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NCLEX/RN COMPREHENSIVE QUESTIONS AND ANSWERS 100% ACCURACY|UPDATED 2025
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NCLEX/RN COMPREHENSIVE QUESTIONS AND ANSWERS 100% ACCURACY|UPDATED 2025
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2/27/25, 2:59 PM NCLEX/RN COMPREHENSIVE QUESTIONS AND ANSWERS 100% ACCURACY|UPDATED 2025 Flashcards | QuizletNCLEX/RN COMPREHENSIVE QUESTIONS AND
ANSWERS 100% ACCURACY|UPDATED 2025
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A nurse is caring for an A, B, D, E
older adult client who has
a new diagnosis of type 2
diabetes mellitus and
reports difficulty following
the diet and remembering
to take the prescribed
medication.
Which of the following
actions should the nurse
take to promote client
compliance? (SATA)
A. Ask the dietitian to
assist with meal planning
B. Contact the client's
support system
C. Assess for age-related
cognitive awareness
D. Encourage the use of a
daily medication
dispenser
E. Provide educational
materials for home use
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,2/27/25, 2:59 PM NCLEX/RN COMPREHENSIVE QUESTIONS AND ANSWERS 100% ACCURACY|UPDATED 2025 Flashcards | Quizlet
A client with diabetes D
mellitus has a glycosylated
hemoglobin A1c level of Rationale:
8%. On the basis of this The normal reference range for the glycosylated
test result, the nurse plans hemoglobin A1c is less than 6.0%. This test measures
to teach the client about the amount of glucose that has become permanently
the need for which bound to the red blood cells from circulating glucose.
measure? Erythrocytes live for about 120 days, giving feedback
about blood glucose for the past 120 days. Elevations
A. Avoiding infection in the blood glucose level will cause elevations in the
B. Taking in adequate amount of glycosylation. Thus, the test is useful in
fluids identifying clients who have periods of hyperglycemia
C. Preventing and that are undetected in other ways. The estimated
recognizing hypoglycemia average glucose for a glycosylated hemoglobin A1c
D. Preventing and of 8% is 205 mg/dL (11.42 mmol/L). Elevations indicate
recognizing continued need for teaching related to the prevention
hyperglycemia of hyperglycemic episodes.
The nurse is instructing a A
client how to perform a
testicular self-examination Rationale:
(TSE). The nurse should The nurse needs to teach the client how to perform a
explain that which is the TSE. The nurse should instruct the client to perform
best time to perform this the exam on the same day each month. The nurse
exam? should also instruct the client that the best time to
perform a TSE is after a shower or bath when the
A. After a shower or bath hands are warm and soapy and the scrotum is warm.
B. While standing to void Palpation is easier and the client will be better able to
C. After having a bowel identify any abnormalities. The client would stand to
movement perform the exam, but it would be difficult to perform
D. While lying in bed the exam while voiding. Having a bowel movement is
before arising unrelated to performing a TSE.
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,2/27/25, 2:59 PM NCLEX/RN COMPREHENSIVE QUESTIONS AND ANSWERS 100% ACCURACY|UPDATED 2025 Flashcards | Quizlet
The clinic nurse prepares A, B, D
to perform a focused
assessment on a client Rationale:
who is complaining of A focused assessment focuses on a limited or short-
symptoms of a cold, a term problem, such as the client's complaint. Because
cough, and lung the client is complaining of symptoms of a cold, a
congestion. Which should cough, and lung congestion, the nurse would focus
the nurse include for this on the respiratory system and the presence of an
type of assessment? infection. A complete assessment includes a complete
Select all that apply. health history and physical examination and forms a
baseline database. Assessing the strength of
A. Auscultating lung peripheral pulses relates to a vascular assessment,
sounds which is not related to this client's complaints. A
B. Obtaining the client's musculoskeletal and neurological examination also is
temperature not related to this client's complaints. However,
C. Assessing the strength strength of peripheral pulses and a musculoskeletal
of peripheral pulses and neurological examination would be included in a
D. Obtaining information complete assessment. Likewise, asking the client
about the client's about a family history of any illness or disease would
respirations be included in a complete assessment.
E. Performing a
musculoskeletal and
neurological examination
F. Asking the client about a
family history of any illness
or disease
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, 2/27/25, 2:59 PM NCLEX/RN COMPREHENSIVE QUESTIONS AND ANSWERS 100% ACCURACY|UPDATED 2025 Flashcards | Quizlet
The nurse is caring for a C
client with heart failure.
On assessment, the nurse Rationale:
notes that the client is A fluid volume excess is also known as overhydration
dyspneic, and crackles are or fluid overload and occurs when fluid intake or fluid
audible on auscultation. retention exceeds the fluid needs of the body.
What additional Assessment findings associated with fluid volume
manifestations would the excess include cough, dyspnea, crackles, tachypnea,
nurse expect to note in tachycardia, elevated blood pressure, bounding
this client if excess fluid pulse, elevated CVP, weight gain, edema, neck and
volume is present? hand vein distention, altered level of consciousness,
and decreased hematocrit. Dry skin, flat neck and
A. Weight loss and dry skin hand veins, decreased urinary output, and decreased
B. Flat neck and hand CVP are noted in fluid volume deficit. Weakness can
veins and decreased be present in either fluid volume excess or deficit.
urinary output
C. An increase in blood
pressure and increased
respirations
D. Weakness and
decreased central venous
pressure (CVP)
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