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NCLEX Questions & Correct Answers/ Graded A+
NCLEX Questions & Correct Answers/ Graded A+
[Show more]NCLEX Questions & Correct Answers/ Graded A+
[Show more]A physician has written an order for ranitidine (Zantac) once daily. The nurse schedules the 
medications for which of the following times? 
A. At bed time 
B. After lunch 
C. With supper 
D. Before breakfast 
: A. at bed time, ranitidine (Zantac) is an H2 blocker 
A client has been taking omeprazo...
Preview 3 out of 19 pages
Add to cartA physician has written an order for ranitidine (Zantac) once daily. The nurse schedules the 
medications for which of the following times? 
A. At bed time 
B. After lunch 
C. With supper 
D. Before breakfast 
: A. at bed time, ranitidine (Zantac) is an H2 blocker 
A client has been taking omeprazo...
What is normal pH? 
: 7.35-7.45 
What is normal paCo2? 
: 35-45 
What is normal HCO3? 
: 22-27 
What is normal Po2? 
: 80-100 
If pH and paCo2 are OPPOSITE -> 
: Respirator
Preview 1 out of 4 pages
Add to cartWhat is normal pH? 
: 7.35-7.45 
What is normal paCo2? 
: 35-45 
What is normal HCO3? 
: 22-27 
What is normal Po2? 
: 80-100 
If pH and paCo2 are OPPOSITE -> 
: Respirator
A student nurse is preparing blood for an A Positive patient who needs to receive a blood 
transfusion. The nurse intervenes after which statement? 
A. " Since you are A positive, you are considered a "universal recipient", therefore you can receive 
any type of blood. 
B. "A positive blood ty...
Preview 4 out of 71 pages
Add to cartA student nurse is preparing blood for an A Positive patient who needs to receive a blood 
transfusion. The nurse intervenes after which statement? 
A. " Since you are A positive, you are considered a "universal recipient", therefore you can receive 
any type of blood. 
B. "A positive blood ty...
The charge nurse has received a change of shift report on the following laboring clients. 
The nurse should give priority for treatment to a 
A. Client who is 41 weeks pregnant, G2P1, pushing, facial presentation. 
B. Client who is 39 weeks pregnant, G3P2, amniotomy performed, thin, green fluid. ...
Preview 4 out of 89 pages
Add to cartThe charge nurse has received a change of shift report on the following laboring clients. 
The nurse should give priority for treatment to a 
A. Client who is 41 weeks pregnant, G2P1, pushing, facial presentation. 
B. Client who is 39 weeks pregnant, G3P2, amniotomy performed, thin, green fluid. ...
A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the 
nurse. Based on his injury, which type of pain is this patient most likely experiencing? 
1) Phantom 
2) Visceral 
3) Deep somatic 
4) Referred 
: Answer: 
3) Deep somatic 
Rationale: 
Deep somatic...
Preview 4 out of 57 pages
Add to cartA 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the 
nurse. Based on his injury, which type of pain is this patient most likely experiencing? 
1) Phantom 
2) Visceral 
3) Deep somatic 
4) Referred 
: Answer: 
3) Deep somatic 
Rationale: 
Deep somatic...
After receiving report at the start of the evening shift, which of the 
following clients should the nurse attend to first? 
(a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level of 
7.5 mEq/L. 
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on ...
Preview 2 out of 9 pages
Add to cartAfter receiving report at the start of the evening shift, which of the 
following clients should the nurse attend to first? 
(a) A 34-year-old man undergoing treatment for non-Hodgkin lymphoma with a potassium level of 
7.5 mEq/L. 
(b) A 21-year-old woman with sickle cell anemia with pain of 6 on ...
A nurse is assigned to care for a client with chronic renal failure who is undergoing hemodialysis 
through an internal AV fistula in the RA. Which intervention should the nurse implement in caring for 
the client? SATA 
a. Assessing the radial pulse in the right extremity 
b. Using the LA ti take...
Preview 4 out of 36 pages
Add to cartA nurse is assigned to care for a client with chronic renal failure who is undergoing hemodialysis 
through an internal AV fistula in the RA. Which intervention should the nurse implement in caring for 
the client? SATA 
a. Assessing the radial pulse in the right extremity 
b. Using the LA ti take...
When selecting an NCLEX answer or determining the order of priority what should you remember or 
use and what is the exception? 
: Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual 
CPR, use C-A-B for CPR. Also remember safety first and acute before chro...
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Add to cartWhen selecting an NCLEX answer or determining the order of priority what should you remember or 
use and what is the exception? 
: Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual 
CPR, use C-A-B for CPR. Also remember safety first and acute before chro...
A nurse is caring for an 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 dieti...
Preview 4 out of 114 pages
Add to cartA nurse is caring for an 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 dieti...
Five rights of delegation 
 ANSWER: Right person 
Right task 
Right circumstance 
Right direction and communication 
Right supervision and evaluation 
Non-delegatable tasks 
 ANSWER: Nursing process 
Client education 
Tasks that require nursing judgement (care of unstable patients) 
LPN delegation 
...
Preview 4 out of 47 pages
Add to cartFive rights of delegation 
 ANSWER: Right person 
Right task 
Right circumstance 
Right direction and communication 
Right supervision and evaluation 
Non-delegatable tasks 
 ANSWER: Nursing process 
Client education 
Tasks that require nursing judgement (care of unstable patients) 
LPN delegation 
...
What Po2 value indicates respiratory failure in adults? 
 ANSWER: Po2 below 60 mm Hg 
What blood value indicates hypercapnia? 
 ANSWER: Pco2 above 45 mm Hg 
Identify the condition that exits when the Po2 is less than 50 mmHg and Fio2 is greater 
than 60%. 
 ANSWER: Hypoxemia 
List three symptoms of...
Preview 3 out of 17 pages
Add to cartWhat Po2 value indicates respiratory failure in adults? 
 ANSWER: Po2 below 60 mm Hg 
What blood value indicates hypercapnia? 
 ANSWER: Pco2 above 45 mm Hg 
Identify the condition that exits when the Po2 is less than 50 mmHg and Fio2 is greater 
than 60%. 
 ANSWER: Hypoxemia 
List three symptoms of...
An expectant father tells the nurse he fears that his wife is "losing her mind." He states 
that she is constantly rubbing her abdomen and talking to the baby and that she actually 
reprimands the baby when it moves too much. Which recommendation should the nurse 
make to this expectant father?...
Preview 3 out of 30 pages
Add to cartAn expectant father tells the nurse he fears that his wife is "losing her mind." He states 
that she is constantly rubbing her abdomen and talking to the baby and that she actually 
reprimands the baby when it moves too much. Which recommendation should the nurse 
make to this expectant father?...
What Po2 value indicates respiratory failure in adults? 
 ANSWER: Po2 below 60 mm Hg 
What blood value indicates hypercapnia? 
 ANSWER: Pco2 above 45 mm Hg 
Identify the condition that exits when the Po2 is less than 50 mmHg and Fio2 is greater 
than 60%. 
 ANSWER: Hypoxemia 
List three symptoms of...
Preview 2 out of 9 pages
Add to cartWhat Po2 value indicates respiratory failure in adults? 
 ANSWER: Po2 below 60 mm Hg 
What blood value indicates hypercapnia? 
 ANSWER: Pco2 above 45 mm Hg 
Identify the condition that exits when the Po2 is less than 50 mmHg and Fio2 is greater 
than 60%. 
 ANSWER: Hypoxemia 
List three symptoms of...
What types of procedures should be assigned to professional nurses? (LEGAL 
ASPECTS OF NURSING) 
 ANSWER: Sterile or invasive procedures 
Negligence is measured by reasonableness. What question might the nurse ask when 
determining such reasonableness? (LEGAL ASPECTS OF NURSING) 
 ANSWER: Would a ...
Preview 4 out of 43 pages
Add to cartWhat types of procedures should be assigned to professional nurses? (LEGAL 
ASPECTS OF NURSING) 
 ANSWER: Sterile or invasive procedures 
Negligence is measured by reasonableness. What question might the nurse ask when 
determining such reasonableness? (LEGAL ASPECTS OF NURSING) 
 ANSWER: Would a ...
What types of procedures should be assigned to professional nurses? 
 ANSWER: Sterile or invasive procedures. 
Negligence is measured by reasonableness. What question might the nurse ask when 
determining such reasonableness? 
 ANSWER: Would a reasonable and prudent nurse act in the same manner und...
Preview 4 out of 74 pages
Add to cartWhat types of procedures should be assigned to professional nurses? 
 ANSWER: Sterile or invasive procedures. 
