NCLEX-RN

NCLEX-RN Review Study Guide

57. The nurse is developing a plan of care for an elderly patient. This patient has a very complicated medication regimen. What would be an ideal first action for the nurse? a. Ask a family member to administer the patient his medications b. Assess the patient’s cognitive ability c. Make sure an aide comes to assist the patient to help with his medications d. Call the doctor to adjust the patient’s medications 58. The family of a patient requests a culture- specific meal. The first action by the nurse would be to: a. Call the dietician b. Call the doctor c. Document the request on the patient chart d. Promise the family that the patient will receive the desired meal 59. The community health nurse visits with a patient and his family, who are very involved in the patient’s care. The primary caregiver expresses exhaustion and says that she doesn’t know if she can take this anymore. What should the nurse do? a. Arrange for nursing home placement for the patient b. Arrange for a psych consult for the caregiver c. Explore the possibility of respite care d. Ask the patient to be less demanding on the caregiver

60. A patient with a chronic illness makes the statement, “I’m getting better every day.” This might be interpreted as: a. Denial of the nature of his illness b. Patient wanting to believe that he will get better c. Confusion d. Lack of knowledge 61. An example of a secondary sexual characteristic is: a. Breast development b. Ovulation c. Menstruation d. Uterine growth 62. Which is an appropriate diagnosis for a patient taking NSAIDS regularly for pain? a. Risk for gastrointestinal bleeding b. Risk for confusion c. Risk for falls d. Risk for ineffective airway clearance 63. What is the desired effect of a miotic drug? a. Lower blood pressure b. Pupil dilation c. Pupil constriction d. Relief of headache 64. Which test will assess balance? a. Rinne b. Romberg c. Babinski d. Weber

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