NCLEX Review Practice Questions! Quiz

56 Questions | Total Attempts: 56

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NCLEX Review Practice Questions! Quiz

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Questions and Answers
  • 1. 
    A 17 year old patient diagnosed with OCD (Obsessive Compulsive Disorder) and is taking Paxil (paroxetine).  The following are instructions to give to patient and family.  Please select all that apply to Paxil.
    • A. 

      Do not stop Paxil abruptly as withdrawal can occur.

    • B. 

      Paxil may cause unusual bleeding or bruising.

    • C. 

      Paxil may increase risk of suicidal thinking or behavior in young adults.

    • D. 

      Do not take this medicine with calcium as it may decrease the effects of the drug.

    • E. 

      Paxil can cause sexual dysfunction in both men and women.

  • 2. 
    The drug derived from cannabis (delta 9 THC) and considered a controlled substance and is used to treat chemotherapy induced nausea is
    • A. 

      Dolasetron (Anzemet)

    • B. 

      Lorazepam (Ativan

    • C. 

      Dronabinol (Marinol)

    • D. 

      Metoclopramide (Reglan)

  • 3. 
    A client is to receive conscious sedation for a minor surgical procedure. Which drug administration should the nurse expect?
    • A. 

      Benztropine (Cogentin)

    • B. 

      Nitroprusside (Nipride)

    • C. 

      Clonidine (Catapres)

    • D. 

      Propofol (Diprivan)

  • 4. 
    Bupivacaine (Marcaine) is indicated for
    • A. 

      Use as an antiepileptic, as it is a calcium channel blocker devised to target neurons

    • B. 

      The palliative treatment of mild to moderate Alzheimer's disease

    • C. 

      The treatment of certain inflammatory diesease and some types of cancer.

    • D. 

      Local anesthesia including infiltration , nerve block, epidural and intrathecal anesthesia.

  • 5. 
    The nurse is caring for a client with congestive heart failure. Furosemide (Lasix) is ordered for this patient by the health-care provider. The nurse understands this medication is given to produce which of the following outcomes?
    • A. 

      To reduce oxygen requirements by the cardiac tissue

    • B. 

      To improve cardiac output to the tissues

    • C. 

      To increase sodium retention in the plasma

    • D. 

      To reduce circulating fluid volume

  • 6. 
    The nurse is caring for a client who has been prescribed a beta-adrenergic blocker metoprolol (Lopressor) for hypertension. Which of the following best describes the mechanism of action of beta-adrenergic blockers?
    • A. 

      This class of medication blocks converson of angiotensin I to angiotensin II.

    • B. 

      This class of medication blocks sympathetic nervous system receptors.

    • C. 

      This class of medication directly vasodilates the coronary arteries.

    • D. 

      This class of medication allows the body to rid itself of sodium and water

  • 7. 
    The nurse has been doing medication education for the client receiving atenolol (Tenormin), a beta-blocker. The nurse determines that learning has occurred when the client makes which statement?
    • A. 

      “I need to take my pulse every day.”

    • B. 

      "I cannot take this drug if I develop glaucoma.”

    • C. 

      “If I have any side effects, I will stop the medication.”

    • D. 

      “I cannot continue to have my morning cup of coffee.”

  • 8. 
    The client has epilepsy and receives phenytoin (Dilantin). The client has been seizure-free, and asks the nurse why he still needs blood tests when he is not having seizures. What is the best response by the nurse?
    • A. 

      “Because phenytoin (Dilantin) can deplete your system of potassium.”

    • B. 

      “Because phenytoin (Dilantin) can cause blood-thinning in some clients.”

    • C. 

      “Because phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose.”

    • D. 

      “Because phenytoin (Dilantin) can cause Stevens-Johnson syndrome, which will show up in the blood tests.”

  • 9. 
    A client has been taking fosinopril (Monopril) for 2 months. The nursedetermines that the client is having the intended effects of therapy if the nurse notes which of the following?
    • A. 

      Lowered BP

    • B. 

      Lowered pulse rate

    • C. 

      Increased WBC

    • D. 

      Increased monocyte count

  • 10. 
     A client has an order to begin short-term therapy with enoxaparin(Lovenox). The nurse explains to the client that this medication isbeing ordered to:
    • A. 

      Dissolve urinary calculi

    • B. 

      Reduce the risk of deep vein thrombosis

    • C. 

      Relieve migraine headaches

    • D. 

      Stop progression of multiple sclerosis

  • 11. 
    A client has just been given a prescription for diphenoxylate withatropine (Lomotil). The nurse teaches the client which of the followingabout the use of this medication?
    • A. 

      Drooling may occur while taking this medication

    • B. 

      Irritability may occur while taking this medication

    • C. 

      This medication contains a habit-forming ingredient

    • D. 

