(ANSWERS & RATIONALE) NCLEX Comprehensive Exam Part 5
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1. ANSWER A. Pregnancy is not the time for clients to begin a diet. Clients with chronic hypertension need to consume adequate calories to support fetal growth and development. They also need an adequate protein intake. Meat and beans are good sources of protein. Most pregnant women report that eating more frequent, smaller meals decreases... Continue Reading
NCLEX Comprehensive Exam Part 5
1. An obese 36-year-old multigravid client at 12 weeks’ gestation has a history of chronic hypertension. She was treated with methyldopa (Aldomet) before becoming pregnant. When counseling the client about diet during pregnancy, the nurse realizes that the client needs additional instruction when she states which of the following?
A. “I need to reduce my caloric... Continue Reading
(ANSWERS & RATIONALE) NCLEX Comprehensive Exam Part 4
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1. ANSWER A. Pain disorder is a somatoform disorder involving severe pain in one or more anatomic sites causing severe distress or impaired function. The statement, “I need to have a good cry about all the pain I’ve been in and then not dwell on it,” indicates improvement because the client has a realistic view of the... Continue Reading
NCLEX Comprehensive Exam Part 4
1. The nurse recognizes that a client with pain disorder is improving when the client states which of the following?
a. “I need to have a good cry about all the pain I’ve been in and then not dwell on it.”
b. “I need to find another physician who can accurately diagnose my condition.”
c. “The pain medicine that you gave me helps me to... Continue Reading
(ANSWERS & RATIONALE) NCLEX Comprehensive Exam Part 3
NCLEX Comprehensive Exam Part 3 Questions
1. ANSWER C. Before development and implementation of the teaching plan, it is vital to determine what the client currently knows regarding diabetes and what the client needs to know.
2. ANSWER A. The goal of the education program is to instruct the client to take his or her pulse; therefore, the expected outcome would be the ability... Continue Reading
NCLEX Comprehensive Exam Part 3
1. The nurse is preparing a teaching plan for a 45-year-old client recently diagnosed with type 2 diabetes mellitus. What is the first step in this process?
a. Establish goals.
b. Choose video materials and brochures.
c. Assess the client’s learning needs.
d. Set priorities of learning needs.
2. A loading dose of digoxin (Lanoxin) is given to a client newly diagnosed... Continue Reading
(ANSWERS & RATIONALE) NCLEX Comprehensive Exam Part 2
NCLEX Comprehensive Exam Part 2 Questions
1. ANSWER D. Symptoms of pregnancy-induced hypertension (PIH), such as hypertension and facial swelling, before 24 weeks’ gestation and a fundal height larger than expected are suggestive of gestational trophoblastic disease or hydatidiform mole. This condition occurs when the trophoblasts develop abnormally. Ultrasound can... Continue Reading
NCLEX Comprehensive Exam Part 2
1. A multigravida client visiting the prenatal clinic at 16 weeks’ gestation exhibits facial swelling, a brownish vaginal discharge, and fundal height of 22 cm. The client’s blood pressure is 160/90 mm Hg and her pulse is 80 bpm. The nurse interprets these findings as suggestive of which of the following?
a. Placenta previa.
b. Fetal anemia.
c. Multifetal... Continue Reading
(ANSWERS & RATIONALE) NCLEX Comprehensive Exam Part 1
NCLEX Comprehensive Exam Part 1 Questions
Answer B. The nurse is responsible for maintaining confidentiality of this disclosure by the client.
Answer B. Pets are discouraged when parents are trying to allergy-proof a home for a child with bronchial asthma, unless the pets are kept outside. Pets with hair or feathers are especially likely to trigger asthma attacks. A fish... Continue Reading
NCLEX Comprehensive Exam Part 1
1. A client with HIV and AIDS confides that he is homosexual and his employer does not know his HIV status. The nurse’s best response to him is:
A. “Would you like me to help you tell them?”
B. “The information you confide in me is confidential.”
C. “I must share this information with your family.”
D. “I must share this... Continue Reading
NCLEX Sample Test on Physiological Adaptation [ANSWERS & RATIONALE]
1. A. Failure of the left ventricle to pump effectively causes damming of blood back into the pulmonary circuit, increasing pressure, and causing extravasation of fluid into interstitial spaces and alveoli.
2. D. The halo or “bull’s-eye” sign seen when drainage from the nose or ear of a head-injured client is collected on a sterile gauze is indicative of CSF... Continue Reading