NCLEX RN FUNDAMENTALS EXAM NEWEST
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ | VERIFIED
ANSWERS | LATEST VERSION | STUDY THIS
ONE!
The nurse is developing the discharge education plan for a patient admitted
for myocardial infarction (MI). Which of the following patient statements
indicates the patient is ready to follow the care plan?
a. "I don't believe I had a heart attack."
b. "I go for walks 2 or 3 times a week, usually."
c. "I will have to tell my spouse that we may not be able to have sex for a
while."
d. "My job requires me to travel, so it's difficult to eat right. ------CORRECT
ANSWER---------------c. "I will have to tell my spouse that we may not be
able to have sex for a while."
C is a true statement. After a myocardial infarction, the heart is not
healthy for vigorous exercise or sexual activity. Many doctors tell
their patients not to resume sexual intercourse until the patient can
climb two flights of stairs without chest pain. Other doctors will
request an exercise EKG before clearing the patient for sexual
activity. This statement indicates an understanding of the discharge
instructions.
B is incorrect because it indicates the patient may believe that
walking 2-3 times a week is sufficient exercise. This statement is not
dangerous for the client but it does not indicate a willingness to make
lifestyle changes.
The nurse is preparing to teach a 42-year-old patient with new-onset
diabetes type 2 about lifestyle modifications. Which of the following
characteristics demonstrate patient's readiness to learn?
a. Moderate anxiety about administering self-injections
b. High self-efficacy regarding assessment of the injection site
,c. Contemplating change related to the need for frequent blood glucose
self-monitoring
d. Laughing about the diagnosis, the patient states, "It seems like our
bodies fall apart as we get older!" ------CORRECT ANSWER---------------b.
High self-efficacy regarding assessment of the injection site
Self-efficacy is important when it comes to the teaching-learning
process. If a patient has high self-efficacy, they are ready to take on
the problem or new diagnosis and learn everything they can in order
to manage/relieve it.
A is incorrect because anxiety will only interfere with the teaching-
learning process.
C is incorrect because contemplation of change means the patient
has not decided if they are willing to make changes, which will not
enhance teaching-learning.
The nurse is teaching a 68-year-old patient recently diagnosed with
osteoporosis about how to prevent fractures. Which of the following
statements indicates the patient understands the instructions?
a. "I am so glad I can still attend my dance aerobics class, as usual."
b. "Frequent exercise will help me lose weight."
c. "I am excited to learn yoga and Pilates, with modifications for
osteoporosis."
d. "I understand I won't be able to use my elliptical machine anymore, but
maybe I can start running outside when the weather is nice." ------
CORRECT ANSWER---------------c. "I am excited to learn yoga and Pilates,
with modifications for osteoporosis."
Osteoporosis is a condition of bone loss through decreased calcium
levels as adults age. This puts patients at an increased risk for
fractures. Weight-bearing and stretching exercises, including yoga
and Pilates, are beneficial in osteoporosis because they can
strengthen muscles and joints, and help prevent further bone loss.
Estrogen replacement and calcium can additionally prevent further
bone loss.
,The nurse is performing dietary teaching for a patient who experienced a
myocardial infarction. Which meal choice by the patient indicates the
patient understands the dietary teaching? (low-fat, low sodium)
a. 3 oz. baked fish, baked potato with sour cream, ½ cup canned green
beans, and milk
b. 3 oz. fried salmon, steamed asparagus, garlic bread, and tea
c. Ham sandwich, fruit salad, baked potato chips, and coffee
d. 3 oz. roasted turkey, mashed sweet potato, ½ cup salad with light Italian
dressing, and water ------CORRECT ANSWER---------------d. 3 oz. roasted
turkey, mashed sweet potato, ½ cup salad with light Italian dressing, and
water
This dietary choice is low in fat and sodium and is the best choice,
indicating the patient understood the dietary education. A heart-
healthy diet should contain multiple servings of fruits, vegetables,
and whole grains. Fat and sodium should be limited.
The nurse supervises the nursing team caring for a patient receiving
continuous enteral feeding via gastrostomy tube. The nurse will intervene
when which of the following is observed?
a. The nursing assistant completes the bed bath and then reconnects the
enteral feeding with the head of the patient's bed elevated.
b. The LPN/LVN cleans around the gastrostomy tube insertion site and
then applies a clean dressing.
c. The LPN verifies the patient's identity by checking the patient's hospital
wristband and asking the patient to state their name.
d. The nursing assistant flushes the gastrostomy tube with 20 mL sterile
water after the LPN gives the medications. ------CORRECT ANSWER--------
-------d. The nursing assistant flushes the gastrostomy tube with 20 mL
sterile water after the LPN gives the medications.
Flushing a gastrostomy tube is not within the nursing assistant's
scope of practice. Failure to delegate appropriately is negligent, and
the nurse is responsible.
, A patient in the rehab facility reports pain to the nurse. Which of the
following is the best response by the nurse?
a. "What pain medications have been effective in the past?"
b. "Please describe the location and intensity of the pain."
c. "When did the pain begin?"
d. "Let me check when your next dose of medication is due." ------
CORRECT ANSWER---------------b. "Please describe the location and
intensity of the pain."
This is the most open-ended answer choice and will give the nurse
the most information. Determining the location and intensity of the
pain is the priority now. This will lead to a discussion about the pain,
including the pain-rating scale. (Other important assessments
include: "Does the pain come and go, or is it continuous?" "What
triggers the pain?")
C is incorrect because it is a closed-ended question, which only gives
the nurse one piece of information. Answer choice B will give more
detail to help the nurse help the patient.
The nurse is administering celecoxib to a patient diagnosed with arthritis.
Which of the following medications on the patient's medication record could
cause an interaction and adverse effects?
a. Scopolamine
b. Furosemide
c. Acetaminophen
d. Ibuprofen ------CORRECT ANSWER---------------d. Ibuprofen
Celecoxib is an NSAID (nonsteroidal anti-inflammatory drug)
belonging to the cyclooxygenase-2 (COX-2) inhibitor group. It is used
to treat pain and inflammation associated with osteoarthritis,
rheumatoid arthritis, and acute pain in adults. An adverse effect of the
drug is bleeding, so it shouldn't be taken with other drugs that
increase bleeding including other NSAIDs, such as ibuprofen.
