NCLEX Practice Questions

NCLEX Practice Questions Leave the first rating Students also studied Terms in this set (13) Science MedicineNursing Save Management 23 terms Taylor_Bourgeois1 Preview NCLEX Questions 32 terms eglass18Preview Chapter 16 Moving and Positioning ...29 terms michellehoward8 Preview HESI Ex 45 terms mar A hospitalized client has been prescribed antibiotics for several weeks. Due to the long-term administration of antibiotics, which of the following assessments does the nurse incorporate into the plan of care?-Bowel movements -Daily weight -Activity tolerance -Oral mucosa -Skin integrity -Bowel movements (long-term antibiotics, especially in hospitalized clients, can result in Clostridium difficile due to the destruction of normal gastrointestinal flora.) -Oral mucosa (Antibiotics can increase the risk for Candida albicans, leading to a condition in the oral cavity referred to as thrush).-Skin integrity (Antibiotics can increase the risk for Candida albicans or yeast infection. This infection will manifest as a rash that often forms in skin folds and areas of increased moisture.) A client who has been taking 25mg metoprolol twice daily for the past two years receives a checkup to monitor the drug's effectiveness. The nurse monitors the client for what symptom indicating a possible drug tolerance?

a) Oliguria

b) Weight gain

c) Hypertension

d) Bradycardia

Hypertension (Beta blockers decrease blood pressure. A steady increase in baseline blood pressure may indicate the client is developing a tolerance to metoprolol).A client has developed gingival hyperplasia. Which medication prescribed to the client does the nurse disclose as a possible cause of this side effect?

a) Acarbose

b) Atenolol

c) Allopurinol

d) Cyclosporine

Cyclosporine (Cyclosporine often results in gingival hyperplasia. The cause of this is poorly understood).

A client is prescribed colchicine for gout. What actions does the nurse take when caring for the client? (Select all that apply).-Administer with food -Monitor blood pressure closely -Encourage fluid intake -Assess serum creatinine level -Assess bowel movements -Encourage fluid intake (To promote adequate renal clearance, the client should be instructed to take the medication with water and to maintain good hydration).-Assess serum creatinine level (Colchicine is contraindicated in renal impairment).-Assess bowel movements (Diarrhea is a common side effect of colchicine and can be quite severe, requiring dose adjustment).A client who started taking triamterene 3 weeks ago comes into the clinic reporting diarrhea and tingling hands. The nurse notifies the healthcare provider of which assessment finding?

a) Heart rate of 45 beats/minute

b) Blood pressure of 98/48 mmHg

c) Respirations of 12 breaths/minute

d) Temperature of 100.2-degrees F

Heart rate of 45 beats/minute (Triamterene, a potassium-sparing diuretic, places the client at risk for hyperkalemia. Cardiac symptoms of hyperkalemia include bradycardia, hypotension, palpitations, and arrhythmias and must be reported immediately).A female client has a new prescription for losartan. Which assessments does the nurse complete prior to administering losartan? (Select all that apply).-Last menstrual period -Post-void residual urine volume -Serum creatinine level -Serum potassium level -Evidence of petechiae -Last menstrual period -Serum creatinine level -Serum potassium level A client is prescribed clonidine. The nurse monitors the client for which side effects associated with clonidine?(Select all that apply)

a) Neutropenia

b) Drowsiness

c) Hypertension

d) Depression

e) Dry mouth

-Drowsiness -Depression -Dry mouth A client is prescribed oxybutynin. The nurse monitors for which side effect? (Select all that apply).-Constipation -Dry mouth -Constricted pupils -Urinary retention -Tachycardia -Constipation -Dry mouth -Urinary retention -Tachycardia A client diagnosed with atrial fibrillation is prescribed warfarin. The nurse instructs the client to maintain a consistent limited intake of which dietary items?

a) Grapefruit and grapefruit juice

b) Legumes and lentils

c) Aged cheese and smoked fish

d) Dark green, leafy vegetables

Dark green, leafy vegetables

A client is prescribed enoxaparin. The nurse monitors which parameter? (Select all that apply).-Hemoglobin level -Activity tolerance -Activated partial thromboplastin time (aPTT) -International normalized ratio (INR) -Bowel movements -Hemoglobin level -Activity tolerance -Bowel movements An unconscious client on mechanical ventilation is prescribed intravenous diazepam. The nurse monitors what parameter as a priority when administering this medication?

a) Urine output

b) Blood pressure

c) Level of consciousness

d) Respiratory depression

Blood pressure A client on mechanical ventilation receives high-dose Propofol. The nurse monitors the client for which adverse effect? (Select all that apply).-Bradycardia -Metabolic acidosis -Hyperkalemia -Hypercapnia -Hypercalcemia -Bradycardia -Metabolic acidosis -Hyperkalemia The nurse cares for a client prescribed enalapril for hypertension. The nurse withholds the enalapril and notifies the health care provider for which findings?(Select all that apply).-An orthostatic drop of 20mmHg in diastolic BP -An increase in urine output in the last 24 hours -A persistent, mild, nonproductive cough -Swelling of the lips without presence of a rash -Serum potassium level of 3.5 mmol/L -An orthostatic drop of 20 mmHg in diastolic BP -A persistent, mild, nonproductive cough -Swelling of lips without presence of a rash