NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_ew9r3q
1. An emergency department nurse is told that a client with carbon monoxide
poisoning resulting from a suicide attempt is being brought to the hospital by
emergency medical services. Which intervention will the nurse carry out as a
priority upon arrival of the client?: Administering 100% oxygen
2. A client with agoraphobia will undergo systematic desensitization through
graduated exposure. In explaining the treatment to the client, the nurse tells
the client that this technique involves:: Gradually introducing the client to a phobic object or
situation in a predetermined sequence of least to most frightening
3. A nurse on the evening shift checks a physician's prescriptions and notes that
the dose of a prescribed medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the physician is off for
the night and will be available in the morning. The nurse should:: Ask the answering
service to contact the on-call physician
4. A nurse is assessing a pregnant woman for the presence of edema. The nurse
places a thumb on the top of the client's foot, then exerts pressure and releases
it and notes that the thumb has left a persistent depression. On the basis of this
finding, the nurse concludes that:: Pitting edema is present
5. A nurse is performing an assessment of a client being admitted to the hospital
with a diagnosis of multiple sclerosis. The client tells the nurse that she took ba-
clofen (Lioresal) for the past 9 months but completely stopped the medication 2
days ago because it was making her feel weak. On the basis of this information,
the nurse notes in the plan of care that the client should be monitored most
closely for:: Seizure activity
6. Cascara sagrada has been prescribed for a client with diminished colonic
motor response as a means of promoting defecation. The nurse provides
information to the client about the medication and tells the client to:: Increase fluid
intake
7. A nurse is caring for a client with sarcoidosis. The client is upset because he
has missed work and worried about how he will care financially for his wife and
three small children. On the basis of the client's concern, which problem does
the nurse identify?: Anxiety
1/8
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_ew9r3q
8. A client scheduled for suprapubic prostatectomy has listened to the surgeon's
explanation of the surgery. The client later asks the nurse to explain again how
the prostate is going to be removed. The nurse tells the client that the prostate
will be removed through:: A lower abdominal incision
9. A clinic nurse is assessing a client who has had a cast applied to the lower left
arm 1 week ago. The client tells the nurse that the skin is being irritated by the
edges of the cast. What is the appropriate action on the part of the nurse: Place
small pieces of tape over the rough edges of the cast
10. A nurse developing a plan of care for a client with HIV infection identifies
several concerns. List them in order of priority, from highest to lowest.: 1 Possible
infection
2 Decreased nutrition
3 Fatigue
4 Despair
11. An emergency department nurse has a physician's prescription to irrigate
a client's ears. List in order of priority the steps that the nurse should take in
performing this procedure.: 1 Use an otoscope to ensure that the tympanic membrane is intact.
2 Warm tap water to body temperature.
3 Fill an irrigating syringe with warm water.
4 Insert the irrigating solution by directing the solution toward the wall of the ear canal.
5 Document the completion of the procedure and how the client tolerated it.
12. The nurse is preparing to administer a tube feeding by way of a nasogastric
tube. Which action does the nurse carry out as a priority before starting the
flow of the solution?: Checking for gastric residual volume and assessing tube placement
13. While being seen by a physician, a client complains of persistent fever,
malaise, and night sweats. On physical examination, the physician palpates
enlarged lymph nodes, and the client states that the nodes are painless.
Hodgkin's lymphoma is suspected, and several diagnostic studies are per-
formed. Which characteristic of this type of lymphoma does the nurse expect
to note while reviewing the results of the diagnostic studies?: Reed-Sternberg cells on
biopsy of a lymph node
2/8
Study online at https://quizlet.com/_ew9r3q
1. An emergency department nurse is told that a client with carbon monoxide
poisoning resulting from a suicide attempt is being brought to the hospital by
emergency medical services. Which intervention will the nurse carry out as a
priority upon arrival of the client?: Administering 100% oxygen
2. A client with agoraphobia will undergo systematic desensitization through
graduated exposure. In explaining the treatment to the client, the nurse tells
the client that this technique involves:: Gradually introducing the client to a phobic object or
situation in a predetermined sequence of least to most frightening
3. A nurse on the evening shift checks a physician's prescriptions and notes that
the dose of a prescribed medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the physician is off for
the night and will be available in the morning. The nurse should:: Ask the answering
service to contact the on-call physician
4. A nurse is assessing a pregnant woman for the presence of edema. The nurse
places a thumb on the top of the client's foot, then exerts pressure and releases
it and notes that the thumb has left a persistent depression. On the basis of this
finding, the nurse concludes that:: Pitting edema is present
5. A nurse is performing an assessment of a client being admitted to the hospital
with a diagnosis of multiple sclerosis. The client tells the nurse that she took ba-
clofen (Lioresal) for the past 9 months but completely stopped the medication 2
days ago because it was making her feel weak. On the basis of this information,
the nurse notes in the plan of care that the client should be monitored most
closely for:: Seizure activity
6. Cascara sagrada has been prescribed for a client with diminished colonic
motor response as a means of promoting defecation. The nurse provides
information to the client about the medication and tells the client to:: Increase fluid
intake
7. A nurse is caring for a client with sarcoidosis. The client is upset because he
has missed work and worried about how he will care financially for his wife and
three small children. On the basis of the client's concern, which problem does
the nurse identify?: Anxiety
1/8
, NCLEX Review Study Guide Comprehensive
Study online at https://quizlet.com/_ew9r3q
8. A client scheduled for suprapubic prostatectomy has listened to the surgeon's
explanation of the surgery. The client later asks the nurse to explain again how
the prostate is going to be removed. The nurse tells the client that the prostate
will be removed through:: A lower abdominal incision
9. A clinic nurse is assessing a client who has had a cast applied to the lower left
arm 1 week ago. The client tells the nurse that the skin is being irritated by the
edges of the cast. What is the appropriate action on the part of the nurse: Place
small pieces of tape over the rough edges of the cast
10. A nurse developing a plan of care for a client with HIV infection identifies
several concerns. List them in order of priority, from highest to lowest.: 1 Possible
infection
2 Decreased nutrition
3 Fatigue
4 Despair
11. An emergency department nurse has a physician's prescription to irrigate
a client's ears. List in order of priority the steps that the nurse should take in
performing this procedure.: 1 Use an otoscope to ensure that the tympanic membrane is intact.
2 Warm tap water to body temperature.
3 Fill an irrigating syringe with warm water.
4 Insert the irrigating solution by directing the solution toward the wall of the ear canal.
5 Document the completion of the procedure and how the client tolerated it.
12. The nurse is preparing to administer a tube feeding by way of a nasogastric
tube. Which action does the nurse carry out as a priority before starting the
flow of the solution?: Checking for gastric residual volume and assessing tube placement
13. While being seen by a physician, a client complains of persistent fever,
malaise, and night sweats. On physical examination, the physician palpates
enlarged lymph nodes, and the client states that the nodes are painless.
Hodgkin's lymphoma is suspected, and several diagnostic studies are per-
formed. Which characteristic of this type of lymphoma does the nurse expect
to note while reviewing the results of the diagnostic studies?: Reed-Sternberg cells on
biopsy of a lymph node
2/8
