Comprehensive NCLEX-RN Challenge Exam 3

A 5-year-old is a family contact to the client with tuberculosis. Isoniazid (INH) has been prescribed for the client. The nurse is aware that the length of time that the medication will be taken is:

A 4-year-old with cystic fibrosis has a prescription for Viokase pancreatic enzymes to prevent malabsorption. The correct time to give pancreatic enzyme is:

A client with osteomylitis has an order for a trough level to be done because he is taking Gentamycin. When should the nurse call the lab to obtain the trough level?

A new diabetic is learning to administer his insulin. He receives 10U of NPH and 12U of regular insulin each morning. Which of the following statements reflects understanding of the nurse’s teaching?

The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse should assess the patient for:

Shortly after the client was admitted to the postpartum unit, the nurse notes heavy lochia rubra with large clots. The nurse should anticipate an order for:

The client with a recent liver transplant asks the nurse how long he will have to take an immunosuppressant. Which response would be correct?

The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:

The physician prescribes regular insulin, 5 units subcutaneous. Regular insulin begins to exert an effect:

A 60-year-old diabetic is taking glyburide (Diabeta) 1.25mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching?

A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?

The client is taking prednisone 7.5mg po each morning to treat his systemic lupus erythematosis. Which statement best explains the reason for taking the prednisone in the morning?

The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?

The client is diagnosed with multiple myloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?

An elderly client is diagnosed with ovarian cancer. She has surgery followed by chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals in the IV medication?

The 10-year-old is being treated for asthma. Before administering Theodur, the nurse should check the:

Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?

A 6-year-old with cerebral palsy functions at the level of an 18-monthold. Which finding would support that assessment?

A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?

The child with seizure disorder is being treated with phenytoin (Dilantin). 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?

The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

Lidocaine is a medication frequently ordered for the client experiencing:

The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?

The client is admitted with a BP of 210/100. Her doctor orders furosemide (Lasix) 40mg IV stat. How should the nurse administer the prescribed furosemide to this client?

The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the following drugs reverses the effects of heparin?

The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

The charge nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be charged with:

Which assignment should not be performed by the licensed practical nurse?

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

The nurse is caring for a client with B-Thalassemia major. Which therapy is used to treat Thalassemia?

The child with a history of respiratory infections has an order for a sweat test to be done. Which finding would be positive for cystic fibrosis?

The nurse caring for the child with a large meningomylocele is aware that the priority care for this client is to:

The nurse is caring for an infant admitted from the delivery room. Which finding should be reported?

The nurse is aware that a common mode of transmission of clostridium difficile is

The nurse has just received the change of shift report. Which client should the nurse assess first?

A client has been receiving cyanocobalamine (B12) injections for the past six weeks. Which laboratory finding indicates that the medication is having the desired effect?

The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating: