NCLEX-PN Practice Questions Exam 5

1. The nurse is in the process of administering PO medications. Which of the following drugs should not be administered at the same time? A. Levofloxacin (Levaquin) and Mylanta B. Furosemide (Lasix) and Simethicone (Mylicon) C. Cyclobenzaprine (Flexeril) and Carbidopa (Sinemet) D. Sucralfate (Carafate) and docusate calcium (Surfak) 2. The nurse caring for a client with hyperthyroidism would expect which group of clinical manifestations to be exhibited? A. Confusion, weakness, and increased weight B. Shortness of breath, dyspnea, and decreased libido C. Restlessness, fatigue, and weight loss D. Diuresis, hypokalemia, and tachycardia 3. Which medication would the nurse expect to be prescribed for a client exhibiting tetany after thyroid surgery? A. Calcium B. Sodium C. Potassium D. Iodide 4. The nurse should assess a client who has a peptic ulcer for signs of bleeding. Which symptom would best indicate this complication? A. Melena B. Hematuria C. Hemoptysis D. Ecchymosis Detailed Answer: 321 Quick Answers: 318 Detailed Answer: 321 Quick Answers: 318 Detailed Answer: 321 Quick Answers: 318 Detailed Answer: 321 Quick Answers: 318 Quick Check 276 Chapter 5 5. The nurse is preparing to administer insulin to a diabetic. Ten units regular and 35 units of NPH are ordered. Which of the following is the proper procedure for drawing up the medications? A. Draw up the insulin in two separate syringes, to prevent confusion B. Draw up the NPH insulin before drawing up the regular C. Inject air into the NPH vial, draw up 35 units, then inject air into the regular insulin vial and withdraw until insulin is at the 45 unit level. D. Inject 35 units of air into the NPH, inject 10 units of air into the regular, withdraw 10 units of regular, and then withdraw 35 units of NPH 6. What does the nurse recognize as the primary reason that food and fluids are withheld from clients with pancreatitis? A. Decrease blood flow to the pancreas B. Decrease stimulation of the pancreas C. Increase secretion of pancreatic enzymes D. Increase insulin production by the pancreas 7. The nurse is administering digoxin (Lanoxin) to a client with congestive heart failure. What is the expected therapeutic effect of this drug? A. Increased force of heart contraction B. Increased heart rate C. Decreased perfusion of the heart muscle D. Decreased cardiac output 8. A client has just returned from a bronchoscopy. Which safety measure is most important for the nurse to implement? A. Maintaining the client in the supine position B. Providing the client with saline gargles every 15 minutes for 2 hours C. Monitoring the client for return of the gag reflex before PO intake D. Splinting the abdomen when coughing Detailed Answer: 321 Quick Answers: 318 Detailed Answer: 321 Quick Answers: 318 Detailed Answer: 321 Quick Answers: 318 Detailed Answer: 321 Quick Answers: 318 Quick Check Practice Exam 5 and Rationales 277 9. A 45-year-old client returned from a colon resection 2 hours ago. Which vital signs indicate possible hemorrhagic shock? A. BP 120/80, heart rate 88 B. BP 170/100, heart rate 120 C. BP 160/98, heart rate 54 D. BP 96/60, heart rate 120