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Chapter 13 NCLEX Questions

NCLEX EXAM Dec 14, 2025 ★★★★★ (5.0/5)
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Chapter 13 NCLEX Questions

  • Following administration of phenylephrine (Neo-Synephrine), the nurse would
  • assess for which of the following adverse drug effects?

  • Insomnia, nervousness, and hypertension
  • Nausea, vomiting, and hypotension
  • Dry mouth, drowsiness, and dyspnea
  • Increased bronchial secretions, hypotension, and bradycardia
  • Anticholinergics may be ordered for which of the following conditions? (Select all
  • that apply.)

  • Peptic ulcer disease
  • Bradycardia
  • Decreased sexual function
  • Irritable bowel syndrome
  • Urine retention
  • Propranolol (Inderal) has been ordered for a client with hypertension. Because of
  • adverse effects related to this drug, the nurse would carefully monitor for which adverse effect?

  • Bronchodilation
  • Tachycardia
  • Edema
  • Bradycardia
  • Older adult clients taking bethanechol (Urecholine) need to be assessed more
  • frequently because of which of the following adverse effects?

  • Tachycardia
  • Hypertension
  • Dizziness
  • Urinary retention
  • The client taking benztropine (Cogentin) should be pro- vided education on
  • methods to manage which common adverse effect?

  • Heartburn
  • Constipation
  • Hypothermia
  • Increased gastric motility
  • The client or family of a client taking tacrine (Cognex) should be taught to be
  • observant for which of the following adverse effects that may signal that a possible overdose has occurred?

  • Excessive sweating, salivation, and drooling
  • Extreme constipation
  • Hypertension and tachycardia
  • Excessively dry eyes and reddened sclera

Chapter 14 NCLEX Questions

  • The nurse should assess a client who is taking lorazepam (Ativan) for the
  • development of which of these adverse effects?

  • Tachypnea
  • Astigmatism
  • Ataxia
  • Euphoria
  • A client is receiving temazepam (Restoril). Which of these responses should a nurse
  • expect the client to have if the medication is achieving the desired effect?

  • The client sleeps in 3-hour intervals, awakens for a short time, and then falls back to
  • sleep.

  • The client reports feeling less anxiety during activities of daily living.
  • The client reports having fewer episodes of panic attacks when stressed.
  • The client reports sleeping 7hours without awakening.
  • A 32-year-old female client has been taking lorazepam (Ativan) for her anxiety and
  • is brought into the emergency department after taking 30 days’ worth at one time.What antagonist for benzodiazepines may be used in this case?

  • Epinephrine
  • Atropine
  • Flumazenil
  • Naloxone
  • A 17-year-old client has been prescribed escitalopram (Lexapro) for increasing
  • anxiety uncontrolled by other treatment measures. Because of this client’s age, the nurse will ensure that the client and parents are taught what important information?

  • Cigarette smoking will counter act the effects of the drug.
  • Signs of increasing depression or thoughts of suicide should be reported immediately.
  • The drug causes dizziness and alternative schooling arrangements may be needed for the
  • first two months of use.

  • Anxiety and excitability may increase during the first two weeks of use but then will have
  • significant improvement.

  • Zolpidem (Ambien) has been ordered for a client for the treatment of insomnia.
  • What information will the nurse provide for this client? (Select all that apply.)

  • Be cautious when performing morning activities because it may cause a significant
  • “hangover” effect with drowsiness and dizziness.

  • Take the drug with food; this enhances the absorption for quicker effects.
  • Take the drug immediately before going to bed; it has a quick onset of action.
  • If the insomnia is long-lasting, this drug may safely be used for up to one year.
  • Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be
  • avoided while taking this drug.

  • Education given to clients about the use of all drugs to treat insomnia should
  • include an emphasis on what important issue?

  • They will be required long-term to achieve lasting effects.
  • They require frequent blood counts to avoid adverse effects.
  • They are among the safest drugs available and have few adverse effects.
  • Long-term use may increase the risk of adverse effects, create a “sleep debt,” and cause
  • rebound insomnia when stopped.

Chapter 15 NCLEX Questions

  • An 8-year-old boy is evaluated and diagnosed with absence seizures. He is started
  • on ethosuximide (Zarontin). Which information should the nurse provide the parents?

  • After-school sports activities will need to be stopped because they will increase the risk of
  • seizures.

