Download NCLEX passpoint 1 Exam (Latest 2024/ 2025 Update) With Questions and Verified Answers| | 1 and more Exams Nursing in PDF only on Docsity! NCLEX passpoint 1 Exam (Latest 2024/ 2025 Update) With Questions and Verified Answers| | 100% Correct | Grade A+ A client with bipolar disorder is prescribed lithium. What question should the nurse ask to best determine the risk for nonadherence to treatment? A. What is your understanding of your diagnosis of bipolar disorder? B. Do you have a regular pharmacy where you can fill the medication? C. Have you taken a medication on a daily basis for any other conditions? D. Do you experience a very irregular sleeping and eating schedule? - ✔✔A. What is your understanding of your diagnosis of bipolar disorder? The nurse is preparing to administer the initial dose of digoxin PO to a client. What is the nurse's priority assessment before administering this medication? A. apical heart rate B.blood pressure C. radial heart rate D. respiratory rate - ✔✔A. apical heart rate Which oral medication would the nurse anticipate being prescribed to prevent further thrombus formation? A. Warfarin B. Heparin C. Furosemide D. Metoprolol - ✔✔A. Warfarin A client with a history of bronchial asthma is prescribed propranolol to control hypertension. Before administering propranolol, which initial action should the nurse take? A. monitor apical pulse rate B. instruct the client to take the medication with food C. question the provider about the order D. caution the client to rise slowly when standing - ✔✔C. question the provider about the order A client is receiving oral prednisolone. Which side effects would the nurse expect to see from prolonged use of this medication? Select all that apply. A. weight loss B. hyperglycemia C. osteoporosis D. hirsutism E. cataract - ✔✔B. Hyperglycemia C. Osteoporosis D. Hirsutism E. Cataract A client who received massive packed red blood cell (PRBC) blood transfusions due to trauma has a potassium level of 7.1 mEq/L (7.1 mmol/L). Which medication should the nurse expect to administer? A. I.V. insulin B. I.V. potassium chloride C. oral spironolactone D. dumping syndrome. - ✔✔A. Hyperglycemia A 5-year-old client was admitted to a pediatric unit 4 hours ago with reports of pain in the right ankle. Upon assessment, the nurse documents the following findings: VS: 102.8° F (39.3° C), P 112, R 16 BP 96/55, O2 99% on RA, moderate amount of erythema and +2 edema over the lateral aspect of the right ankle, warm to touch, limited range of motion noted. The nurse also reviews the laboratory values. Based on the assessment findings and laboratory data in the chart below, for what is this client at risk? CBC: WBC: 17.8 x 103/µl RBC: 4.8 million/mm3 Hgb: 13.5 gm/dl HCT: 38% Bands: 13 PMN% CRP: 2.8 ng/dl Blood Culture: Gram positive: Staphylococcus aureus A. aplastic anemia B. osteomyelitis C. osteogenesis D. developmental dysplasia of the hip (DDH) - ✔✔B. Osteomyelitis The nurse is auscultating S1 and S2 in a client. Identify the area where the nurse should hear S1 the loudest? - ✔✔5th spce btween ribs midclavicular line Which client statement indicates a need for further instruction about a duodenal ulcer? A. "I will need to take an antacid before every meal." B. "To help my ulcer heal I should develop stress management strategies." C. "I will remove foods from my diet that cause abdominal pain." D. "Caffeine and alcoholic beverages may irritate my ulcer." - ✔✔A. I will need to take an antacid before every meal When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms should the nurse assess? Select all that apply. A. epigastric pain at night B. relief of epigastric pain after eating C. vomiting D. weight loss E. melena - ✔✔C. Vomiting D. Weight loss E. Melena
