NCLEX Practice Questions Bootcamp Cheat Sheet 5.0 (1 review) Students also studied Terms in this set (53) Science MedicineNursing Save
NCLEX EXAM PREVIEW
110 terms kandykat1012Preview NCLEX Practice Questions 2025 78 terms sammiebooth719 Preview NCLEX Bootcamp 2025 Practice Qu...67 terms sammiebooth719 Preview NCLEX 113 terms lala A 32-year-old client is admitted with a widespread, painful rash and oral mucosal lesions after starting a new anticonvulsant medication. The nurse suspects Stevens- Johnson Syndrome (SJS).Which actions should the nurse take? Select all that apply.
- Discontinue the suspected medication immediately
- Apply dry, sterile dressings to the affected areas
- Administer intravenous fluids
- Initiate contact and airborne precautions
- Monitor for respiratory complications
- Administer analgesics as prescribed
- Discontinue the suspected medication immediately
- Administer intravenous fluids
- Monitor for respiratory complications
- Administer analgesics as prescribed
A: Discontinuing the trigger medication is the priority intervention for SJS.
C: IV fluids are necessary to prevent dehydration due to skin loss.
E: Respiratory complications can occur if oral mucosa is involved.
F: Analgesics are needed for pain management.
B: Moist, not dry, dressings are recommended to promote healing.
D: Contact and airborne precautions are not required for SJS (they are for
shingles).A client with cellulitis of the lower leg is receiving care.Which intervention should the nurse implement to reduce swelling and promote drainage?
- Apply cold, dry compresses
- Elevate the affected limb
- Massage the affected area
- Keep the limb in a dependent position
- Elevate the affected limb
Which of the following are appropriate teaching points to help a client reduce the risk of skin cancer? Select all that apply.
- Avoid sun exposure between 10 a.m. and 2 p.m.
- Use tanning beds instead of sunbathing
- Wear protective clothing, hats, and sunglasses
- Apply sunscreen every 2 hours and after swimming
- Perform monthly skin checks using the ABCDE
- Only apply sunscreen if you have fair skin
- Avoid sun exposure between 10 a.m. and 2 p.m.
- Wear protective clothing, hats, and sunglasses
- Apply sunscreen every 2 hours and after swimming
- Perform monthly skin checks using the ABCDE mnemonic
- Massage the affected area to restore circulation
- Place the fingers in a warm water bath
- Apply dry heat directly to the area
- Rub the area with a warm towel
- Place the fingers in a warm water bath
- Administer an antihistamine
- Discontinue allopurinol
- Apply topical corticosteroids
- Monitor for fever
- Discontinue allopurinol
mnemonic
A client presents with frostbite to the fingers. Which intervention should the nurse implement first?
A client with a history of gout is prescribed allopurinol and develops a painful, blistering rash with mucosal involvement. What is the nurse's priority action?
A 68-year-old client is admitted with severe dehydration and is diagnosed with acute kidney injury (AKI). The nurse
notes the following assessment findings:
Urine output: 250 mL/24 hours
Edema in lower extremities Crackles on lung auscultation
Serum potassium: 6.2 mEq/L
ECG: Peaked T waves
Which interventions should the nurse anticipate? Select all that apply.
- Administer IV furosemide as prescribed
- Restrict oral fluids
- Administer polystyrene sulfonate (Kayexalate)
- Encourage a high-protein diet
- Place the client on a cardiac monitor
- Prepare to administer IV calcium gluconate
- Administer IV furosemide as prescribed
- Restrict oral fluids
- Administer polystyrene sulfonate (Kayexalate)
- Place the client on a cardiac monitor
- Prepare to administer IV calcium gluconate
Clients with CKD are at risk for potassium imbalances.Monitor ECG for peaked [T waves/P waves/QRS complexes], which indicates hyperkalemia. Hyperkalemia treatment includes polystyrene sulfonate (Kayexalate), IV insulin with [dextrose/calcium/albumin], or dialysis.Clients with AKI and CKD should be monitored for signs of fluid volume [overload/deficit], such as sudden weight [gain/loss], crackles, and [edema/dry mucous membranes].T waves Dextrose Overload Gain Edema
Highlight the text that indicates what the nurse should do to assess for patency in a fistula or graft.Feel for a thrill (vibration).Listen for a bruit (whooshing sound).Measure blood pressure in the affected arm.Draw blood from the fistula arm.Feel for a thrill (vibration).Listen for a bruit (whooshing sound).Which findings should the nurse report immediately as a sign of peritonitis in a client receiving peritoneal dialysis?Select all that apply.
- Cloudy peritoneal fluid
- Abdominal pain
- Clear, straw-colored dialysate
- Fever
- Decreased appetite
- Cloudy peritoneal fluid
- Abdominal pain
- Fever
- Palpate for a thrill over the fistula
- Auscultate for a bruit over the fistula
- Measure blood pressure in the left arm
- Draw blood from the left arm
- Teach the client to avoid carrying heavy objects with
- Palpate for a thrill over the fistula
- Auscultate for a bruit over the fistula
- Teach the client to avoid carrying heavy objects with the left arm
- Peaked T waves
- Flat T waves
- Widened QRS complexes
- U waves
- Prolonged PR interval
- Peaked T waves
- Widened QRS complexes
- Prolonged PR interval
For each dietary component, select whether it should be increased, decreased, or maintained in a client with CKD (not on peritoneal dialysis).Protein Potassium Sodium Phosphorous Decrease protein, potassium, sodium, and phosphorus.A client with end-stage renal disease has a left arm AV fistula for hemodialysis. Which actions by the nurse are appropriate? Select all that apply.
the left arm
Place the phases of acute kidney injury (AKI) in the correct order of progression.Oliguric Recovery Initial Diuretic Initial - Oliguric - Diuretic -Recovery Which ECG findings are associated with hyperkalemia?Select all that apply.
A client with stage 4 CKD has a hemoglobin of 8.2 g/dL.Which interventions should the nurse anticipate? Select all that apply.
- Administer erythropoietin (EPO)
- Administer oral iron supplements
- Encourage high-protein diet
- Prepare for blood transfusion if symptomatic
- Restrict fluid intake
- Administer erythropoietin (EPO)
- Administer oral iron supplements
- Prepare for blood transfusion if symptomatic
When performing peritoneal dialysis, the nurse should wear [sterile/clean] gloves when accessing the catheter, [warm/cool] the dialysate before infusing, and monitor for [cloudy/clear] peritoneal fluid as a sign of infection.sterile, warm, cloudy 32-year-old woman presents to the clinic with complaints of fatigue, weakness, and shortness of breath on exertion.
She reports heavy menstrual periods. Her labs show:
Hgb 8.2 g/dL (low), Hct 25% (low), MCV 72 fL (low), and ferritin 8 ng/mL (low).
Question 1: Select all that apply
Which of the following assessment findings would the nurse expect?Select all that apply.Pallor Tachycardia Jaundice Petechiae Fatigue Pallor Tachycardia Fatigue Iron-deficiency anemia presents with pallor, tachycardia, and fatigue. Jaundice is more common in hemolytic anemia; petechiae in aplastic anemia.Which foods should the nurse recommend to increase iron intake? Select all that apply.Red meat Green leafy vegetables Beans Citrus fruits White bread Red meat Green leafy vegetables Beans The nurse is caring for a client with iron-deficiency anemia who reports severe fatigue. Which action should the nurse take first?
- Encourage the client to increase activity
- Alternate periods of rest and activity
- Administer prescribed ferrous sulfate
- Teach about iron-rich foods
- Encourage the client to increase activity