NCLEX Study Questions with Verified Answers Rated A
"This drug may be hard on my liver so I must avoid al-
A client receives information about rifampin for tuberculo- coholic drinks while taking it." This drug may reduce the
sis. Which statements indicate that the client understands ettectiveness of the oral contraceptive I am taking." My
this information? Select all that apply. health care provider must be called immediately if my eyes
and skin become yellow."
A client reports nausea, vomiting, and seeing a yellow
light around objects. A diagnosis of hypokalemia is made. Digoxin (Lanoxin) These are signs of digitalis toxicity,
Upon a review of the client's prescribed medication list, which is more likely to occur in the presence of hy-
the nurse determines that what is the likely cause of the pokalemia.
clinical findings?
Chemotherapy,Oxygen therapy , Radiation therapy
A nurse is providing palliative care to a client with lung Chemotherapy and radiation therapy can provide pal-
cancer. Which therapies does the nurse identify that will liative relief from distressing symptoms of lung cancer.
most likely provide palliation of distressing symptoms of Oxygen therapy would likely relieve some of the dyspnea
the disease? Select all that apply. associated with lung cancer. Photochemotherapy is used
in the management of psoriasis.
A client with depression is to be given fluoxetine (Prozac).
The blood level may not be suflcient to cause noticeable
What precaution should the nurse consider when initiat-
improvement for 2 to 4 weeks.
ing treatment with this drug?
A nurse is providing discharge instructions about digoxin
Blurred vision,Visual disturbances, such as blurred or yel-
(Lanoxin). Which response should a nurse include as a
low vision.
reason for a client to withhold the digoxin?
Generic enzymes are not as ettective as the brand-name
one. This is something you need to discuss with your
The parents of a school-aged child with cystic fibrosis tell
healthcare provider." Generic pancreatic enzymes are not
the nurse that they have changed to generic pancreatic
considered adequate in children with cystic fibrosis be-
enzymes because of money issues. What is an appropriate
cause of the bioavailability of the enzymes. Pancreatic
response by the nurse?
enzyme supplementation is a lifelong treatment for cystic
fibrosis.
1/6
, A nurse administers trimethoprim-sulfamethoxazole
(Bactrim) to a client diagnosed with a urinary tract in-
White blood cell (WBC) count
fection. What should the nurse monitor to determine the
therapeutic ettectiveness of the drug?
Blood pressure
Rationale
What should the nurse assess to determine if a client is
Angiotensin II receptor blockers (ARBs) lower the blood
experiencing the therapeutic ettect of valsartan (Diovan)?
pressure; they block the receptor sites in smooth muscles
and adrenal glands so vasoconstriction is prevented
Dry mouth,Drowsiness,Constipation,Orthostatic hypoten-
sion
Rationale
Dry mouth is a common anticholinergic side ettect of tri-
cyclic antidepressants. Drowsiness can be a common side
A nurse is teaching a client about tricyclic antidepressants.
ettect of tricyclic antidepressants but usually decreases
Which potential side ettects does the nurse include? Select
with continued treatment. Constipation is a common side
all that apply.
ettect of tricyclic antidepressants that can usually be man-
aged with stool softeners and a high-fiber diet. Orthostatic
hypotension is a common side ettect of tricyclic antide-
pressants; the client should be instructed to rise slowly
from a sitting to a standing position.
Truncal obesity,Thin extremities
Rationale
An increase in appetite results in deposition of fat on the
A child who has been undergoing prolonged steroid ther- abdomen and trunk. Muscle wasting results in thin ex-
apy takes on a cushingoid appearance. What will the nurs- tremities. Increased excretion of calcium causes retarda-
ing evaluation probably reveal? Select all that apply. tion of linear growth and a resulting short stature. Because
of the excess production of androgens, virilization and
hirsutism occur. Increased salt and water retention cause
hypertension and hypernatremia.
