NEW GENERATION NCLEX 150 QUESTIONS AND ANSWERS FOR NCLEX PN|A+ GRADE

Matrix multiple-choice: Question: A nurse is caring for a patient with diabetes. Which of the following actions should the nurse take when administering insulin? Select all that apply. A. Verify the correct dose with another nurse. B. Administer insulin via intramuscular injection. C. Monitor the patient's blood glucose level. D. Check the expiration date of the insulin. 1. Answer: A, C, D. Matrix multiple-response: Question: A nurse is caring for a patient with hypertension. Which of the following lifestyle modifications should the nurse recommend to the patient? Select all thatapply. A. Limit sodium intake. B. Increase physical activity. C. Reduce caffeine intake. D.Avoid alcohol consumption. 2. Answer: A, B, C, D. Multiple-response: Select all that apply: Question: A nurse is assessing a patient who is receiving chemotherapy. Which of the following symptoms should the nurse report to the healthcare provider? Select all that apply. A. Nausea and vomiting. B. Fatigue and weakness. C. Hair loss. D. Dry mouth and difficulty swallowing. 3. Answer: A, B, C. Multiple-response: Select N: Question: A nurse is caring for a patient with a history of heart failure. The patient's weight has increased by 5 pounds over the past week. Which of the following actions should the nurse take? Select 2. A. Increase the patient's diuretic dose. B. Restrict the patient's sodium intake. C. Increase the patient's fluid intake. D.Administer oxygen therapy. 4. Answer: A, B. Multiple-response: Grouping: Question: A nurse is caring for a patient who has just undergone surgery. Which of the following interventions should the nurse take to prevent complications? Group 1: Respiratory interventions. Group 2: Circulatory interventions. Group 1: A. Administer oxygen therapy. B. Encourage deep breathing and coughing exercises. C. Use an incentive spirometer. Group 2: D.Apply compression stockings. E. Monitor vital signs. F.Administer anticoagulant therapy. 5. Answer: B, C, D, E, F.Drag-and-drop: Cloze: 6. Question: A nurse is caring for a patient with a new diagnosis of diabetes. Drag and drop the steps for checking blood glucose levels in the correct order. 7. Wash hands. 8. Insert test strip into the meter. 9. Prick finger with lancet. 10.Apply blood to the test strip. Read and record the blood glucose level. 11.Answer: 1, 3, 4, 2, 5. Drag-and-drop: Rationale: 12.Question: A nurse is caring for a patient who has just undergone a total hip replacement. Drag and drop the interventions in the order of priority. 13.Administer pain medication. 14.Encourage the use of a continuous passive motion (CPM) machine. 15.Apply ice to the surgical site. Assist the patient with ambulation. Rationale: 16.Answer: 1, 3, 2, 4. Administering pain medication is the first priority, followed by applying ice to the surgical site to reduce swelling. Encouraging the use of a CPM machine can help prevent blood clots. Finally, assisting the patient with ambulation helps promote healing and prevent complications. Drop-down: Cloze: Question: A nurse is caring for a patient who is receiving chemotherapy. The patient is at risk for due to the side effects of the medication. 17.Answer: neut Cloze: Question: A nurse is caring for a patient who is receiving chemotherapy. The patient is at risk for neutropenia due to the side effects of the medication. The nurse should monitor the patient for signs of infection, such as fever, chills, and increased white blood cell count. Drop-down: Rationale: Question: A nurse is caring for a patient with heart failure. The patient is prescribed furosemide (Lasix) for diuresis. The nurse should monitor the patient for which of the following adverse effects? Answer Choices: A. Hypotension B. Hyperkalemia C. Tinnitus 9. D. Bradycardia Rationale: Answer: A. Furosemide is a loop diuretic that can cause hypotension by decreasing fluid volume and blood pressure. The nurse should monitor the patient's blood pressure and electrolyte levels, especially potassium, which can be depleted by the medication. Tinnitus and bradycardia are not common adverse effects of furosemide. Drop-down: Table: Question: A nurse is caring for a patient who has a new prescription for oral contraceptives. Which of the following medications can interact with oral contraceptives and decrease their effectiveness? Select all that apply. 10.Answer Choices: Medication Interactio n Rifampin Increases metabolism of oral contraceptives Ampicillin Decreases effectiveness of oral contraceptives Anticonvulsants Increases metabolism of oral contraceptives Cimetidine Increases blood levels of oral contraceptives Answer: Ampicillin and anticonvulsants can interact with oral contraceptives and decrease their effectiveness by increasing metabolism. Rifampin can also increase metabolism, while cimetidine can increase blood levels of oral contraceptives. Highlight: Text: Question: A nurse is caring for a patient with a history of asthma. Which of the following medications should the nurse administer first in the event of an acute asthma attack? Answer Choices: A. Albuterol (Proventil) B. Fluticasone (Flovent) C. Montelukast (Singulair) 11. D. Prednisone (Deltasone) Answer: A. Albuterol is a short-acting beta agonist that is used as a rescue medication to relieve acute bronchospasm in asthma. It works quickly to open up the airways and improve breathing. Fluticasone and montelukast are long-acting medications that are used for maintenance therapy to prevent asthma symptoms. Prednisone is a systemic corticosteroid that can be used for acute exacerbations butis not typically the first-line treatment. Highlight: Table: Question: A nurse is caring for a patient with heart failure. The patient is prescribed multiple medications to manage their symptoms. Which of the following medications can cause hyperkalemia as a potential adverse effect? Highlight all thatapply. 12.Answer Choices: Medicatio n Adverse Effect Spironolactone (Aldactone) Hyperkalemia Furosemide (Lasix) Hypokalemia Lisinopril (Prinivil) Hypotension Carvedilol (Coreg) Bradycardia