      Take the medication with a laxative of choice

  • 12. 
    A nurse in a physician’s office is reviewing the results of a client’sphenytoin (Dilantin) level drawn that morning. The nurse determinesthat the client has a therapeutic drug level if the client’s result was:
    • A. 

      3 mcg/ml

    • B. 

      8 mcg/ml

    • C. 

      15 mcg/ml

    • D. 

      24 mcg/ml

  • 13. 
    Identify the ACE inhibitor.
    • A. 

      Enalapril

    • B. 

      Aspirin

    • C. 

      Labetolol

    • D. 

      Paracetamol

  • 14. 
    Gingival hyperplasia is an oral condition possible in up to 50% of children using
    • A. 

      Phentobarbital

    • B. 

      phenytoin (Dilantin)

    • C. 

      Pentobarbital

    • D. 

      Valproic acid (Depakote)

  • 15. 
    Oxybutynin (ditropan) may be prescribed for which of the following postoperative complications
    • A. 

      Nausea

    • B. 

      Pain

    • C. 

      Bladder spasm

    • D. 

      Bleeding

  • 16. 
    The nurse is caring for a client who is taking atorvastatin (Lipitor), a “statin” for high-cholesterol level. The nurse must teach the client to report any muscle weakness or pain immediately because this could be a sign of this rare, but serious, adverse effect.
    • A. 

      Multiple sclerosis

    • B. 

      Myasthenia gravis

    • C. 

      Rhabdomyolitis

  • 17. 
    The nurse is caring for a client who is taking furosemide (Lasix), 40 mg daily. The client displays muscle weakness and electrocardiogram changes. Which of the following is essential for the nurse to assess at this time?
    • A. 

      Intake and output

    • B. 

      Daily weight

    • C. 

      Potassium level

    • D. 

      Skin turgor

  • 18. 
    A post burn injury client should have what type of diet:
    • A. 

      High protein,high sodium,high carbs

    • B. 

      High protein,low sodium,low carbs

    • C. 

      Low fat,high calories,high sodium

    • D. 

      Low calorie,low fat, low protein

  • 19. 
    This step of the nursing process includes the systematic collection of all subjective and objective data about the client in which the nurse focuses holistically on the client- physical, psychological, emotional, sociocultural, and spirtual.
    • A. 

      Assessment

    • B. 

      Planning

    • C. 

      Implementation

    • D. 

      Diagnosis

  • 20. 
    Assessment that focuses on past medical history, family history, reason for admission, medications currently taking, previous hospitalization, surgeries, psyhosocial assessment, nutrition, complete physical assessment
    • A. 

      Initial assessment

    • B. 

      Focus assessment

    • C. 

      Emergency assessment

  • 21. 
     You are caring for a patient who is newly diagnosed with Congestive Heart Failure CHF. Which statement by the patient would indicate that your patient teaching has been a success?
    • A. 

      I will watch my salt intake and ensure that I do not exceed 4g or 4000mg per day in my diet

    • B. 

      I will conduct a daily weight, keep a log of my daily weight, and report to my doctor immediately any weight gain of 3 or more pounds in one day

    • C. 

      If I feel that I am urinating too frequently, I will not take my diuretic for a few days to help with the frequency of urination, after all, I don’t want to fall getting out of bed so much at night

    • D. 

      I will just smoke one half pack of cigarettes per day, as this is healthier than one pack

  • 22. 
    A client receiving Lopressor 50mg IV  should most importantly have which vital signs checked prior to administration?
    • A. 

      Temperature

    • B. 

      Respirations

    • C. 

      Blood pressure, and heart rate

    • D. 

      Pain

  • 23. 
    A client with a history of coronary artery disease begins to experience chest pain. After putting the client on bedrest and administering a nitroglycerin tablet sublingually, which intervention should the nurse implement first?  
    • A. 

      A. Calling the health care provider

    • B. 

      Checking the heart's creatine kinase MB (CK-MB) level

    • C. 

      Getting a 12-lead electrocardiogram (ECG)

    • D. 

      Preparing the client for angioplasty

  • 24. 
    To prevent complications of immobility, which activities would the nurse plan for the first postoperative day after a colon resection?
    • A. 

      Turn, cough, and deep breathe every 30 minutes around the clock

    • B. 

      Get the client out of bed and ambulate to a bedside chair

    • C. 

      Provide passive range of motion three times a day

    • D. 

      It is not necessary to worry about complications of immobility on the first postoperative day

  • 25. 
    The nurse will provide preoperative teaching on deep breathing, coughing and turning exercises. When is the best time to provide the preoperative teachings?
    • A. 

      Before administration of preoperative medications

    • B. 

      The afternoon or evening prior to surgery

    • C. 

      Several days prior to surgery

    • D. 

      Upon admission of the client in the recovery room

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