  • Monitor height and weight to assess that growth is progressing normally.
  • Fractures may occur, so increase the amount of vitamin D and calcium-rich foods in the
  • diet.

  • Avoid dehydration with activities and increase fluid intake.
  • The nurse is providing education for a 12-year-old client with partial seizures
  • currently prescribed valproic acid (Depakene). The nurse will teach the client and the parents to immediately report which symptom?

  • Increasing or severe abdominal pain
  • Decreased or foul taste in the mouth
  • Pruritus and dry skin
  • Bone and joint pain
  • The nurse is caring for a 72-year-old client taking gabapentin (Neurontin) for a
  • seizure disorder. Because of this client’s age, the nurse would establish which nursing diagnosis related to the drug’s common adverse effects?

  • Risk for Deficient Fluid Volume
  • Risk for Impaired Verbal Communication
  • Risk for Constipation
  • Risk for Falls
  • A client has been taking phenytoin (Dilantin) for control of generalized seizures,
  • tonic–clonic type. The client is admitted to the medical unit with symptoms of nystagmus, confusion, and ataxia. What change in the phenytoin dosage does the nurse anticipate will be made based on these symptoms?

  • The dosage will be increased.
  • The dosage will be decreased.
  • The dosage will remain unchanged; these are symptoms unrelated to the phenytoin.
  • The dosage will remain unchanged but an additional antiseizure medication may be
  • added.

    5.Teaching for a client receiving carbamazepine (Tegretol) should include instructions that the client should immediately report which symptom?

  • Leg cramping
  • Blurred vision
  • Lethargy
  • Blister-like rash
  • Which of the following medications may be used to treat partial seizures? (Select all
  • that apply.)

  • Phenytoin (Dilantin)
  • Valproicacid (Depakene)
  • Diazepam (Valium)
  • Carbamazepine (Tegretol)
  • Ethosuximide (Zarontin)

Chapter 18 NCLEX Questions

  • The nurse teaches the client relaxation techniques and guided imagery as an
  • adjunct to medication for treatment of pain. What is the main rationale for the use of these techniques as an adjunct to analgesic medication?

  • They are less costly techniques.
  • They may allow lower doses of drugs with fewer adverse effects.
  • They can be used at home.
  • They do not require self-injection.
  • The emergency department nurse is caring for a client with a migraine headache.
  • Which drug would the nurse anticipate administering to abort the client’s migraine attack?

  • Morphine
  • Propranolol (Inderal)
  • Ibuprofen (Motrin)
  • Sumatriptan (Imitrex)
  • A client admitted with hepatitis B is prescribed hydrocodone with acetaminophen
  • (Vicodin) 2 tablets for pain. What is the most appropriate action for the nurse to take?

  • Administer the drug as ordered.
  • Administer 1 tablet only.
  • Recheck the order with the health care provider.
  • Hold the drug until the health care provider arrives.
  • The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe
  • pain. Which of the following assessments require immediate nursing interventions?(Select all that apply.)

  • Theclient’sbloodpressureis110/70mmHg.
  • The client is drowsy.
  • Theclient’spainisunrelievedin15minutes.
  • Theclient’srespiratoryrateis10breathsperminute.
  • The client becomes unresponsive.
  • Planning teaching needs for a client who is to be dis- charged postoperatively with
  • a prescription for oxycodone with acetaminophen (Percocet) should include which of the following?

  • Refer the client to a drug treatment center if addiction occurs.
  • Encourage increased fluids and fiber in the diet.
  • Monitor for GI bleeding.
  • Teach the client to self-assess blood pressure.
  • What is the most appropriate method to ensure adequate pain relief in the
  • immediate postoperative period from an opioid drug?

  • Give the drug only when the family members report that the client is complaining of pain.
  • Give the drug everytime the client complains of acute pain.
  • Give the drug as consistently as possible for the first 24 to 48 hours.
  • Give the drug only when the nurse observes signs and symptoms of pain.
  • Chapter 19 NCLEX Questions

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Category: NCLEX EXAM
Added: Dec 14, 2025
Description:

Chapter 13 NCLEX Questions 1. Following administration of phenylephrine (Neo-Synephrine), the nurse would assess for which of the following adverse drug effects? 1. Insomnia, nervousness, and hyper...

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