Exam Cram NCLEX-PN PRACTICE QUESTIONS
AND ANSWER| LATEST UPDATE
The nurse is making assignments for the day. Which client should be assigned to the pregnant
nurse?
A. The client receiving linear accelerator radiation therapy for lung cancer.
B. The client with a radium implant for cervical cancer
C. The client who has just been administered soluble brachytherapy for thyroid cancer
D. The client who returned from placement of iridium seeds for prostate cancer ✔️✔️A. The
client receiving linear accelerator radiation therapy for lung cancer
why?
The pregnant nurse should not be assigned to any client with radioactivity present. Therefore,
the client receiving linear accelerator therapy is correct because this client travels to the radium
department for therapy, and the radiation stays in the department; the client is not radioactive
The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the
following drugs reverses the effects of heparin?
A. Cyanocoblalmine
B. Protamine sulfate
C. Streptokinase
D. Sodium warfarin ✔️✔️B. Protamine sulfate
why?
,The antidote for heparin is protamine sulfate. Cyanocolbalamine is B12, Strptokinase is a
thrombolytic, and sodium warfarin is an anticoagulant.
The client is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40 mg IV stat.
How should the nurse administer the prescribed furosemide to this client?
A. By giving it over 1-2 minutes
B. By hanging it IV piggyback
C. With normal saline only
D. By administering it through a venous access device ✔️✔️A. By giving it over 1-2 minutes
why?
Lasix should be given approximately 1mL per minute to prevent hypotesion
The physician prescribes capropril (Capoten) 25 mg po tid for the client with hypertension.
Which of the following adverse reactions can occur with administration of Capoten?
A. Tinnitus
B. Persistent coughing
C. Muscle weakness
D. Diarrhea ✔️✔️B. Persistent coughing
why?
A persistent cough might be related to an adverse reaction to Captoten.
,The doctor orders 2% nitroglycerin ointment on a 1-inch dose over 12 hours. Proper application
of nitroglycerin ointment includes:
A. Rotating application sites
B. Limiting applications to the chest
C. Rubbing it into the skin
D. Covering it with a gauze dressing ✔️✔️A. Rotating application sites
why?
Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be
applied to the back and upper arms, not to the lower extremities.
Lidocaine is a medication frequently ordered for the client experiencing:
A. Atrial tachycardia
B. Ventricular tachycardia
C. Heart block
D. Ventricular brachycardia ✔️✔️B. Ventricular tachycardia
why?
Lidocaine is used to treat ventricular tachycardia. This medication slowly exerts an
antiarrhythmic effect by increasing the electric stimulation threshold of the ventricle without
depressing the force of ventricular contractions.
The client is admitted to the ER with shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. Te doctor
orders quinidne sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
, A. Peaked P waves
B. Elevated ST segment
C. Inverted T wave
D. Prolonged QT interval ✔️✔️D. Prolonged QT interval
why?
Quinidine can cause widened Q-T intervals and heart block. Other signs of myocardial toxicity
are notched P waves and widened QRS complexes. The most common side effects are diarrhea,
nausea, and vomiting. The client might experience tinnitus, veritgo, headache, visual
disturbances, and confusion.
The physician has prescibed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should
teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention ✔️✔️A. Hypertension
why?
If the client eats foods high in tyramine, he might experience malignant hypertension. Tyramine
is found in cheese, sour cream, Chianti wine, sherry, beer, pickled herring, liver, canned figs,
raisins, bananas, avocados, chocolate, soy sauce, fava beans, and yeast. These episodes are
treated with Regitine, and alpha-adrenergic blocking agent.
The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the
following statements by the patient's mother indicates to the nurse that the patient is
experiencing a side effect of Dilantin therapy?
AND ANSWER| LATEST UPDATE
The nurse is making assignments for the day. Which client should be assigned to the pregnant
nurse?
A. The client receiving linear accelerator radiation therapy for lung cancer.
B. The client with a radium implant for cervical cancer
C. The client who has just been administered soluble brachytherapy for thyroid cancer
D. The client who returned from placement of iridium seeds for prostate cancer ✔️✔️A. The
client receiving linear accelerator radiation therapy for lung cancer
why?
The pregnant nurse should not be assigned to any client with radioactivity present. Therefore,
the client receiving linear accelerator therapy is correct because this client travels to the radium
department for therapy, and the radiation stays in the department; the client is not radioactive
The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the
following drugs reverses the effects of heparin?
A. Cyanocoblalmine
B. Protamine sulfate
C. Streptokinase
D. Sodium warfarin ✔️✔️B. Protamine sulfate
why?
,The antidote for heparin is protamine sulfate. Cyanocolbalamine is B12, Strptokinase is a
thrombolytic, and sodium warfarin is an anticoagulant.
The client is admitted with a BP of 210/120. Her doctor orders furosemide (Lasix) 40 mg IV stat.
How should the nurse administer the prescribed furosemide to this client?
A. By giving it over 1-2 minutes
B. By hanging it IV piggyback
C. With normal saline only
D. By administering it through a venous access device ✔️✔️A. By giving it over 1-2 minutes
why?
Lasix should be given approximately 1mL per minute to prevent hypotesion
The physician prescribes capropril (Capoten) 25 mg po tid for the client with hypertension.
Which of the following adverse reactions can occur with administration of Capoten?
A. Tinnitus
B. Persistent coughing
C. Muscle weakness
D. Diarrhea ✔️✔️B. Persistent coughing
why?
A persistent cough might be related to an adverse reaction to Captoten.
,The doctor orders 2% nitroglycerin ointment on a 1-inch dose over 12 hours. Proper application
of nitroglycerin ointment includes:
A. Rotating application sites
B. Limiting applications to the chest
C. Rubbing it into the skin
D. Covering it with a gauze dressing ✔️✔️A. Rotating application sites
why?
Sites for the application of nitroglycerin should be rotated, to prevent skin irritation. It can be
applied to the back and upper arms, not to the lower extremities.
Lidocaine is a medication frequently ordered for the client experiencing:
A. Atrial tachycardia
B. Ventricular tachycardia
C. Heart block
D. Ventricular brachycardia ✔️✔️B. Ventricular tachycardia
why?
Lidocaine is used to treat ventricular tachycardia. This medication slowly exerts an
antiarrhythmic effect by increasing the electric stimulation threshold of the ventricle without
depressing the force of ventricular contractions.
The client is admitted to the ER with shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. Te doctor
orders quinidne sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
, A. Peaked P waves
B. Elevated ST segment
C. Inverted T wave
D. Prolonged QT interval ✔️✔️D. Prolonged QT interval
why?
Quinidine can cause widened Q-T intervals and heart block. Other signs of myocardial toxicity
are notched P waves and widened QRS complexes. The most common side effects are diarrhea,
nausea, and vomiting. The client might experience tinnitus, veritgo, headache, visual
disturbances, and confusion.
The physician has prescibed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should
teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention ✔️✔️A. Hypertension
why?
If the client eats foods high in tyramine, he might experience malignant hypertension. Tyramine
is found in cheese, sour cream, Chianti wine, sherry, beer, pickled herring, liver, canned figs,
raisins, bananas, avocados, chocolate, soy sauce, fava beans, and yeast. These episodes are
treated with Regitine, and alpha-adrenergic blocking agent.
The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the
following statements by the patient's mother indicates to the nurse that the patient is
experiencing a side effect of Dilantin therapy?
