Example of NCLEX Questions, Answers with Rationale and Test-Taking Strategy 80th Edition - NCLEX Exam Example of NCLEX Questions, Answers with Rationale and Test-Taking Strategy 80th Edition - NCLEX Exam

Example of NCLEX Questions, Answers with Rationale and Test-Taking Strategy 80th Edition

Example of NCLEX Questions, Answers with Rationale and Test-Taking Strategy 80th Edition


Example of NCLEX Questions, Answers with Rationale and Test-Taking Strategy 80th Edition


1. A nurse is assisting in preparing a plan of care for a client with a diagnosis of cancer who is receiving morphine sulfate 10 mg subcutaneously every 3 to 4 hours for pain. The nurse suggests including which priority nursing action in the plan of care for this client?

A. Encourage the client to cough and deep breath
B. Encourage increased fluids
C. Monitor the client’s temperature
D. Monitor the urine output

Answer: A. Encourage the client to cough and deep breath

Rationale: Morphine sulfate suppresses the cough reflex. Clients need to be encouraged to cough and deep breathe to prevent complications related to the use of this medication. Although options 2, 3, and 4 may be a component of the plan of care for this client, option 1 identifies the priority nursing action.

Test-Taking Strategy: Note the key words priority nursing action. Recalling that morphine sulfate suppresses the cough reflex and the respiratory reflex will direct you to the correct option. Additionally, use the ABCs, airway, breathing, and circulation. This will easily direct you to option A. Review the effects of this medication if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 734.



2. A nurse is assisting in preparing a plan of care for a client with renal colic who is receiving meperidine hydrochloride (Demerol) for pain. The nurse includes in the plan of care to monitor for which side effect of this medication?

A. Urinary retention
B. Bradycardia
C. Hypertension
D. Increased respirations

Answer: A. Urinary retention

Rationale: Side effects of this medication include respiratory depression, orthostatic hypotension, tachycardia, drowsiness and mental clouding, constipation, and urinary retention.

Test-Taking Strategy: Knowledge regarding the side effects associated with narcotic analgesics will assist you in answering the question. With this question, you can associate the client’s diagnosis with the correct option because both are renal system related. If you had difficulty with this question, review the side effects of this medication.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 675.



3. A nurse is providing instructions to a client who is taking codeine sulfate for severe back pain. The nurse tells the client to:

A. Increase fluid intake
B. Maintain a low-fiber diet
C. Avoid all exercise to prevent light-headedness
D. Avoid the use of stool softeners to prevent diarrhea

Answer: A. Increase fluid intake

Rationale: Codeine sulfate can cause constipation. The client is instructed to increase fluid intake to prevent constipation. Options 2, 3, and 4 are incorrect because they do not address the side effects associated with the use of this medication. Although lightheadedness can occur with the use of this medication, all exercise is not avoided. It is important that the client ambulate frequently.

Test-Taking Strategy: Use the process of elimination in answering the question. Remember that codeine sulfate can cause constipation. Review the side effects of this medication if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 254.



4. A client with a spinal cord injury has been experiencing discomfort caused by spasticity, and dantrolene (Dantrium) is prescribed for the client. Before initiating therapy, the nurse anticipates that which of the following will be prescribed?

A. Blood pressure measurements
B. Renal function studies
C. Liver function studies
D. Otoscopic examination

Answer: C. Liver function studies

Rationale: Dantrolene can cause liver damage and the nurse should monitor the liver function studies. Baseline liver function studies are done before therapy starts, and regular liver function studies are performed throughout therapy. Dantrolene is discontinued if no relief of spasticity is achieved in 6 weeks. Options 1, 2, and 4 are not specifically related to the administration of this medication.

Test-Taking Strategy: Use the process of elimination. Recalling that this medication is hepatotoxic will direct you to the correct option. Review the adverse effects of this medication if you had difficulty with this question.

Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Pharmacology
Reference: Hodgson, B., & Kizior, R. (2005). Saunders nursing drug handbook 2005. Philadelphia: W.B. Saunders, p. 286.




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1 Response to "Example of NCLEX Questions, Answers with Rationale and Test-Taking Strategy 80th Edition"

  1. Thank you, it's a good day for me learning NCLEX, i hope i can passing in last year

    ReplyDelete

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