NCLEX COMPREHENSIVE EXAM 1

NCLEX COMPREHENSIVE EXAM 1 EXAM QUESTIONS , CORRECT VERIFIED ANSWERS AND RATIONALE 100% PASS A nurse is reviewing the health care provider's (HCP's) admitting prescriptions for a post-menopausal woman scheduled for a dilatation and curettage. The nurse is unable to decipher the handwriting but thinks the medication prescription reads either metoprolol or topiramate. What should the nurse do next? -Ask the client if she has hypertension. -Ask the client if she has migraines. -Call the HCP to clarify the prescription. -Ask the pharmacist to interpret the prescription. Answer Call the HCP to clarify the prescription. Rational: The nurse must clarify this prescription with the admitting HCP to ensure medication accuracy and client safety. In health care settings without computerized medical records or computer prescribing, misinterpretation of handwriting remains a leading cause of medication errors. It is not safe practice to question the client regarding a diagnosis and assume the medication is correctly prescribed. The pharmacist will need clarification of the prescription as well. It is not the role of the pharmacist to interpret the prescription. A physician orders meperidine 30 mg I.M. as preoperative medication for a school-age child who weighs 66 lb (30 kg). The meperidine is supplied as 50 mg/mL. How much meperidine should the nurse administer? - 0.3 mL - 0.5 mL - 0.6 mL - 0.8 mL Answer 0.6 mL A client with acute asthma is experiencing inspiratory and expiratory wheezing, and decreased forced expiratory volume. What is the nurse's priority intervention? - Beta-adrenergic blockers - Bronchodilators - Inhaled steroids - Oral steroids Answer Bronchodilators Rational: Bronchodilators are the first line of treatment for asthma because bronchoconstriction is the cause of reduced airflow. Beta-adrenergic blockers aren't used to treat asthma, and can cause bronchoconstriction. Inhaled or oral steroids may be given to reduce inflammation but aren't used for emergency relief.