A 5-year-old child is receiving dactinomycin (Cosmegen)
2/6
and doxorubicin therapy after nephrectomy for Wilms
"This drug may be hard on my liver so I must avoid al-
A client receives information about rifampin for tuberculo- coholic drinks while taking it." This drug may reduce the
sis. Which statements indicate that the client understands ettectiveness of the oral contraceptive I am taking." My
this information? Select all that apply. health care provider must be called immediately if my eyes
and skin become yellow."
A client reports nausea, vomiting, and seeing a yellow
light around objects. A diagnosis of hypokalemia is made. Digoxin (Lanoxin) These are signs of digitalis toxicity,
Upon a review of the client's prescribed medication list, which is more likely to occur in the presence of hy-
the nurse determines that what is the likely cause of the pokalemia.
clinical findings?
Chemotherapy,Oxygen therapy , Radiation therapy
A nurse is providing palliative care to a client with lung Chemotherapy and radiation therapy can provide pal-
cancer. Which therapies does the nurse identify that will liative relief from distressing symptoms of lung cancer.
most likely provide palliation of distressing symptoms of Oxygen therapy would likely relieve some of the dyspnea
the disease? Select all that apply. associated with lung cancer. Photochemotherapy is used
in the management of psoriasis.
A client with depression is to be given fluoxetine (Prozac).
The blood level may not be suflcient to cause noticeable
What precaution should the nurse consider when initiat-
improvement for 2 to 4 weeks.
ing treatment with this drug?
A nurse is providing discharge instructions about digoxin
Blurred vision,Visual disturbances, such as blurred or yel-
(Lanoxin). Which response should a nurse include as a
low vision.
reason for a client to withhold the digoxin?
Generic enzymes are not as ettective as the brand-name
one. This is something you need to discuss with your
The parents of a school-aged child with cystic fibrosis tell
healthcare provider." Generic pancreatic enzymes are not
the nurse that they have changed to generic pancreatic
considered adequate in children with cystic fibrosis be-
enzymes because of money issues. What is an appropriate
cause of the bioavailability of the enzymes. Pancreatic
response by the nurse?
enzyme supplementation is a lifelong treatment for cystic
fibrosis.
1/6
, A nurse administers trimethoprim-sulfamethoxazole
(Bactrim) to a client diagnosed with a urinary tract in-
White blood cell (WBC) count
fection. What should the nurse monitor to determine the
therapeutic ettectiveness of the drug?
Blood pressure
Rationale
What should the nurse assess to determine if a client is
Angiotensin II receptor blockers (ARBs) lower the blood
experiencing the therapeutic ettect of valsartan (Diovan)?
pressure; they block the receptor sites in smooth muscles
and adrenal glands so vasoconstriction is prevented
Dry mouth,Drowsiness,Constipation,Orthostatic hypoten-
sion
Rationale
Dry mouth is a common anticholinergic side ettect of tri-
cyclic antidepressants. Drowsiness can be a common side
A nurse is teaching a client about tricyclic antidepressants.
ettect of tricyclic antidepressants but usually decreases
Which potential side ettects does the nurse include? Select
with continued treatment. Constipation is a common side
all that apply.
ettect of tricyclic antidepressants that can usually be man-
aged with stool softeners and a high-fiber diet. Orthostatic
hypotension is a common side ettect of tricyclic antide-
pressants; the client should be instructed to rise slowly
from a sitting to a standing position.
Truncal obesity,Thin extremities
Rationale
An increase in appetite results in deposition of fat on the
A child who has been undergoing prolonged steroid ther- abdomen and trunk. Muscle wasting results in thin ex-
apy takes on a cushingoid appearance. What will the nurs- tremities. Increased excretion of calcium causes retarda-
ing evaluation probably reveal? Select all that apply. tion of linear growth and a resulting short stature. Because
of the excess production of androgens, virilization and
hirsutism occur. Increased salt and water retention cause
hypertension and hypernatremia.
A 5-year-old child is receiving dactinomycin (Cosmegen)
2/6
and doxorubicin therapy after nephrectomy for Wilms
