NCLEX RN EXAM WITH COMPLETE SOLUTIONS

NCLEX RN EXAM WITH COMPLETE SOLUTIONS The client's mother contacts the clinic regarding med admin stating, "my daughter can't swallow this capsule. It's too large" Investigation reveals the med is a capsule marked SR. The nurse should instruct the mother to: A. open capsule and mix med with ice cream B. crush med and administer with 8 oz of liquid C. call pharmacist and request alternative preparation of med D. stop med and inform physician at follow-up visit - ANSWER-C - SR = sustained release and cannot be altered A 5 y/o is being treated for acute asthma attack using racemic epi nebulizer stat. Which finding indicates an adverse effect of this med? A. excitability B. tremors C. HR 150 D. Nausea - ANSWER-C - adverse effects of epi include HTN and Tachycardia; others are expected side effects of racemic epi The client is being treated with IV vancomycin for MRSA when nurse notes redness of client's neck and chest. Place in ordered sequence the actions to be taken by the nurse A. call doctor B. stop IV infusion C. administer benadryl as ordered D. take VS - ANSWER-B,D,A,C A client with leukemia is receiving oral prednisolone (Prednisone). An expected SE of the prolonged use of prednisolone is which of the following? A. weight loss B. decreased appetite C. hirsutism D. integumentary bronzing - ANSWER-C Which lab result would concern the nurse caring for a client who is receiving furosemide (Lasix)? A. potassium level of 2.5 B. sodium level of 140 C. glucose level of 110 D. calcium level of 8 - ANSWER-A Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy? A. take at bedtime B. take med with juice C. report changes in appetite D. avoid sunshine while taking this med - ANSWER-B - Lugol's solution is solution of potassium iodide and should be given with juice because it is bitter to taste What instruction would be given to client taking alendronate sodium (Fosamax)? A. Take med before arising B. Force fluids while taking this med C. Remain upright for 30 min after taking D. Take med in conjunction w/ estrogen - ANSWER-C - alendronate sodium used to Tx osteoporosis; remain upright because it causes gastric reflux The client is discharged from the unit with a prescription for Evista (raloxifene HCl). Which of the following is a SE of this med? A. leg cramps B. hot flashes C. urinary frequency D. cold extremities - ANSWER-B - same class as tamoxifen chemo for breast cancer; but Evista used to treat osteoporosis. This med has an agonist effect, so it binds with estrogen and may cause hot flashes An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for cardiac catheterization. Which instruction should be given to client? A. take med as ordered prior to exam B. limit amount of protein in diet prior to exam C. d/c med prior to exam D. take med with only water prior to exam - ANSWER-C - Glucophage may cause renal problems and the dye used in cardiac cath is also detrimental to kidneys. Client may be placed on sliding scale for 48hr after dye procedure or until renal function returns A client is admitted to recovery room following exploratory laparotomy. Which med should be kept nearby? A. nitroprusside (Nipride) B. naloxone hydrochloride (Narcan) C. flumazenil (Romazicon) D. diphenhydramine (Benadryl) - ANSWER-B - during postop period, narcotics are given A client with renal failure has an order for erythropoietin (Epogen) to be given SUBCUT. The nurse should teach the client to report which of the following? A. severe headache B. slight nausea C. decreased urination D. itching - ANSWER-A - severe headache can indicate impending seizure activity The client is admitted complaining of N/V for past 3 days. The doctor has ordered D5 1/2NS with potassium added. Which action by the nurse is most appropriate? A. obtain IV controller B. check client's VS hourly C. check sodium level D. obtain an 18G cathlon to begin infusion - ANSWER-A - if potassium added to IV fluids, controller required because a too-rapid infusion of potassium can lead to cardiac arrhythmias The client is admitted to the unit with 3rd degree burns to chest and neck. The nurse should be vigilant to assess which of following? A. circulation B. airway C. urinary output D. pain - ANSWER-B - because of burns to chest, it is likely that he has airway difficulty; also assess for smoke inhalation