NCLEX RN TEST BANK 100 QUESTIONS AND CORRECT

NCLEX RN TEST BANK 100 QUESTIONS AND CORRECT

ANSWERS WITH DETATILED EXPLANATIONS AND

RATIONALES – LATEST VERSION 2024 (NEW GENERATION)

A nurse assesses an oral temperature for an adult patient. The patient's temperature is 37.5°C (99.5°F). What term would the nurse use to report this temperature?

• Febrile
• Hypothermia
• Hypertension
• Afebrile - ANSWER CHOICE IS HERE>>d. Afebrile means without fever. This temperature is

within the normal range for an adult. Fever (pyrexia) is an elevation of body temperature; a person with fever is said to be febrile. Hypothermia is a low body temperature and hyperthermia is a high body temperature.

A nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this situation?

• Readminister the medication and notify the primary care provider. b.

Readminister the pill in a liquid form if possible.

• Assess the vomit, looking for the pill.
• Notify the primary care provider. - ANSWER CHOICE IS HERE>>c. If a patient vomits

immediately after swallowing an oral pill, the nurse should assess the vomit for the pill or fragments of it. The nurse should then notify the primary care provider to see if another dosage should be administered.

A nurse is administering an oral medication to a patient via a gastric tube. The nurse observes the medication enter the tube, and then the tube becomes clogged. What would be the appropriate initial action of the nurse in this situation?

• Attempt to dislodge the medication with a 10-mL syringe. b.

Notify the primary care provider.

• Remove the tube and replace it with another tube.
• Flush the tube with 60 mL of water. - ANSWER CHOICE IS HERE>>a. If medication becomes

clogged in a gastric tube, the nurse should attach a 10-mL syringe on the end of the tube and pull back and lightly apply pressure to the plunger in a repetitive motion to attempt to dislodge the medication. If the medication does not move through the tube, the nurse should notify the primary care provider, who may request the tube be replaced.

A nurse who is administering medications to patients in an acute care setting studies the pharmacokinetics of the drugs being administered. Which statements accurately describe these mechanisms of action? Select all that apply.

• Distribution occurs after a drug has been absorbed into the bloodstream and is made available

to body fluids and tissues.

• Metabolism is the process by which a drug is transferred from its site of entry into the body to

the bloodstream.

• Absorption is the change of a drug from its original form to a new form, usually

occurring in the liver.

• During first-pass effect, drugs move from the intestinal lumen to the liver by way of the

portal vein instead of going into the system's circulation.

• The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes

of drug absorption.

• Excretion is the process of removing a drug, or its metabolites (products of metabolis -

ANSWER CHOICE IS HERE>>a, d, f. Distribution occurs after a drug has been absorbed into the bloodstream and the drug is distributed throughout the body, becoming available to body fluids and body tissues. Some drugs move from the intestinal lumen to the liver by way of the portal vein and do not go directly into the systemic circulation following oral absorption. This is called the first-pass effect, or hepatic first pass. Excretion is the process of removing a drug or its metabolites (products of metabolism) from the body.Absorption is the process by which a drug is transferred from its site of entry into the body to the bloodstream. Metabolism, or biotransformation, is the change of a drug from its original form to a new form. The liver is the primary site for drug metabolism. The gastrointestinal tract, as well as sweat, salivary, and mammary glands, are routes of drug excretion.

A nurse is reconstituting powdered medication in a vial. Which action is a recommended step in this process?

• The nurse draws up the proper amount of powered medication into the syringe. b. The

nurse inserts the needle through the rubber stopper of the diluent vial.

• The nurse gently agitates the powdered medication vial to mix the powder and diluent

completely.

• The nurse draws up the prescribed amount of medication while holding the syringe horizontally

at eye level. - ANSWER CHOICE IS HERE>>c. When reconstituting powdered medication in a vial, the nurse should draw up the appropriate amount of diluent into the syringe, insert the needle through the center of the self-sealing stopper on the powdered medication vial, inject the diluent into the powdered medication vial, remove the needle from the vial and replace the cap, and gently agitate the vial to mix the powdered medication and diluent completely. The nurse should

then draw up the prescribed amount of medication while holding the syringe vertically and at eye level.

A medication order reads: "K-Dur, 20 mEq po b.i.d." When and how does the nurse correctly give this drug?

• Daily at bedtime by subcutaneous route b.

Every other day by mouth

• Twice a day by the oral route
• Once a week by transdermal patch - ANSWER CHOICE IS HERE>>c. The abbreviation "b.i.d."

refers to twice-a-day administration. po (by mouth) refers to administration by the oral route.