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Exam (elaborations)

NCLEX Comprehensive Exam Questions and Answers (100% Pass)

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  • NCLEX
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  • NCLEX

Enalapril maleate is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? Checking the client's blood pressure Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. One c...

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  • November 8, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX
  • NCLEX
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NCLEX Comprehensive Exam
Questions and Answers (100% Pass)
Enalapril maleate is prescribed for a hospitalized client. Which assessment

does the nurse perform as a priority before administering the medication?


✓ Checking the client's blood pressure

✓ Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor

used to treat hypertension. One common side effect is postural

hypotension. Therefore the nurse would check the client's blood

pressure immediately before administering each dose. Checking the

client's peripheral pulses, the results of the most recent potassium level,

and the intake and output for the previous 24 hours are not specifically

associated with this mediation.




A client is scheduled to undergo an upper gastrointestinal (GI) series, and the

nurse provides instructions to the client about the test. Which statement by the

client indicates a need for further instruction?




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ "I need to drink citrate of magnesia the night before the test and give

myself a Fleet enema on the morning of the test."

✓ An upper GI series involves visualization of the esophagus, duodenum,

and upper jejunum by means of the use of a contrast medium. It

involves swallowing a contrast medium (usually barium), which is

administered in a flavored milkshake. Films are taken at intervals during

the test, which takes about 30 minutes. No special preparation is

necessary before a GI series, except that NPO status must be

maintained for 8 hours before the test. After an upper GI series, the

client is prescribed a laxative to hasten elimination of the barium.

Barium that remains in the colon may become hard and difficult to

expel, leading to fecal impaction.




A nurse on the evening shift checks a health care provider's prescriptions and

notes that the dose of a prescribed medication is higher than the normal

dose. The nurse calls the health care provider's answering service and is told

that the health care provider is off for the night and will be available in the

morning. The nurse should:


✓ Ask the answering service to contact the on-call health care provider




An emergency department (ED) nurse is monitoring a client with suspected

acute myocardial infarction (MI) who is awaiting transfer to the coronary

intensive care unit. The nurse notes the sudden onset of premature ventricular

Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

contractions (PVCs) on the monitor, checks the client's carotid pulse, and

determines that the PVCs are not resulting in perfusion. The appropriate

action by the nurse is:


✓ Asking the ED health care provider to check the client




NPO status is imposed 8 hours before the procedure on a client scheduled to

undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the

procedure, the nurse checks the client's record and notes that the client

routinely takes an oral antihypertensive medication each morning. The nurse

should:


✓ Administer the antihypertensive with a small sip of water




A client who recently underwent coronary artery bypass graft surgery comes

to the health care provider's office for a follow-up visit. On assessment, the

client tells the nurse that he is feeling depressed. Which response by the nurse

is therapeutic?


✓ "Tell me more about what you're feeling."




A client in labor experiences spontaneous rupture of the membranes. The

nurse immediately counts the fetal heart rate (FHR) for 1 full minute and then

checks the amniotic fluid. The nurse notes that the fluid is yellow and has a

strong odor. Which action should be the nurse's priority?


Master01 | October, 2024/2025 | Latest update

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