic:
2. Question
1 point(s)
A 68-year-old male patient was admitted to the cardiac unit following a recent
myocardial infarction. The patient has a history of chronic venous insufficiency in
, 3
both lower extremities. The nurse is preparing to provide a bed bath to the patient.
The charge nurse advises the nurse to use long, firm strokes from the distal to the
proximal areas when washing the patient’s extremities. The primary reason for
this technique is to:
A. Facilitate thorough examination and skin assessment.
B. Prevent musculoskeletal injuries for the nurse during the procedure.
C. Enhance venous blood return and reduce the risk of venous stasis.
Correct
D. Induce vasoconstriction, thereby augmenting peripheral circulation.
E. Stimulate the lymphatic system and reduce potential edema.
F. Offer therapeutic touch, which can calm the patient.
Correct
Correct Answer: C. Increases venous blood return.
Massaging or washing the extremities from distal to proximal areas promotes
venous blood return towards the heart, which is especially important for patients
with venous insufficiency. This technique counteracts the effects of gravity and
can reduce the risk of venous stasis, which can be particularly beneficial in
patients with compromised circulation like the one in this scenario. While some of
the other choices have valid reasons within different contexts, the most direct and
primary reason for this technique in this clinical scenario is to enhance venous
return.
3. Question
, 4
1 point(s)
Vivid dreaming occurs in which stage of sleep?
A. Stage I non-REM
B. Rapid eye movement (REM) stage
Correct
C. Stage II non-REM
D. Delta stage
Correct
Correct Answer: B. Rapid eye movement (REM) stage
Other characteristics of rapid eye movement (REM) sleep are deep sleep (the
patient cannot be awakened easily), depressed muscle tone, and possibly irregular
heart and respiratory rates. This is the stage associated with dreaming.
Interestingly, the EEG is similar to an awake individual, but the skeletal muscles
are atonic and without movement. The exception is the eye and diaphragmatic
breathing muscles, which remain active. The breathing rate is altered though,
being more erratic and irregular. This stage usually starts 90 minutes after falling
asleep, and each of the REM cycles gets longer throughout the night. The first
period typically lasts 10 minutes, and the final one can last up to an hour.
Option A: Non-REM sleep is a deep, restful sleep without dreaming.
This is the lightest stage of sleep and starts when more than 50% of the
alpha waves are replaced with low-amplitude mixed-frequency (LAMF)
activity. There is muscle tone present in the skeletal muscle and
“
Fundamentals of Nursing NCLEX Challenge Exam
2025 | 75 A+ Verified Real Exam Questions & Answers
| Guaranteed Pass”
1. 1. Question
1 point(s)
A 72-year-old female patient with a history of type 2 diabetes and hypertension
was admitted to the medical-surgical unit due to a minor stroke. On assessment,
the nurse noted generalized skin dryness, particularly on the arms, legs, and face.
The nurse understands the importance of skin integrity, especially considering the
patient’s age and comorbidities. Which of the following nursing interventions
should the nurse consider when addressing the patient’s skin dryness? Select all
that apply.
A. Consult the dietitian about increasing the patient’s fat intake, and take
necessary measures to prevent infection.
Incorrect
B. Use hypoallergenic soap when bathing the patient.
, 2
Correct
C. Encourage the patient to drink at least 2 liters of water per day.
Correct
D. Coordinate with the physician to refer the patient to a dermatologist.
E. Replace hospital-issued gowns with home-laundered ones.
F. Frequently apply a hydrating lotion to the patient's skin.
Correct
G. Offer the patient warm tea thrice daily.
Incorrect
Correct Answers: B, C, and F.
Using hypoallergenic soap prevents further irritation and drying of the skin.
Drinking adequate water assists in maintaining skin hydration and health.
Applying a hydrating lotion helps seal in moisture, preventing further drying and
nourishing the skin. These interventions directly address the root cause of skin
dryness and provide comprehensive care to promote skin integrity. While some of
the other interventions may have benefits in certain contexts, B, C, and F are the
most directly applicable to the patient’s skin condition in this scenario.
Related topic:
2. Question
1 point(s)
A 68-year-old male patient was admitted to the cardiac unit following a recent
myocardial infarction. The patient has a history of chronic venous insufficiency in
, 3
both lower extremities. The nurse is preparing to provide a bed bath to the patient.
The charge nurse advises the nurse to use long, firm strokes from the distal to the
proximal areas when washing the patient’s extremities. The primary reason for
this technique is to:
A. Facilitate thorough examination and skin assessment.
B. Prevent musculoskeletal injuries for the nurse during the procedure.
C. Enhance venous blood return and reduce the risk of venous stasis.
Correct
D. Induce vasoconstriction, thereby augmenting peripheral circulation.
E. Stimulate the lymphatic system and reduce potential edema.
F. Offer therapeutic touch, which can calm the patient.
Correct
Correct Answer: C. Increases venous blood return.
Massaging or washing the extremities from distal to proximal areas promotes
venous blood return towards the heart, which is especially important for patients
with venous insufficiency. This technique counteracts the effects of gravity and
can reduce the risk of venous stasis, which can be particularly beneficial in
patients with compromised circulation like the one in this scenario. While some of
the other choices have valid reasons within different contexts, the most direct and
primary reason for this technique in this clinical scenario is to enhance venous
return.
3. Question
, 4
1 point(s)
Vivid dreaming occurs in which stage of sleep?
A. Stage I non-REM
B. Rapid eye movement (REM) stage
Correct
C. Stage II non-REM
D. Delta stage
Correct
Correct Answer: B. Rapid eye movement (REM) stage
Other characteristics of rapid eye movement (REM) sleep are deep sleep (the
patient cannot be awakened easily), depressed muscle tone, and possibly irregular
heart and respiratory rates. This is the stage associated with dreaming.
Interestingly, the EEG is similar to an awake individual, but the skeletal muscles
are atonic and without movement. The exception is the eye and diaphragmatic
breathing muscles, which remain active. The breathing rate is altered though,
being more erratic and irregular. This stage usually starts 90 minutes after falling
asleep, and each of the REM cycles gets longer throughout the night. The first
period typically lasts 10 minutes, and the final one can last up to an hour.
Option A: Non-REM sleep is a deep, restful sleep without dreaming.
This is the lightest stage of sleep and starts when more than 50% of the
alpha waves are replaced with low-amplitude mixed-frequency (LAMF)
activity. There is muscle tone present in the skeletal muscle and
