Exam 1 Relevant NCLEX Next Generation Questions
1. The RN is reviewing routes of medication administration with the client who is diagnosed with
cancer. The RN knows that the rectal route of administration is contraindicated when which
manifestation is present?
a. Nausea and vomiting (this route is preferred in this situation)
b. DifÏculty swallowing (this route is preferred in this situation)
c. Neutropenia- rectal route is CI’d in patients with neutropenia, rectal lesions,
mucositis, and/or thrombocytopenia
d. Fever (rectally is OK for patients with fever)
2. The RN is taking amitriptyline to manage their depression. The client reports severe xerostomia.
Which action does the RN ask the client to implement to help relieve the xerostomia?
a. Increase caffeine intake (doesn’t help)
b. Decrease fluid intake (increase PO fluids)
c. Increase dietary sodium (decrease sodium)
d. Chew sugar free gum
3. A client is admitted with sickle cell anemia and expresses concern about becoming addicted to
pain medicine. The RN explains the difference between physical dependence, tolerance, and
addiction. Which finding is associated with addiction?
a. Withdrawal s/s when the drug is stopped abruptly (this is physical dependence)
b. Withdrawal s/s when the drug dose is reduced (this is physical dependence)
c. Habitual and compulsive use of a drug- this characterizes addiction
d. A state of adaptation (this is tolerance)
4. A client has been prescribed amphetamine & dextroamphetamine for ADHD. The RN explains
that the client should be alert for which ADR?
a. Weight gain (weight loss)
b. Depression (Adderall can be associated with depression)
c. Somnolence (restlessness)
d. Bradycardia (tachycardia)
5. The RN provides discharge teaching to the patient after an acute gout attack. What foods should
the RN teach the client to avoid to prevent future attacks?
a. Cauliflower, asparagus, and mushrooms
b. Anchovies, liver, and lentils
1. The RN is reviewing routes of medication administration with the client who is diagnosed with
cancer. The RN knows that the rectal route of administration is contraindicated when which
manifestation is present?
a. Nausea and vomiting (this route is preferred in this situation)
b. DifÏculty swallowing (this route is preferred in this situation)
c. Neutropenia- rectal route is CI’d in patients with neutropenia, rectal lesions,
mucositis, and/or thrombocytopenia
d. Fever (rectally is OK for patients with fever)
2. The RN is taking amitriptyline to manage their depression. The client reports severe xerostomia.
Which action does the RN ask the client to implement to help relieve the xerostomia?
a. Increase caffeine intake (doesn’t help)
b. Decrease fluid intake (increase PO fluids)
c. Increase dietary sodium (decrease sodium)
d. Chew sugar free gum
3. A client is admitted with sickle cell anemia and expresses concern about becoming addicted to
pain medicine. The RN explains the difference between physical dependence, tolerance, and
addiction. Which finding is associated with addiction?
a. Withdrawal s/s when the drug is stopped abruptly (this is physical dependence)
b. Withdrawal s/s when the drug dose is reduced (this is physical dependence)
c. Habitual and compulsive use of a drug- this characterizes addiction
d. A state of adaptation (this is tolerance)
4. A client has been prescribed amphetamine & dextroamphetamine for ADHD. The RN explains
that the client should be alert for which ADR?
a. Weight gain (weight loss)
b. Depression (Adderall can be associated with depression)
c. Somnolence (restlessness)
d. Bradycardia (tachycardia)
5. The RN provides discharge teaching to the patient after an acute gout attack. What foods should
the RN teach the client to avoid to prevent future attacks?
a. Cauliflower, asparagus, and mushrooms
b. Anchovies, liver, and lentils
