NCLEX Review Study Guide
1 100% VERIFIED
ANSWERS CORRECT
2024/2025
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?
"Have you tested your blood glucose?"
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?
1670mL
A client with heart failure suddenly experiences profound dyspnea, pallor, audible
wheezing, and cyanosis, and the nurse suspects pulmonary edema. The nurse
would first:
Raise the head of the client's bed

A client with cervical cancer who is undergoing chemotherapy with cisplatin
(Platinol). For which adverse effect of cisplatin will the nurse assess the client?
Hearing loss
Alendronate (Fosamax) is prescribed for a client with postmenopausal
osteoporosis. The nurse provides information on the medication to the client.
When does the nurse tell the client to take the alendronate?
Every morning before breakfast, with a full glass of water
A client with emphysema is receiving theophylline (Theo-24). While providing
dietary instructions, the nurse tells the client that it is acceptable to consume:
Apple juice
A nurse is reviewing the record of a client scheduled for electroconvulsive
therapy (ECT). Which of the following diagnoses, if noted on the client's record,
would indicate a need to contact the physician who is scheduled to perform the
ECT?
Recent stroke
An emergency department nurse is assessing a client with acute closed-angle
glaucoma. Which of the following characteristics of the disorder does the nurse
expect the client to exhibit? Select all that apply.
Nausea
Eye pain
Vomiting
Headache
The nurse administers intravenous morphine sulfate to a client in pulmonary
edema. For which intended effect of the medication does the nurse monitor the
client?

Relief of anxiety
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
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
A client with a medical history of diabetes mellitus is found to have sarcoidosis,
and oral prednisone is prescribed. The nurse provides instructions to the client
about the medication and tells the client to:
Closely monitor the blood glucose level
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
Checking the client's blood pressure
A client who has undergone abdominal hysterectomy asks the nurse when she
will be able to resume sexual intercourse. The nurse tells the client that sexual
intercourse may be resumed:
In about 6 weeks, when the vaginal vault is satisfactorily healed
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

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2024-2025 NCLEX Review Study Guide 1 with Answers (49 Solved Questions)

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