Saunders NCLEX Questions

Isotretinoin is prescribed for a client with severe cystic acne. The nurse provides instructions to the client regarding administration of the medication. Which phrase stated by the client indicates a need for further teaching regarding this medication? "I need to continue to take my vitamin A supplements." "The medication may cause dryness and burning in my eyes." "I need to use emollients and lip balms for my dry skin and lips." "I will need to return for a blood test to check my triglyceride level."

"I need to continue to take my vitamin A supplements."

The nurse provides instructions to the client about nicotinic acid prescribed for hyperlipidemia. Which statement by the client indicates understanding of the instructions? "The medication needs to be taken with meals to decrease flushing." "I don't need to stop drinking alcohol when taking nicotinic acid." "Clay-colored stools are a common side effect and are not a concern." "Ibuprofen taken 30 minutes before the nicotinic acid may decrease the flushing."

"Ibuprofen taken 30 minutes before the nicotinic acid may decrease the flushing."

A client is seen in the clinic for complaints of thirst, frequent urination, and headaches. After diagnostic studies, diabetes insipidus is diagnosed. Desmopressin is prescribed. The client asks why this medication was prescribed. Which is a correct statement by the nurse? "It relieves the headaches." "It increases water reabsorption." "It stimulates the production of aldosterone." "It decreases the production of the antidiuretic hormone."

"It increases water reabsorption."

The primary health care provider has prescribed coal tar treatments for a client with psoriasis, and the nurse provides information to the client about the treatments. Which statement made by the client indicates a need for further education about the treatments? "The medication has an unpleasant odor." "The medication can cause phototoxicity." "The medication can stain the skin and hair." "The medication always causes systemic toxicity."

"The medication always causes systemic toxicity."

A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is currently being weaned to triamcinolone by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change when the client states the need to report which signs and symptoms?

Anorexia, nausea, weakness, and fatigue

The primary health care provider (PHCP) writes a prescription for atorvastatin for a client who was admitted to the hospital. The nurse contacts the PHCP to verify the prescription if which finding is noted in the assessment data? Renal calculi Chronic heart failure Carcinoid of the liver Coronary artery disease

Carcinoid of the liver

A client with non-Hodgkin's lymphoma is receiving daunorubicin. Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication? Fever Sores in the mouth and throat Complaints of nausea and vomiting Crackles on auscultation of the lungs

Crackles on auscultation of the lungs

The nurse in the postpartum unit notes that a new parent was given methylergonovine intramuscularly following delivery. What assessment finding indicates that the medication was effective? Lochia that is serous Normal blood pressure Decreased uterine bleeding Decreased uterine contractions

Decreased uterine bleeding

The nurse is preparing to administer filgrastim by intravenous (IV) infusion. Which nursing action is the most appropriate for administering this medication? Shake the solution before drawing it up. Dilute the medication in normal (0.9%) saline. Discard the medication if it has been refrigerated. Dilute the medication in 5% dextrose in water (D5W).

Dilute the medication in 5% dextrose in water (D5W).

The nurse is taking care of a client receiving oxybutynin. Which finding would the nurse expect to note if the client develops side or adverse effects of this medication? Itching Diarrhea Swelling Dry mouth

Dry mouth

A client diagnosed with depression and prescribed tranylcypromine sulfate has been instructed on the appropriate diet. The nurse determines that the client understands the diet if which foods are selected from the dietary menu? Pickled herring, french fries, and milk Pepperoni pizza, salad, and a cola drink Roasted chicken, roasted potatoes, and beer Fried haddock, baked potato, and a cola drink

Fried haddock, baked potato, and a cola drink

The nurse is preparing to give a postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not "something stronger." In formulating a response, the nurse incorporates which information about codeine sulfate?

It does not alter respirations or mask neurological signs as do other opioids.

Zafirlukast is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? Platelet count Neutrophil count Liver function tests Complete blood count

Liver function tests

When teaching a client with glaucoma about the effects of a miotic medication, the nurse would tell the client that the medication will produce which effect?

Lower intraocular pressure and improve blood flow to the retina

A client has an "as needed" (PRN) prescription for trimethobenzamide. The nurse would assess the client for which sign or symptom to determine whether the client needs a dose of this medication? Heartburn Constipation Abdominal pain Nausea and vomiting

Nausea and vomiting

The nurse is monitoring a client who is receiving intravenous (IV) acyclovir. The nurse would monitor the client closely for which primary toxic effect of the medication? Ototoxicity Neurotoxicity Cardiotoxicity Nephrotoxicity

Nephrotoxicity

A client diagnosed with depression is prescribed amitriptyline hydrochloride. During the initial phases of treatment, the client's care plan would include which nursing intervention?

Obtain postural blood pressure prior to each medication administration.

A client is receiving levofloxacin for treatment of urinary tract infection. Which finding warrants an immediate call to the primary health care provider (PHCP)? Client complaint of constipation Prolonged QT interval on electrocardiogram The client will not take the levofloxacin without food. The client's culture shows Staphylococcus aureus.

Prolonged QT interval on electrocardiogram

The nurse is preparing to administer a dose of naloxone intravenously to a client with an opioid overdose. Which supportive medical equipment would the nurse plan to have at the client's bedside? Nasogastric tube Paracentesis tray Resuscitation equipment Central line insertion tray

Resuscitation equipment

A client is scheduled to take ticlopidine. The nurse plans to take which action before implementing this medication therapy?

Review the results of the complete blood cell (CBC) count.

Prior to administering a client's daily dose of digoxin to treat heart failure, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L (0.4 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine, 0.9 mg/dL (79.5 mcmol/L). Which result would alert the nurse that the client is at risk for digoxin toxicity?

Serum magnesium level

The nurse is teaching a client who will be discharged on alendronate about the medication. Which would be included in the teaching plan? Select all that apply. Report musculoskeletal pain immediately. Take the medication at the same time daily. Take the medication on an empty stomach. Consume coffee when taking the medication. Remain upright for 30 minutes following ingestion.

Take the medication at the same time daily. Take the medication on an empty stomach. Remain upright for 30 minutes following ingestion.

The nurse would tell the client who is taking levothyroxine to notify the primary health care provider (PHCP) if which problem occurs? Fatigue Tremors Cold intolerance Excessively dry skin

Tremors

Bethanechol chloride is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication? Gastric atony Urinary strictures Neurogenic atony Gastroesophageal reflux

Urinary strictures

A client is taking benztropine mesylate orally daily. In monitoring this client for medication side effects, the nurse would plan to focus the assessment on which item? Pupil response Voiding pattern Prothrombin time Muscle strength and mobility

Voiding pattern