Negligence is measured by reasonableness. What question might the nurse ask when 
determining such reasonableness? 
 ANSWER: Would a reasonable and prudent nurse act in the same manner und...
In assisting an older adult client prepare to take a tub bath, which nursing action is most 
important? 
A. 
Check the bath water temperature. 
B. 
Shut the bathroom door. 
C. 
Ensure that the client has voided. 
D. 
Provide extra towels. 
 ANSWER: A. 
Check the bath water temperature. 
The nurse d...
Preview 4 out of 66 pages
Add to cartIn assisting an older adult client prepare to take a tub bath, which nursing action is most 
important? 
A. 
Check the bath water temperature. 
B. 
Shut the bathroom door. 
C. 
Ensure that the client has voided. 
D. 
Provide extra towels. 
 ANSWER: A. 
Check the bath water temperature. 
The nurse d...
The nurse is assessing several clients prior to surgery. Which factor in a client's history 
poses the greatest threat for complications to occur during surgery? 
 ANSWER: Taking anticoagulants for the past year 
Rationale: 
Anticoagulants (B) increase the risk for bleeding during surgery, which c...
Preview 3 out of 29 pages
Add to cartThe nurse is assessing several clients prior to surgery. Which factor in a client's history 
poses the greatest threat for complications to occur during surgery? 
 ANSWER: Taking anticoagulants for the past year 
Rationale: 
Anticoagulants (B) increase the risk for bleeding during surgery, which c...
The nurse is counseling a couple who has sought information about conceiving. The 
couple asks the nurse to explain when ovulation usually occurs. Which statement by the 
nurse is correct? 
A. Two weeks before menstruation 
B. Immediately after menstruation 
C. Immediately before menstruation 
D. ...
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Add to cartThe nurse is counseling a couple who has sought information about conceiving. The 
couple asks the nurse to explain when ovulation usually occurs. Which statement by the 
nurse is correct? 
A. Two weeks before menstruation 
B. Immediately after menstruation 
C. Immediately before menstruation 
D. ...
A client with diabetes mellitus calls the clinic nurse and reports that she has been 
vomiting during the night and now has diarrhea. Which question does the nurse make a 
priority of asking the client? 
 ANSWER: "Have you tested your blood glucose?" 
A client's oral intake of liquids includes ...
Preview 4 out of 501 pages
Add to cartA client with diabetes mellitus calls the clinic nurse and reports that she has been 
vomiting during the night and now has diarrhea. Which question does the nurse make a 
priority of asking the client? 
 ANSWER: "Have you tested your blood glucose?" 
A client's oral intake of liquids includes ...
Contributing factors Fall 
 ANSWER: Older age 
Impaired mobility 
Cognitive and/or Sensory impairment 
Bowel and bladder dysfuntion 
Side effects of medications 
History of falls 
Nursing interventions Falls 
 ANSWER: Complete a fall risk assessment 
Communicate identified risks with the health care...
Preview 4 out of 282 pages
Add to cartContributing factors Fall 
 ANSWER: Older age 
Impaired mobility 
Cognitive and/or Sensory impairment 
Bowel and bladder dysfuntion 
Side effects of medications 
History of falls 
Nursing interventions Falls 
 ANSWER: Complete a fall risk assessment 
Communicate identified risks with the health care...
When completing the morning postpartum assessment, a nurse notices a client's 
perineal pad is completely saturated with lochia rubra. Which action should be the 
nurse's first response? 
 ANSWER: 
Ask the client when she last changed her perineal pad. 
Which factor might result in a decreased s...
Preview 3 out of 16 pages
Add to cartWhen completing the morning postpartum assessment, a nurse notices a client's 
perineal pad is completely saturated with lochia rubra. Which action should be the 
nurse's first response? 
 ANSWER: 
Ask the client when she last changed her perineal pad. 
Which factor might result in a decreased s...
A nursing student is preparing a prenatal class on the process of fetal circulation. The 
nursing instructor asks the student specifically to describe the process through the 
umbilical cord. Which of the following statements from the student is correct? 
 ANSWER: 
"The two arteries in the umbili...
Preview 4 out of 36 pages
Add to cartA nursing student is preparing a prenatal class on the process of fetal circulation. The 
nursing instructor asks the student specifically to describe the process through the 
umbilical cord. Which of the following statements from the student is correct? 
 ANSWER: 
"The two arteries in the umbili...
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