NCLEX Practice Questions to Remember

NCLEX Practice Questions to Remember Leave the first rating Students also studied Terms in this set (37) Science MedicineNursing Save Osteoporosis DSM 34 terms AlexusLSinghPreview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview NCLEX Stroke 24 terms pmkuphairPreview NCLEX 28 terms apr In order for tissue plasminogen activator (tPA) to be most effective in the treatment of stroke, it must be administered?

• 6 hours after the onset of stroke symptoms
• 3 hours before the onset of stroke symptoms
• 3 hours after the onset of stroke symptoms
• 12 hours before the onset of stroke symptoms

C Which patients are NOT a candidate for tissue plasminogen activator (tPA) for the treatment of stroke?

SATA:

• A patient with a CT scan that is negative.
• A patient whose blood pressure is 200/110.
• A patient who is showing signs and symptoms of

ischemic stroke.

• A patient who received Heparin 24 hours ago.

B, D A home care nurse is visiting an 88-year-old man, who is taking acetaminophen for arthritic pain in his knees.Which of the following patient teaching statements is most appropriate to implement?

• "Acetaminophen will only relieve pain but not the

inflammation from arthritis."

• "Acetaminophen is appropriate for the treatment of

inflammation from arthritis."

• "Your primary health care provider should consider a

prescription of Vicodin (acetaminophen/hydrocodone)."

• "The acetaminophen should be administered on an

empty stomach." A

What is the antidote for magnesium sulfate?

• calcium carbonate
• calcium acetate
• calcium gluconate
• calcium phosphate

C A nurse is planning care for a client who is receiving mannitol via IV continuous infusion. The nurse should monitor the client for which of the following adverse effects?

• Weight loss
• Increase intraocular pressure
• Auditory hallucinations
• Bibasilar crackles
• Bibasilar crackles

A and B are expected therapeutic outcomes. C is not a adverse side effect of mannitol A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. the nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives?

• carbamazepine
• sumatriptan
• atenolol
• glipizide
• carbamazepine

Carbamazepine causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes.A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

• the client's capnography has returned to baseline
• the client can respond to their name when called
• the client is passing flatus
• the client is requesting oral intake
• the client's capnography has returned to baseline

The nurse should identify that the client is ready for discharge when the capnography level indicates that gas exchange is adequate.A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?

• Potassium iodide
• Glucagon
• Atropine
• Protamine
• Atropine

Myasthenia gravis (MG) is a chronic autoimmune disorder in which antibodies destroy the communication between nerves and muscle, resulting in weakness of the skeletal muscles medications like Neostigmine, a cholinesterase inhibitor , are used in the symptomatic treatment of myasthenia gravis by improving muscle tone A cholinergic crisis is caused by an excess amount of cholinesterase inhibitor, such as neostigmine.cholinergic medications mimic the activity of the parasympathetic nervous system The nurse should plan to administer atropine, an anticholinergic agent, to reverse cholinergic toxicity.

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over the counter medications?

• Aspirin
• Ibuprofen
• Ranitidine
• Bisacodyl
• Ibuprofen

Most NSAIDs can significantly increase lithium levels. Therefore, the client should not take ibuprofen and lithium concurrently.A nurse is caring for a client who is receiving filgrastim.Which of the following findings should the nurse document to indicate the effectiveness of the therapy?

• increased neutrophil count
• increased RBC count
• decreased prothrombin time
• decreased triglycerides
• increased neutrophil count

Filgrastim stimulates the bone marrow to produce neutrophils. For clients receiving chemotherapy, the risk of infection is minimized.You are obtaining a health history from a patient who is to start using a new ipratropium (Atrovent) inhaler.Which of the following information from the patient's history should alert you to take further action? (Select all that apply.)

• Seizure disorder
• Peanut allergy
• Depression treated with a monoamine oxidase

inhibitor (MAOI)

• Hypothyroidism treated with synthetic thyroid

hormone

• Glaucoma
• Peanut allergy
• Glaucoma

contraindicated for patients with peanut allergies, and must use extreme caution with glaucoma and BPH patients A health care professional is advising a patient about the use of beclomethasone to treat asthma. The health care professional should explain that the drug treats asthma because it performs which of the following actions?

• Thin mucus
• Relaxes bronchial smoother muscle
• Decreases inflammation
• Increases the cough threshold
• Decreases inflammation

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client?

• Acetylcysteine
• Beclomethasone
• Ipratropium
• Azelastine
• Acetylcysteine

this is a mucolytic that will loosen respiratory secretions

A health care professional who is advising a patient about the use of an expectorant to treat a cough should explain that this type of drug is effective because it performs which of the following actions?

• Suppresses the cough stimulus
• Reduces surface tension
• Reduces inflammation
• Dries mucous membranes
• Reduces surface tension

Expectorants act by reducing the surface tension of respiratory secretions.An expectorant does not suppress the cough stimulus. Antitussives, such as dextromethorphan (Robitussin), have this therapeutic effect.A healthcare professional is caring for a patient who is about to begin iron dextran therapy. When administering the drug IM, the health care professional should take which of the following actions? (Select all that apply.)

• Administer a test dose
• Monitor blood pressure
• Have epinephrine available
• Premedicate with atropine
• Use the z track technique
• Administer a test dose (can cause a hypersensitivity reaction)
• Monitor blood pressure (can cause hypotension)
• Have epinephrine available (can cause hypersensitivity reaction)
• Use the z track technique (best practice, preferably in ventrogluteal)

A nurse is assessing the health status of an older adult client. Although the client denies a problem, the caregiver explains that the client is alert and oriented but consistently has an unkempt appearance, body odor, and soiled clothing. The nurse understands that the client’s behavior is likely related to which of the following?

• Manifesting typical early symptoms of delirium.
• Exhibiting evidence of asymptomatic pathology.
• Restricting activities in response to disease symptoms.
• Experiencing side effects from a medication.
• Restricting activities in response to disease symptoms.

Delirium is characterized by an abrupt disturbance in consciousness, typically manifesting as disorientation, first to time, then place, and lastly to person.Disorientation and confusion may be markedly worse at night and during the early morning. Neglect of personal hygiene is not an early characteristic of delirium, but disorientation may cause a decline in functional health status.The nurse is assessing the family dynamics of a widow with end stage terminal cancer. Which statement made between the adult children would best indicate the need for further teaching?

• “The doctors have told us that it is time for us to
• “Since you are the oldest child, you have the

responsibility to decide.” make some tough decisions.”

• “It does not matter what we think, the living will says

‘do not resuscitate'.”

• “If daddy were alive, he would be making these hard

decisions, not us.”

• "It does not matter what we think, the living will says 'do not resuscitate'."

In the legal hierarchy (order of importance), when the client is unable to make decisions and there is no spouse to decide, the next decision-maker is the oldest adult child.A client is hospitalized for multiple rib fractures following a motor vehicle accident (MVA). The results of an arterial blood gas (ABG's) are; pH 7.30, pCO2 48, HCO3 26 and pO2 91 on 2 L/min of oxygen per nasal cannula. Which of the following interventions has the highest priority?

• Increase the client's O2 delivery to 4 L/min.
• Administer an anti-anxiety agent to calm the client.
• Assist the client to deep breathe, splinting with a pillow.
• Notify the health care provider of the abnormal ABG's.
• Assist the client to deep breathe, splinting with a pillow.

The client's pO2 is normal and while increasing available O2 may help, it does not correct the problem of hypoventilation.