NCLEX Remediation: Quiz 1 Exam QUESTIONS AND ANSWERS (LATEST UPDATE 2025)
ALREADY PASSED
A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the
client on how to prevent postoperative complications. What statements by the client would indicate the
need for further teaching? Select all that apply. - (answer)"Avoiding pain medication will prevent
constipation."
"I should drink plenty of liquids like iced tea or coffee."
"Limiting fiber is necessary to avoid diarrhea."
The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The client speaks limited
English. What should the nurse do to ensure the client and family receives the most accurate
information? Select all that apply. - (answer)Provide culturally sensitive education.
Encourage family members to obtain a tuberculosis skin test.
Urge all family and close contact community members to seek and complete treatment to enhance
compliance.
Rationale: As always, the nurse must provide culturally sensitive education. Because tuberculosis is
highly contagious, all family members and close community members should have a tuberculosis skin
test, seek treatment, and remain compliant. A full course of 6-9 months of treatment is needed to
prevent re-infection. Instructions written in English are not helpful for the client with limited English
skills. Washing dishes by hand is not the best way to prevent infection; rather a dishwasher should be
used if available.
Test Taking Strategy: Focus on the strategic word most to select correct options that relate to
appropriate teaching for both the client and family members. Also, focusing on the data in the question
will assist in answering. Review: Tuberculosis
The nurse is observing the cardiac monitor of a client and notes this cardiac rhythm (refer to figure).
What is the initial nursing action? - (answer)Check for a pulse
Rationale: Ventricular tachycardia can be stable or unstable depending on whether the client has a pulse
or not. In this case, assessing the client's pulse is the initial action. Obtaining a 12 lead ECG and notifying
,NCLEX Remediation: Quiz 1 Exam QUESTIONS AND ANSWERS (LATEST UPDATE 2025)
ALREADY PASSED
the health care provider may be necessary but are not initial actions. Initiating CPR may be necessary of
the ventricular tachycardia becomes unstable and cardiac arrest occurs.
Test-Taking Strategy: Note eh strategic word, initial. Use the steps of the nursing process and recall that
assessment is the first step and the first action to take. Review: Ventricular Tachycardia
A mother brings her 9-month-old child to see the pediatrician and has concerns that the child may have
a developmental delay because the child cannot roll over yet. for the nurse should ask the mother about
which risk factors associated with a developmental delay? Select all that apply. - (answer)Chronic illness
Environmental exposure to toxins
Income
Low birth weight
The nurse in a pediatric unit is planning the staff assignments for children with developmental delays.
When planning the assignment, the nurse decides to assign those children who have social or emotional
delays amongst different nurses. Which children should be assigned to different nurses? Select all that
apply. - (answer)A child with generalized anxiety disorder
A child with autism
The nurse is caring for a client admitted to the hospital for shortness of breath and edema in both lower
extremities. The client is prescribed furosemide 40mg by the intravenous route once daily. What
information in the chart would warrant the nurse to verify continuing the prescription with the health
care provider (HCP)? Refer to chart.
History and Physical:
• Expiratory rales on auscultation
• Peripheral Vascular Disease (PVD)
Laboratory Findings:
• Blood pressure 145/94 mmHg
• Serum Potassium 3.5 mEq/L (3.5 mmol/L)
Medications:
, NCLEX Remediation: Quiz 1 Exam QUESTIONS AND ANSWERS (LATEST UPDATE 2025)
ALREADY PASSED
• Lisinopril 20mg orally daily
• Atorvastatin 10mg orally at bedtime - (answer)Potassium level of 3.5 mEq/L (3.5 mmol/L)
Rationale: Furosemide is a potassium-losing diuretic. The serum potassium level of 3.5mEq/L (3.5
mmol/L) is on the lower limit of normal, and the nurse should anticipate that the potassium level would
drop with the administration of furosemide. Therefore, the nurse should verify continuing the
prescription if this potassium level was noted. Expiratory rales are an expected finding with fluid
overload and furosemide would be an appropriate treatment. Atorvastatin and peripheral vascular
disease are not impacted by the administration of furosemide.
Test-Taking Strategy: Focus on the subject, the need to verify continuing the prescription. Note the data
in the question and that the client is receiving furosemide. Recall that furosemide is a potassium-losing
diuretic. Think about the side and adverse effects of this medication to answer correctly. Review:
furosemide
A nurse employed at a nursing home is caring for a client who has recently been transferred from the
hospital to the nursing home. The client is confused and is acting out. The nurse suspects the client is
suffering from relocation stress. The nurse should include which helpful actions in the plan of care?
Select all that apply. - (answer)Ensure the client is an active part of decision making regarding their care.
Encourage friends and family to visit frequently.
Establish a trusting relationship with the client as soon as possible.
Rationale: Relocation stress can occur when a client is removed from their usual surrounding such as
home. In order to provide safe and quality care, encourage friends and family to visit the client often
and establish a trusting relationship with the client as soon as possible. It is important for the client to
have an active role in decision-making. In order to lessen confusion, the nurse should provide the client
time to become familiar with the immediate surroundings such as his or her room before allowing or
encouraging ambulation to new surroundings; allowing the client to move around the halls as desired
may increase confusion and acting-out behaviors. Likewise, changing the client's room frequently may
increase confusion.
