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NCLEX NCLEX-RN - National Council Licensure Examination(NCLEX-RN)

Page: 11 / 13
Total 860 questions

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

A.

Digoxin (Lanoxin)

B.

Lidocaine (Xylocaine)

C.

Quinidine gluconate or sulfate (Quinaglute,Quinidex)

D.

Nitroglycerin IV (Tridil)

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

A.

The nurse should use universal precautions when obtaining blood samples.

B.

Total bed rest should be maintained until the client is asymptomatic.

C.

The client should be instructed to maintain a low semi-Fowler position when eating meals.

D.

The nurse should administer an alcohol backrub at bedtime.

The following medications were noted on review of the client’s home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

A.

KCl

B.

Thyroid agents

C.

Quinidine

D.

Theophylline

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being “on the move,” sleeping 3–4 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

A.

Short, polite responses to interview questions

B.

Introspection related to his present situation

C.

Exaggerated self-importance

D.

Feelings of helplessness and hopelessness

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

A.

Positive inotropes

B.

Vasodilators

C.

Diuretics

D.

Antidysrhythmics

The primary reason that an increase in heart rate (100 bpm) detrimental to the client with a myocardial infarction (MI) is that:

A.

Stroke volume and blood pressure will drop proportionately

B.

Systolic ejection time will decrease, thereby decreasing cardiac output

C.

Decreased contractile strength will occur due to decreased filling time

D.

Decreased coronary artery perfusion due to decreased diastolic filling time will occur, which will increase ischemic damage to the myocardium

A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks’ gestation. The nurse should be alert to which condition related to her age?

A.

Iron-deficiency anemia

B.

Sexually transmitted disease (STD)

C.

Intrauterine growth retardation

D.

Pregnancy-induced hypertension (PIH)

Hematotympanum and otorrhea are associated with which of the following head injuries?

A.

Basilar skull fracture

B.

Subdural hematoma

C.

Epidural hematoma

D.

Frontal lobe fracture

When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurse’s response should be based on the fact that:

A.

The test provides a baseline for further tests

B.

The procedure simulates usual daily activity and myocardial performance

C.

The client can be monitored while cardiac conditioning and heart toning are done

D.

Ischemia can be diagnosed because exercise increasesO2 consumption and demand

Dietary planning is an essential part of the diabetic client’s regimen. The American Diabetes Association recommends which of the following caloric guidelines for daily meal planning?

A.

50% complex carbohydrate, 20%–25% protein, 20%–25% fat

B.

45% complex carbohydrate, 25%–30% protein, 30%–35% fat

C.

70% complex carbohydrate, 20%–30% protein, 10%–20% fat

D.

60% complex carbohydrate, 12%–15% protein, 20%–25% fat

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

A.

70 mg/dL and 120 mg/dL

B.

100 mg/dL and 200 mg/dL

C.

40 mg/dL and 130 mg/dL

D.

90 mg/dL and 200 mg/dL

A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and report:

A.

Dizziness and tachypnea

B.

Circumoral pallor and lightheadedness

C.

Headache and facial flushing

D.

Pallor and itching of the face and neck

The therapeutic blood-level range for lithium is:

A.

0.25–1.0 mEq/L

B.

0.5–1.5 mEq/L

C.

1.0–2.0 mEq/L

D.

2.0–2.5 mEq/L

A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

A.

Administer a stat dose of lithium as necessary.

B.

Recognize this as an expected response to lithium.

C.

Request an order for a stat blood lithium level.

D.

Give an oral dose of lithium antidote.

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

A.

Kidney (urinary system)

B.

Brain (nervous system)

C.

Heart (circulatory system)

D.

Lungs (respiratory system)

The medication that best penetrates eschar is:

A.

Mafenide acetate (Sulfamylon)

B.

Silver sulfadiazine (Silvadene)

C.

Neomycin sulfate (Neosporin)

D.

Povidone-iodine (Betadine)

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

A.

Neosporin sulfate

B.

Mafenide acetate

C.

Silver sulfadiazine

D.

Povidone-iodine

When the nurse is evaluating lab data for a client 18–24 hours after a major thermal burn, the expected physiological changes would include which of the following?

A.

Elevated serum sodium

B.

Elevated serum calcium

C.

Elevated serum protein

D.

Elevated hematocrit

The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

A.

Exercise should be performed 30 minutes before meals.

B.

A snack may be needed before and/or during exercise.

C.

Hyperglycemia may occur 2–4 hours after exercise.

D.

The blood glucose level should be 100 mg or below before exercise is begun.

A child is admitted to the emergency room with her mother. Her mother states that she has been exposed to chickenpox. During the assessment, the nurse would note a characteristic rash:

A.

That is covered with vesicular scabs all in the macular stage

B.

That appears profusely on the trunk and sparsely on the extremities

C.

That first appears on the neck and spreads downward

D.

That appears especially on the cheeks, which gives a“slapped-cheek” appearance