Past Nclex Questions 7

Past Nclex Questions 7 1.156.Which instruction should the nurse discuss with the client diagnosed with Raynaud’s phenomenon?A.Explain exacerbations will not occur in the summer.B.Use nicotine gum to help quit smoking.C.Wear extra warm clothing during cold exposure.D.Avoid prolonged exposure to direct sunlight.

2.157.The client diagnosed with diabetes mellitus type 2 is admitted to the hospital with cellulitis of the right foot secondary to an insect bite. Which intervention should the nurse implement first?A.Administer intravenous antibiotics.B.Apply warm moist packs every two (2) hours.C.Elevate the right foot on two (2) pillows.D.Teach the client about skin and foot care.

3.158.9. Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?A.Walk 15 to 20 minutes three (3) times a day.B.Keep the legs in the dependent position when sitting.C.Remove compression bandages before going to bed.D.Perform Berger-Allen exercises four (4) times a day.

4.159.The nurse is teaching the client with peripheral vascular disease. Which intervention should the nurse discuss with the client? Select all that apply.A.Wash your feet in antimicrobial soap.B.Wear comfortable, well-fitting shoes. This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:40:10 GMT -05:00

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C.Cut your toenails in an arch.D.Keep the area between the toes dry.E.Use a heating pad when feet are cold.

5.160.The unlicensed nursing assistant is applying elastic compression stockings to the client. Which action by the assistant would warrant immediate intervention by the nurse?A.The assistant is putting the stockings on while the client is in the chair.B.The assistant inserted two (2) fingers under the proximal end of the stocking.C.The assistant elevated the feet while lying down prior to putting on the stockings.D.The assistant made sure the toes were warm after putting the stockings on.

6.161.The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?A.The client’s BP is 110/70.B.The client’s potassium level is 3.4 mEq/L.C.The client has a barky cough.D.The client’s apical pulse is 56.

7.162.The client diagnosed with acute deep vein thrombosis is receiving a continuous heparin drip, an intravenous anticoagulant.The health-care provider orders warfarin (Coumadin), an oral anticoagulant. Which action should the nurse take?A.Discontinue the heparin drip prior to initiating the Coumadin. This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:40:10 GMT -05:00

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B.Check the client’s INR prior to beginning Coumadin.C.Clarify the order with the health-care provider as soon as possible.D.Administer the Coumadin along with the heparin drip as ordered.

8.163.The nurse is caring for the client on strict bed rest. Which intervention is priority when caring for this client?A.Encourage the client to drink liquids.B.Perform active range of motion exercises.C.Elevate the head of the bed to 45 degrees.D.Provide a high-fiber diet to the client.

9.164.The nurse is caring for clients on a medical floor. Which client will the nurse assess first?A.The client with an abdominal aortic aneurysm who is constipated.B.The client on bed rest who ambulated to the bathroom.C.The client with essential hypertension who has epistaxis and a headache.D.The client with arterial occlusive disease who has a decreased pedal pulse.

10.165.The client with peripheral venous disease is scheduled to go to the whirlpool for dressing change. Which is the nurse’s priority intervention?A.Escort the client to the physical therapy department.B.Medicate the client 30 minutes before going to whirlpool.C.Obtain the sterile dressing supplies for the client. This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:40:10 GMT -05:00

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D.Assist the client to the bathroom prior to the treatment.

11.166.The nurse is caring for a client in a sickle cell crisis.Which is the pain regimen of choice to relieve the pain?A.Frequent aspirin (acetylsalicylic aciD. and a nonnarcotic analgesic.B.Motrin (ibuprofen), an NSAID, PRN.C.Demerol (meperidinE., a narcotic analgesic, every four (4) hours.D.Morphine, a narcotic analgesic, every two (2) to three (3) hours PRN.

12.167.The client is diagnosed with hereditary spherocytosis.Which treatment/procedure would the nurse prepare the client to receive?A.Bone marrow transplant.B.Splenectomy.C.Frequent blood transfusions.D.Liver biopsy.

13.168.Which is the primary goal of care for a client diagnosed with sickle cell anemia?A.The client will call the HCP if feeling ill.B.The client will be compliant with medical regimen.C.The client will live as normal a life as possible.D.The client will verbalize understanding of treatments.

14.169.The client diagnosed with thalassemia, a hereditary anemia, is to receive a transfusion of packed RBCs. The cross- This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:40:10 GMT -05:00

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