Test-Taking Strategy: Focus on the subject, relocation stress. Also note that the client is confused and
acting-out. Think about this type of stress and the manifestations and what you might expect from a
ALREADY PASSED
A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the
client on how to prevent postoperative complications. What statements by the client would indicate the
need for further teaching? Select all that apply. - (answer)"Avoiding pain medication will prevent
constipation."
"I should drink plenty of liquids like iced tea or coffee."
"Limiting fiber is necessary to avoid diarrhea."
The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The client speaks limited
English. What should the nurse do to ensure the client and family receives the most accurate
information? Select all that apply. - (answer)Provide culturally sensitive education.
Encourage family members to obtain a tuberculosis skin test.
Urge all family and close contact community members to seek and complete treatment to enhance
compliance.
Rationale: As always, the nurse must provide culturally sensitive education. Because tuberculosis is
highly contagious, all family members and close community members should have a tuberculosis skin
test, seek treatment, and remain compliant. A full course of 6-9 months of treatment is needed to
prevent re-infection. Instructions written in English are not helpful for the client with limited English
skills. Washing dishes by hand is not the best way to prevent infection; rather a dishwasher should be
used if available.
Test Taking Strategy: Focus on the strategic word most to select correct options that relate to
appropriate teaching for both the client and family members. Also, focusing on the data in the question
will assist in answering. Review: Tuberculosis
The nurse is observing the cardiac monitor of a client and notes this cardiac rhythm (refer to figure).
What is the initial nursing action? - (answer)Check for a pulse
Rationale: Ventricular tachycardia can be stable or unstable depending on whether the client has a pulse
or not. In this case, assessing the client's pulse is the initial action. Obtaining a 12 lead ECG and notifying
,NCLEX Remediation: Quiz 1 Exam QUESTIONS AND ANSWERS (LATEST UPDATE 2025)
ALREADY PASSED
the health care provider may be necessary but are not initial actions. Initiating CPR may be necessary of
the ventricular tachycardia becomes unstable and cardiac arrest occurs.
Test-Taking Strategy: Note eh strategic word, initial. Use the steps of the nursing process and recall that
assessment is the first step and the first action to take. Review: Ventricular Tachycardia
A mother brings her 9-month-old child to see the pediatrician and has concerns that the child may have
a developmental delay because the child cannot roll over yet. for the nurse should ask the mother about
which risk factors associated with a developmental delay? Select all that apply. - (answer)Chronic illness
Environmental exposure to toxins
Income
Low birth weight
The nurse in a pediatric unit is planning the staff assignments for children with developmental delays.
When planning the assignment, the nurse decides to assign those children who have social or emotional
delays amongst different nurses. Which children should be assigned to different nurses? Select all that
apply. - (answer)A child with generalized anxiety disorder
A child with autism
The nurse is caring for a client admitted to the hospital for shortness of breath and edema in both lower
extremities. The client is prescribed furosemide 40mg by the intravenous route once daily. What
information in the chart would warrant the nurse to verify continuing the prescription with the health
care provider (HCP)? Refer to chart.
History and Physical:
• Expiratory rales on auscultation
• Peripheral Vascular Disease (PVD)
Laboratory Findings:
• Blood pressure 145/94 mmHg
• Serum Potassium 3.5 mEq/L (3.5 mmol/L)
Medications:
, NCLEX Remediation: Quiz 1 Exam QUESTIONS AND ANSWERS (LATEST UPDATE 2025)
ALREADY PASSED
• Lisinopril 20mg orally daily
• Atorvastatin 10mg orally at bedtime - (answer)Potassium level of 3.5 mEq/L (3.5 mmol/L)
Rationale: Furosemide is a potassium-losing diuretic. The serum potassium level of 3.5mEq/L (3.5
mmol/L) is on the lower limit of normal, and the nurse should anticipate that the potassium level would
drop with the administration of furosemide. Therefore, the nurse should verify continuing the
prescription if this potassium level was noted. Expiratory rales are an expected finding with fluid
overload and furosemide would be an appropriate treatment. Atorvastatin and peripheral vascular
disease are not impacted by the administration of furosemide.
Test-Taking Strategy: Focus on the subject, the need to verify continuing the prescription. Note the data
in the question and that the client is receiving furosemide. Recall that furosemide is a potassium-losing
diuretic. Think about the side and adverse effects of this medication to answer correctly. Review:
furosemide
A nurse employed at a nursing home is caring for a client who has recently been transferred from the
hospital to the nursing home. The client is confused and is acting out. The nurse suspects the client is
suffering from relocation stress. The nurse should include which helpful actions in the plan of care?
Select all that apply. - (answer)Ensure the client is an active part of decision making regarding their care.
Encourage friends and family to visit frequently.
Establish a trusting relationship with the client as soon as possible.
Rationale: Relocation stress can occur when a client is removed from their usual surrounding such as
home. In order to provide safe and quality care, encourage friends and family to visit the client often
and establish a trusting relationship with the client as soon as possible. It is important for the client to
have an active role in decision-making. In order to lessen confusion, the nurse should provide the client
time to become familiar with the immediate surroundings such as his or her room before allowing or
encouraging ambulation to new surroundings; allowing the client to move around the halls as desired
may increase confusion and acting-out behaviors. Likewise, changing the client's room frequently may
increase confusion.
Test-Taking Strategy: Focus on the subject, relocation stress. Also note that the client is confused and
acting-out. Think about this type of stress and the manifestations and what you might expect from a
