NCLEX-RN Exam Questions - Part 146

1. The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering.This statement is made by the nurse based on the knowledge that:

A) The client is more likely to remember to perform the TSE when in the nude
B) When the scrotum is exposed to cool temperatures, the testicles become large and bulky
C) The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpate
D) The examination will be less painful at this time



2. The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?

A) Pedal pulses 11 (weak)
B) Twenty-four-hour intake 1000 mL/day for past 2 days
C) Serum potassium 3.3
D) Pulse rate 150 bpm



3. A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurses first action when admitting the client will be to:

A) Obtain vital signs
B) Connect the client to the cardiac monitor
C) Ask the client if he is still having chest pain
D) Complete the history profile



4. The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the clients chief complaint?

A) 'I - ve been having a dull pain at the upper left shoulder.'
B) 'My legs have been numb for three months.'
C) 'I - ve only been urinating three times a day lately.'
D) 'I don - t remember anything in particular, I just haven - t felt well.'



5. The nurse is collecting a nutritional history on a 28- year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:

A) Will bind calcium and therefore interfere with its metabolism
B) Will cause more premenstrual cramping
C) Interferes with iron absorption because the iron precipitates as an insoluble substance
D) Causes competition at iron-receptor sites between iron and vitamin B1