NCLEX MEdiCaL-SurgiCaL drugS EXaM 2025|OrigiNaL 50+
QuESTiONS aNd aNSWErS WiTH raTiONaLES|aLrEadY gradEd
a+||BraNd NEW VErSiON!
The nurse is caring for a client who is scheduled for an electrophysiology study (EPS) because of
persistent ventricular tachycardia. Before the procedure the client is to receive a beta-blocker.
What client's response during the procedure best indicates that the beta-blocker is working
effectively?
A. Decreased anxiety
B. Reduced chest pain
C. Decreased heart rate
D. Increased blood pressure - SOLUTION-C. Decreased heart rate
A client has an anaphylactic reaction after receiving intravenous penicillin. What does the nurse
conclude is the cause of this reaction?
A. An acquired atopic sensitization occurred.
B. There was passive immunity to the penicillin allergen.
C. Antibodies to penicillin developed after a previous exposure.
D. Potent antibodies were produced when the infusion was instituted. - SOLUTION-C. Antibodies to
penicillin developed after a previous exposure.
,Hydrocortisone is prescribed for a client with Addison disease. Before discharge, the nurse
teaches the client about this medication. What did the nurse include as a therapeutic effect of
the drug?
A. Supports a better response to stress
B. Promotes a decrease in blood pressure
C. Decreases episodes of shortness of breath
D. Controls an excessive loss of potassium from the body - SOLUTION-A. Supports a better response
to stress
A client is admitted to the hospital for medical management of acute pancreatitis. Which
nursing action is most likely to reduce the pancreatic and gastric secretions of a client with
pancreatitis?
A. Encouraging clear liquids
B. Obtaining a prescription for morphine
C. Assisting the client into a semi-Fowler position
D. Administering prescribed anticholinergic medication - SOLUTION-D. Administering prescribed
anticholinergic medication
A nurse is administering a histamine H2 antagonist to a client who has extensive burns. The
nurse explains to the client that this drug is given prophylactically during the first few weeks
after extensive burns. What complication of burns will it prevent?
A. Colitis
B. Gastritis
C. Stress ulcer
, D. Metabolic acidosis - SOLUTION-C. Stress ulcer
The nurse administers 2 units of salt-poor albumin to a client with portal hypertension and
ascites. What does the nurse explain to the client regarding the purpose of the albumin?
A. It provides nutrients.
B. It increases protein stores.
C. Albumin elevates the circulating blood volume.
D. Albumin temporarily diverts blood flow away from the liver. - SOLUTION-C. Albumin elevates the
circulating blood volume.
A nurse is preparing to administer insulin to a client with diabetes. In which order should the
nurse perform the actions associated with insulin administration?
1. Wipe the top of the insulin vial with an alcohol swab.
2. Wash hands with soap and water.
3. Rotate the vial of insulin between the palms of the hands.
4. Withdraw the correct amount of insulin from the inverted vial.
5. Instill air into the vial of insulin equal to the desired dose. - SOLUTION-2. Wash hands with soap
and water.
3. Rotate the vial of insulin between the palms of the hands.
1. Wipe the top of the insulin vial with an alcohol swab.
5. Instill air into the vial of insulin equal to the desired dose.
4. Withdraw the correct amount of insulin from the inverted vial.
A client with Hodgkin disease enters a remission period and remains symptom free for 6 months
before a relapse occurs. The client is diagnosed at stage IV. What therapy option does the nurse
expect to be implemented?
QuESTiONS aNd aNSWErS WiTH raTiONaLES|aLrEadY gradEd
a+||BraNd NEW VErSiON!
The nurse is caring for a client who is scheduled for an electrophysiology study (EPS) because of
persistent ventricular tachycardia. Before the procedure the client is to receive a beta-blocker.
What client's response during the procedure best indicates that the beta-blocker is working
effectively?
A. Decreased anxiety
B. Reduced chest pain
C. Decreased heart rate
D. Increased blood pressure - SOLUTION-C. Decreased heart rate
A client has an anaphylactic reaction after receiving intravenous penicillin. What does the nurse
conclude is the cause of this reaction?
A. An acquired atopic sensitization occurred.
B. There was passive immunity to the penicillin allergen.
C. Antibodies to penicillin developed after a previous exposure.
D. Potent antibodies were produced when the infusion was instituted. - SOLUTION-C. Antibodies to
penicillin developed after a previous exposure.
,Hydrocortisone is prescribed for a client with Addison disease. Before discharge, the nurse
teaches the client about this medication. What did the nurse include as a therapeutic effect of
the drug?
A. Supports a better response to stress
B. Promotes a decrease in blood pressure
C. Decreases episodes of shortness of breath
D. Controls an excessive loss of potassium from the body - SOLUTION-A. Supports a better response
to stress
A client is admitted to the hospital for medical management of acute pancreatitis. Which
nursing action is most likely to reduce the pancreatic and gastric secretions of a client with
pancreatitis?
A. Encouraging clear liquids
B. Obtaining a prescription for morphine
C. Assisting the client into a semi-Fowler position
D. Administering prescribed anticholinergic medication - SOLUTION-D. Administering prescribed
anticholinergic medication
A nurse is administering a histamine H2 antagonist to a client who has extensive burns. The
nurse explains to the client that this drug is given prophylactically during the first few weeks
after extensive burns. What complication of burns will it prevent?
A. Colitis
B. Gastritis
C. Stress ulcer
, D. Metabolic acidosis - SOLUTION-C. Stress ulcer
The nurse administers 2 units of salt-poor albumin to a client with portal hypertension and
ascites. What does the nurse explain to the client regarding the purpose of the albumin?
A. It provides nutrients.
B. It increases protein stores.
C. Albumin elevates the circulating blood volume.
D. Albumin temporarily diverts blood flow away from the liver. - SOLUTION-C. Albumin elevates the
circulating blood volume.
A nurse is preparing to administer insulin to a client with diabetes. In which order should the
nurse perform the actions associated with insulin administration?
1. Wipe the top of the insulin vial with an alcohol swab.
2. Wash hands with soap and water.
3. Rotate the vial of insulin between the palms of the hands.
4. Withdraw the correct amount of insulin from the inverted vial.
5. Instill air into the vial of insulin equal to the desired dose. - SOLUTION-2. Wash hands with soap
and water.
3. Rotate the vial of insulin between the palms of the hands.
1. Wipe the top of the insulin vial with an alcohol swab.
5. Instill air into the vial of insulin equal to the desired dose.
4. Withdraw the correct amount of insulin from the inverted vial.
A client with Hodgkin disease enters a remission period and remains symptom free for 6 months
before a relapse occurs. The client is diagnosed at stage IV. What therapy option does the nurse
expect to be implemented?
