2024-2025 NCLEX Review Study Guide 2 with Answers (53 Solved Questions)

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NCLEXReviewStudyGuide2100% VERIFIEDANSWERS CORRECT2024/2025A clinic nurse is assessing a client who has had a cast applied to the lower leftarm 1 week ago. The client tells the nurse that the skin is being irritated by theedges of the cast. What is the appropriate action on the part of the nursePlace small pieces of tape over the rough edges of the castA nurse developing a plan of care for a client with HIV infection identifies severalconcerns. List them in order of priority, from highest to lowest.1 Possible infection2 Decreased nutrition3Fatigue4 DespairAn emergency department nurse has a physician's prescription to irrigate aclient's ears. List in order of priority the steps that the nurse should take inperforming this procedure.1 Use an otoscope to ensure that the tympanic membraneis intact.2 Warm tap water to body temperature.3 Fill an irrigating syringe with warm water.4 Insert the irrigating solution by directing the solution toward the wall of the ear canal.5 Document the completion of the procedure and how the client tolerated it.

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The nurse is preparing to administer a tube feeding by way of a nasogastric tube.Which action does the nurse carry out as a priority before starting the flow of thesolution?Checking for gastric residual volume and assessing tube placementA client with schizophrenia says to the nurse, "I decided not to take mymedication because it can't help. I am the only one who can help me." Whichnursing response is therapeutic in this situation?"Your doctor wants you to continue this medication because it's helping you. Do yourecall needing to be hospitalized because you stopped your medication?"A client is brought to the emergency department by ambulance, and diabeticketoacidosis is suspected. Blood samples are taken, and the nurse obtainssupplies thatwill be needed to treat the client. Which type of insulin does thenurse take from the medication supply room for intravenous (IV) administration?Regular (Humulin R)A nurse is assessing a client who is experiencing chest pain. Which of thefollowing observations indicates to the nurse that the pain is most likely a resultof angina?The pain is relieved by rest and nitroglycerin.While being seen by a physician, a client complains of persistent fever, malaise,and night sweats. On physical examination, the physician palpates enlargedlymph nodes, and the client states that the nodes are painless. Hodgkin'slymphoma is suspected, and several diagnostic studies are performed. Whichcharacteristic of this type of lymphoma does the nurse expect to note whilereviewing the results of the diagnostic studies?Reed-Sternberg cells on biopsy of a lymph node

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A client with chronic renal failure who will require dialysis three times a week forthe rest of his life says to the nurse, "Why should I even bother to watchwhat Ieat and drink? It doesn't really matter what I do if I'm never going to get better!"On the basis of the client's statement, the nurse determines that the client isexperiencing which problem?PowerlessnessTolbutamide (Orinase) is prescribed to a client whose type 2 diabetes mellitushas not been controlled with diet and exercise alone. The nurse providesinstructions to the client about the medication. Which statement by the clientindicates a need for further instruction?"I can have a beer or glass of wine as long as I stay within my daily dietary restrictions."A client with adenocarcinoma of the ovary is scheduled to undergochemotherapy with cyclophosphamide after total abdominal hysterectomy withbilateral salpingo-oophorectomy. What does thenurse instruct the client to doduring chemotherapy? Select all that apply.-Drink copious amounts of fluid and void frequently-Avoid contact with any individual who has signs or symptoms of a coldA nurse reviews arterial blood gas values and notes a pHof 7.50 and a Pco2 of 30mm Hg. The nurse interprets these values as indicative of:Respiratory alkalosisA school nurse observing a child with Down syndrome is participating in aphysical education class and notes that the child is experiencing a diminution inmotor abilities. The nurse asks to see the child and conducts an assessment,during which the child complains of neck pain and loss of bladder control. Whatis the appropriate action by the nurse in this situation?Contacting the child's physician to report the findings

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