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Exam (elaborations)

NCLEX Comprehensive Exam Questions With Correct Answers

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  • NCLEX
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NCLEX Comprehensive Exam Questions With Correct Answers Enalapril maleate is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? - answerChecking the client's blood pressure Enalapril maleate is an angiotensin-convert...

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  • August 29, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX
  • NCLEX
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©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM




NCLEX Comprehensive Exam Questions
With Correct Answers

Enalapril maleate is prescribed for a hospitalized client. Which assessment does the nurse
perform as a priority before administering the medication? - answer✔✔Checking the client's
blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat
hypertension. One common side effect is postural hypotension. Therefore the nurse would check
the client's blood pressure immediately before administering each dose. Checking the client's
peripheral pulses, the results of the most recent potassium level, and the intake and output for the
previous 24 hours are not specifically associated with this mediation.
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides
instructions to the client about the test. Which statement by the client indicates a need for further
instruction? - answer✔✔"I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum by
means of the use of a contrast medium. It involves swallowing a contrast medium (usually
barium), which is administered in a flavored milkshake. Films are taken at intervals during the
test, which takes about 30 minutes. No special preparation is necessary before a GI series, except
that NPO status must be maintained for 8 hours before the test. After an upper GI series, the
client is prescribed a laxative to hasten elimination of the barium. Barium that remains in the
colon may become hard and difficult to expel, leading to fecal impaction.
A nurse on the evening shift checks a health care provider's prescriptions and notes that the dose
of a prescribed medication is higher than the normal dose. The nurse calls the health care
provider's answering service and is told that the health care provider is off for the night and will
be available in the morning. The nurse should: - answer✔✔Ask the answering service to contact
the on-call health care provider
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the
sudden onset of premature ventricular contractions (PVCs) on the monitor, checks the client's

, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 1:28 PM
carotid pulse, and determines that the PVCs are not resulting in perfusion. The appropriate action
by the nurse is: - answer✔✔Asking the ED health care provider to check the client
NPO status is imposed 8 hours before the procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the
client's record and notes that the client routinely takes an oral antihypertensive medication each
morning. The nurse should: - answer✔✔Administer the antihypertensive with a small sip of
water
A client who recently underwent coronary artery bypass graft surgery comes to the health care
provider's office for a follow-up visit. On assessment, the client tells the nurse that he is feeling
depressed. Which response by the nurse is therapeutic? - answer✔✔"Tell me more about what
you're feeling."
A client in labor experiences spontaneous rupture of the membranes. The nurse immediately
counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse
notes that the fluid is yellow and has a strong odor. Which action should be the nurse's priority? -
answer✔✔Contacting the health care provider
A nurse has assisted a health care provider in inserting a central venous access device into a
client with a diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN).
After insertion of the catheter, the nurse immediately plans to: - answer✔✔Call the radiography
department to obtain a chest x-ray
A rape victim being treated in the emergency department says to the nurse, "I'm really worried
that I've got HIV now." What is the appropriate response by the nurse? - answer✔✔"Let's talk
about the information that you need to determine your risk of contracting HIV."
A client is taking prescribed ibuprofen , 300 mg orally four times daily, to relieve joint pain
resulting from rheumatoid arthritis. The client tells the nurse that the medication is causing
nausea and indigestion. The nurse should tell the client to: - answer✔✔Take the medication with
food
A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and
650 mL on the evening shift. The client is receiving an intravenous (IV) antibiotic every 12
hours, diluted in 50 mL of normal saline solution. The nurse empties 700 mL of urine from the
client's Foley catheter at the end of the day shift. Thereafter, 500 mL of urine is emptied at the
end of the evening shift and 325 mL at the end of the night shift. Nasogastric tube drainage totals
155 mL for the 24-hour period, and the total drainage from the Jackson-Pratt device is 175 mL.
What is the client's total intake during the 24-hour period? - answer✔✔1670
The client's 24-hour total oral intake is 1570 mL, and the IV intake totals 100 mL (50 mL of
normal saline solution every 12 hours). Therefore the 24-hour intake total is 1670 mL.

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