NCLEX Review Study Guide
4 100% VERIFIED
ANSWERS CORRECT
2024/2025
A female client with rheumatoid arthritis is taking 3.6 g of acetylsalicylic acid
(aspirin) daily in a divided dose. At the physician's office, the client tells the nurse
that she has been experiencing ringing in the ears over the past few days. The
nurse tells the client that:
The physician will probably withhold the aspirin until the symptoms have subsided, then
resume the aspirin at a lower dosage
The physician will probably withhold the aspirin until the symptoms have
subsided, then resume the aspirin at a lower dosage
Notifies the emergency department physician
A nurse reviews the medical record of a client with histoplasmosis. Which clinical
manifestation of this infection does the nurse expect to see documented?
Flulike pulmonary symptoms
A client who is scheduled to undergo chemotherapy asks the nurse, "Is my hair
going to fall out?" The nurse responds by telling the client that:
Her hair may fall out but will regrow after the chemotherapy is discontinued

A client who was involved in a high-speed motor vehicle crash is brought to the
emergency department. Which of the following findings indicates to the nurse
that the client has sustained flail chest?
Asymmetrical chest movement
A client is taking gentamicin sulfate (Genoptic) for the treatment of pelvic
inflammatory disease. What does the nurse ask the client during assessment for
adverse effects of the medication?
"Are you having any difficulty hearing?"
A client with advanced chronic renal failure (CRF) and oliguria has been taught
about sodium and potassium restriction between dialysis treatments. The nurse
determines that the client understands this restriction if the client states that it is
acceptable to use:
Herbs and spices
A postpartum nurse provides information to a client who has delivered a healthy
newborn about normal and abnormal characteristics of lochia. Which of the
following findings does the nurse tells the client to report to the physician?
Reddish lochia on postpartum day 8
The nurse is performing a sterile change of an abdominal dressing. Once the
dressing has been removed and discarded in a waterproof bag, which action
should the nurse take next?
Assessing the wound
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:

Administer the antihypertensive with a small sip of water
A nurse has provided nutrition instructions to a mother of an infant. Which
statement by the mother indicates to the nurse that the mother requires further
instruction?
"It's best to use cow's milk, as long as it's whole milk and not skim."
Oral candidiasis (thrush) develops in a client infected with HIV, and the nurse
provides instruction to the client about measures to relieve the discomfort. Which
statement by the client indicates a need for further instruction?
"I should put ice in my drinks to help soothe the discomfort."
As a nurse prepares to administer medications to an assigned client, the client
asks, "Why don't you just leave me alone?" What is the best response by the
nurse?
"I can see that you're upset. Would you like to talk about it?"
A nurse is caring for a client who sustained burn injuries on the anterior lower
legs and anterior thorax. What percentage of the client's body, according to the
Rule of Nines, has been affected?
36%
A nurse in a physician's office is talking to a client who underwent mastectomy of
the right breast 2 weeks ago. The client says to the nurse, "I hate looking at this
incision. I feel that I'm not even myself anymore." The nurse interprets this
statement to mean that the client is experiencing which problem?
Distorted body image
A nurse provides instructions to a client who will be taking levothyroxine
(Synthroid) for hypothyroidism. The nurse tells the client that it is best to take the
medication:

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2024-2025 NCLEX Review Study Guide 4 with Answers (52 Solved Questions)

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