NCLEX DEC FILE 1

NCLEX DEC FILE 1 1. How to prevent a renal calculi? limit tea and chocolate 2. If a patient is in F-vib what medication to give? Adenosine 3. A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? Obtain a doppler 4. A client with a history of COPD has established a walking program. How do we know that walking is effective? Cardiovascular improvement 5. A client complains of pain in the right calf. What is the nurse's priority? Remain in bed 6. A client just returned after having a TURP and has clot. What should the nurse do? slowly irrigate 7. What's Priority for a client with Multiple Scerolosis and has urinary rention? Self cathetherization 8. The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor? WBCs 9. What intervetion the nurse shoudl implement for a patient with Congestive Heart Failure? Use bedside commode when needing to void 10.What intervention should be done for post op cataract extraction? implement deep breathing 11. A client is discharged on Prednisolone. What should the patient report? Wt gain 12. A client is diagnosed with Pyelinephritis. What is priority? IV antibiotics 13. What is a diet for Osteomalacia? Milk and cereal 14. What should the nurse instruct a client who has Raynuads Syndrome to do at work? Use space heater 15. What to teach a client with GERD? Wear loose clothing 16. How should a client with COPD breath? Pursed lips 17. A client presents with the s/s of Diabetes type 2 and feeling shaky. What is the nurse priority? Obtain glucose level 18. What should the HCP order for a client with Hypothyroidism who has depression and can not sleep? Request PRN... 19. What should a client with Ulcerative Colitis report? Stool with fatty streaks 20.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a complication? a. Nausea, thirst, and increased urine output . 21. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at: a) 1800 . 23. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an assigned client is empty. The new prescription was written for a new bag at the beginning of the shift, but it has not yet arrived from the pharmacy. Which of the following actions should the nurse take first? a) Hanging a solution of 10% dextrose in water . 24.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa [olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s really bothering me. What can I do about this?” Which response by the nurse would be therapeutic? a) “Weight gain can be a side effect of the medication, so you need to watch your diet and exercise. How much weight have you gained?” . 25.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which adverse effect should the nurse monitor the client closely? a) Akathisia . 26.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the client? a) “I think you need to come in for blood work today, because this may be a side effect of your medicine.” . 27.A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses the site and determines that phlebitis has developed. Which of the following actions should the nurse take? Select all that apply. a) Removing the IV catheter at that site . b) Applying warm, moist compresses to the IV site . c) Notifying the healthcare provider about the finding . 28. A physician’s prescription reads, “Clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL NS, to be administered IV over 30 minutes.” The medication label reads, “Clindamycin phosphate (Cleocin Phosphate) 150 mg/mL.” How many milliliters of medication does the nurse prepare to ensure that the . dose is administered? In. . Responses: "2" 29.A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.” The medication label indicates that the bottle contains 100-mg capsules. How many capsules does the nurse prepare for administration of one dose? In. . Responses: "1" 30.A nurse is preparing a plan of care for a client with renal colic who is receiving meperidine hydrochloride (Demerol) for pain. Which side effects does the nurse make a note of needing to be alert to in the plan of care? Select all that apply. a) Hypotension . b) Constipation . c) Urine retention . 31.A nurse is preparing a plan of care for a client with a diagnosis of cancer who is receiving morphine sulfate for pain. Which of the following actions does the nurse identify as a priority in the plan of care for this client? a) Monitoring the client’s respiratory rate . 32.A client who has been taking lisinopril (Prinivil) complains to the nurse of a persistent dry cough. The nurse tells the client that: a) This is a side effect of therapy . 34.A client has been given a prescription to begin using nitroglycerin transdermal patches for the management of angina pectoris. The nurse tells the client to: Place the patch in the area of a skin fold to promote adherence a) Apply the patch at the same time each day and leave it in place for 12 to 16 hours as directed . 35.A client with newly diagnosed angina pectoris has taken 2 sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client complains of a headache. The nurse tells the client that: a) This is an expected side effect of the nitroglycerin, and the client can relieve it by taking acetaminophen (Tylenol) . 36. A nurse is developing a plan of care for a client, hospitalized with heart failure, who has a history of Parkinson disease and is taking benztropine mesylate (Cogentin) daily. Which intervention does the nurse identify as a priority in the plan? a) Monitoring intake and output . 37.A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse teaches the client: a) To rise slowly from a lying to a sitting position . 38. 7. A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? A) Use contraception during intercourse. 39. In evaluating the effects of lactulose (Cephulac), which outcome should indicate that the drug is performing as intended? B) Two or three soft stools per day. 40. The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide? C) Another type of nonsteroidal antiinflammatory drug may be indicated. 41. Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) A) Increase fluid intake, especially cranberry juice. D) Avoid drinking alcohol while taking this medication. E) Use condoms until treatment is completed. F) Ensure that all sexual partners are treated at the same time. 42. A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9