2024-2025 NCLEX Review Study Guide with Answers (50 Solved Questions)
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VERIFIED ANSWERS 2024/2025
CORRECT
A nurse developing a nursing care plan for a client with abruptio placentae includes initial nursing
measures to be implemented in the event of the development of shock. After contacting the
physician, which of the following does the nurse specify as the first action in the event of shock?
Placing the client in a lateral position with the bed flat
A nurse provides home care instructions to a client who has undergone fluorescein angiography.
The nurse determines that the client needs further instruction if the client states that he must:
Contact the physician if the skin appears yellow
A mother calls the emergency department and tells the nurse that her 3-year-old child drank
ammonia from a bottle while the mother was cleaning house. The nurse tells the mother to
immediately:
Encourage the child to drink water or milk in small amounts
A nurse taking the vital signs of a client immediately after she has delivered a newborn notes that
the client's heart rate is 110 beats/min. The nurse would first:
Check the uterus and amount of lochia discharge
A nurse is caring for a client who sustained a missed abortion during the second trimester of
pregnancy. For which finding indicating the need for further evaluation does the nurse monitor the
client?
VERIFIED ANSWERS 2024/2025
CORRECT
A nurse developing a nursing care plan for a client with abruptio placentae includes initial nursing
measures to be implemented in the event of the development of shock. After contacting the
physician, which of the following does the nurse specify as the first action in the event of shock?
Placing the client in a lateral position with the bed flat
A nurse provides home care instructions to a client who has undergone fluorescein angiography.
The nurse determines that the client needs further instruction if the client states that he must:
Contact the physician if the skin appears yellow
A mother calls the emergency department and tells the nurse that her 3-year-old child drank
ammonia from a bottle while the mother was cleaning house. The nurse tells the mother to
immediately:
Encourage the child to drink water or milk in small amounts
A nurse taking the vital signs of a client immediately after she has delivered a newborn notes that
the client's heart rate is 110 beats/min. The nurse would first:
Check the uterus and amount of lochia discharge
A nurse is caring for a client who sustained a missed abortion during the second trimester of
pregnancy. For which finding indicating the need for further evaluation does the nurse monitor the
client?
Spontaneous bruising
A nurse is performing an assessment of a client with suspected pheochromocytoma. Which clinical
manifestation does the nurse expect to note?
A blood pressure higher than the normal range
A client with acute gouty arthritis is being started on medication therapy with indomethacin
(Indocin). The nurse, providing medication instructions, and tells the client to take the medication:
With food
A nurse is assessing a client who has been taking amantadine hydrochloride (Symmetrel) for the
treatment of Parkinson's disease. Which finding from the history and physical examination would
cause the nurse to determine that the client may be experiencing an adverse effect of the
medication?
Bilateral lung wheezes
A community health nurse is preparing a poster for a health fair that will include information about
the ways to prevent ear infection or ear trauma. Which prevention measures does the nurse
include on the poster? Select all that apply.
Keep the volume of headphones at the lowest setting.
Avoid environmental conditions involving rapid changes in air pressure.
Clean the external ear and canal daily in the shower or while washing the hair.
The blood serum level of imipramine is determined in a client who is being treated for depression
with Tofranil-PM. The laboratory test indicates a concentration of 250 ng/mL. On the basis of this
result, the nurse should:
Document the laboratory result in the client's record
A nurse is performing an assessment of a client with suspected pheochromocytoma. Which clinical
manifestation does the nurse expect to note?
A blood pressure higher than the normal range
A client with acute gouty arthritis is being started on medication therapy with indomethacin
(Indocin). The nurse, providing medication instructions, and tells the client to take the medication:
With food
A nurse is assessing a client who has been taking amantadine hydrochloride (Symmetrel) for the
treatment of Parkinson's disease. Which finding from the history and physical examination would
cause the nurse to determine that the client may be experiencing an adverse effect of the
medication?
Bilateral lung wheezes
A community health nurse is preparing a poster for a health fair that will include information about
the ways to prevent ear infection or ear trauma. Which prevention measures does the nurse
include on the poster? Select all that apply.
Keep the volume of headphones at the lowest setting.
Avoid environmental conditions involving rapid changes in air pressure.
Clean the external ear and canal daily in the shower or while washing the hair.
The blood serum level of imipramine is determined in a client who is being treated for depression
with Tofranil-PM. The laboratory test indicates a concentration of 250 ng/mL. On the basis of this
result, the nurse should:
Document the laboratory result in the client's record
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Subject
National Council Licensure Examination