NCLEX RN RECENT 2022- 2024 MOST RECENT
UPDATE| QUESTIONS AND CORRECT ACTUAL
ANSWERS| RN NCLEX TEST BANK| GRADED A+
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 - CORRECT 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 - CORRECT 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 - CORRECT 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
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B - Lugol's
solution is solution of potassium iodide and should be given with juice because it is
bitter to taste
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) - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B - because of burns to chest, it is likely that he
has airway difficulty; also assess for smoke inhalation
The client with hypoparathyroidism has a lack of parathyroid hormone. This client
will most likely have a serum calcium level of which of the following?
A. 3.5 mg/dl
, B. 10.9 mg/dl
C. 14.7 mg/dl
D. 18.5 mg/dl - CORRECT ANSWER-A - normal calcium is 8.5 - 10.5; all the
other answers were elevated
The client is admitted with a pH of 7.30, PaCO2 of 48 mmHg, and a HCO3 of 30.
The nurse assess these findings as which of the following?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - CORRECT ANSWER-C - pH low; PaCO2 elevated;
HCO3 elevated
The client is admitted following an MVA. Extensive internal bleeding is suspected.
Serum pH is 7.0, PaCO2 is 32 mmHg, and HCO3 is 20 mEq/dl. The nurse should
assess the lab finding as which of the following?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - CORRECT ANSWER-A - client with internal bleeding
will most likely have metabolic acidosis. pH low, PaCO2 low, HCO3 down
Which of the following equipment should be obtained to safely administer
magnesium sulfate?
A. internal FHR monitor
B. IV rate controller
C. blood admin set
D. wall suction device - CORRECT ANSWER-B - IV rate controller must be
obtained to safely give mag. No need for internal FHR monitor
Which med can potentiate fluid volume deficit?
A. Insulin
B. inderal (propranolol)
C. Lasix (furosemide)
D. Valium (diazepam) - CORRECT ANSWER-C
The client is admitted to the unit with anorexia nervosa. The nurse is aware that
this client might show signs of which of the following?
A. metabolic alkalosis
B. metabolic acidosis
UPDATE| QUESTIONS AND CORRECT ACTUAL
ANSWERS| RN NCLEX TEST BANK| GRADED A+
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 - CORRECT 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 - CORRECT 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 - CORRECT 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
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B - Lugol's
solution is solution of potassium iodide and should be given with juice because it is
bitter to taste
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) - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-B - because of burns to chest, it is likely that he
has airway difficulty; also assess for smoke inhalation
The client with hypoparathyroidism has a lack of parathyroid hormone. This client
will most likely have a serum calcium level of which of the following?
A. 3.5 mg/dl
, B. 10.9 mg/dl
C. 14.7 mg/dl
D. 18.5 mg/dl - CORRECT ANSWER-A - normal calcium is 8.5 - 10.5; all the
other answers were elevated
The client is admitted with a pH of 7.30, PaCO2 of 48 mmHg, and a HCO3 of 30.
The nurse assess these findings as which of the following?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - CORRECT ANSWER-C - pH low; PaCO2 elevated;
HCO3 elevated
The client is admitted following an MVA. Extensive internal bleeding is suspected.
Serum pH is 7.0, PaCO2 is 32 mmHg, and HCO3 is 20 mEq/dl. The nurse should
assess the lab finding as which of the following?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - CORRECT ANSWER-A - client with internal bleeding
will most likely have metabolic acidosis. pH low, PaCO2 low, HCO3 down
Which of the following equipment should be obtained to safely administer
magnesium sulfate?
A. internal FHR monitor
B. IV rate controller
C. blood admin set
D. wall suction device - CORRECT ANSWER-B - IV rate controller must be
obtained to safely give mag. No need for internal FHR monitor
Which med can potentiate fluid volume deficit?
A. Insulin
B. inderal (propranolol)
C. Lasix (furosemide)
D. Valium (diazepam) - CORRECT ANSWER-C
The client is admitted to the unit with anorexia nervosa. The nurse is aware that
this client might show signs of which of the following?
A. metabolic alkalosis
B. metabolic acidosis
