N300 NCLEX QUESTIONS EXAM WITH
VERIFIED ANSWERS
Which patient would be at highest risk for systemic toxicity from the topical
administration of a local anesthetic?
A. A 42-year-old patient who receives epinephrine with a local anesthetic
B. A 72-year-old patient who receives a local anesthetic that is topically applied
to intact skin
C. A 58-year-old patient who receives a local anesthetic to a 10-cm×20-cm
abrasion
D. A 34-year-old patient given an injection of bupivacaine as a nerve block -
ANSWER C
An adult patient receives lidocaine by injection before a procedure. Which
finding indicates that the patient is experiencing a systemic reaction and
toxicity?
A.Mean arterial pressure of 75 mm Hg
B.Temperature of 100.8°F (38.2°C)
C*.Heart rate of 42 beats/min*
D.Respiratory rate of 12 breaths per minute - ANSWER C
The patient has received isoflurane [Forane] as a general anesthetic. What
should the nurse closely observe the patient for during the immediate
postoperative period?
A.Elevated blood pressure
B.Decreased respiratory rate
C.Malignant hyperthermia
D.Decreased pulse rate - ANSWER B
The nurse cares for a patient who received nitric oxide along with a primary
anesthetic. The nurse should assess the patient for which adverse effect of
nitric oxide?
A.Urinary retention
B.Elevated temperature
C.Nausea and vomiting
D.Depressed respiratory rate - ANSWER C
, The nurse administers the preoperative medication midazolam [Versed]. The
nurse will monitor the patient for which intended effect of this medication?
A.Decreased bronchial secretions
B.Reduction in anxiety
C.Respiratory depression
D.Suppression of cough - ANSWER B
After surgery, a patient has morphine prescribed for postoperative pain. It is
most important for the nurse to make which assessment?
A.*Respiratory rate*
B.Heart rate
C.Pain level
D.Constipation - ANSWER A -->because monitoring resp rate in pt after having
morphine is priority
A postoperative patient who received an intravenous infusion of morphine has a
respiratory rate of 8 breaths per minute and is lethargic. Which as-needed
medication should the nurse administer to the patient?
A.Methadone [Dolophine]
B.Nalbuphine [Nubain]
C.Tramadol [Ultram]
D.Naloxone [Narcan] - ANSWER D
Which manifestations does the nurse associate with tardive dyskinesia?
A.Pacing and squirming, and then abrupt stopping
B.Mask-like face with drooling, tremors, rigidity, and shuffling gait
C.Twisting, worm-like movements of the tongue and face
D.Sudden high fever, sweating, and blood pressure fluctuations - ANSWER C
The nurse prepares to administer the first dose of an antipsychotic agent to a
patient. One hour after administration, it is most important for the nurse to
assess what?
A.The range of motion of the upper and lower extremities
B.*The orthostatic blood pressure measurements*
C.The abdomen for distention and bowel sounds
D.The tympanic membrane with an otoscope - ANSWER B--> becuase its the s/e
of antipsy drug
A patient is prescribed isocarboxazid [Marplan] (an MAOI) for the treatment of
depression. Which foods should the patient be taught to avoid?
VERIFIED ANSWERS
Which patient would be at highest risk for systemic toxicity from the topical
administration of a local anesthetic?
A. A 42-year-old patient who receives epinephrine with a local anesthetic
B. A 72-year-old patient who receives a local anesthetic that is topically applied
to intact skin
C. A 58-year-old patient who receives a local anesthetic to a 10-cm×20-cm
abrasion
D. A 34-year-old patient given an injection of bupivacaine as a nerve block -
ANSWER C
An adult patient receives lidocaine by injection before a procedure. Which
finding indicates that the patient is experiencing a systemic reaction and
toxicity?
A.Mean arterial pressure of 75 mm Hg
B.Temperature of 100.8°F (38.2°C)
C*.Heart rate of 42 beats/min*
D.Respiratory rate of 12 breaths per minute - ANSWER C
The patient has received isoflurane [Forane] as a general anesthetic. What
should the nurse closely observe the patient for during the immediate
postoperative period?
A.Elevated blood pressure
B.Decreased respiratory rate
C.Malignant hyperthermia
D.Decreased pulse rate - ANSWER B
The nurse cares for a patient who received nitric oxide along with a primary
anesthetic. The nurse should assess the patient for which adverse effect of
nitric oxide?
A.Urinary retention
B.Elevated temperature
C.Nausea and vomiting
D.Depressed respiratory rate - ANSWER C
, The nurse administers the preoperative medication midazolam [Versed]. The
nurse will monitor the patient for which intended effect of this medication?
A.Decreased bronchial secretions
B.Reduction in anxiety
C.Respiratory depression
D.Suppression of cough - ANSWER B
After surgery, a patient has morphine prescribed for postoperative pain. It is
most important for the nurse to make which assessment?
A.*Respiratory rate*
B.Heart rate
C.Pain level
D.Constipation - ANSWER A -->because monitoring resp rate in pt after having
morphine is priority
A postoperative patient who received an intravenous infusion of morphine has a
respiratory rate of 8 breaths per minute and is lethargic. Which as-needed
medication should the nurse administer to the patient?
A.Methadone [Dolophine]
B.Nalbuphine [Nubain]
C.Tramadol [Ultram]
D.Naloxone [Narcan] - ANSWER D
Which manifestations does the nurse associate with tardive dyskinesia?
A.Pacing and squirming, and then abrupt stopping
B.Mask-like face with drooling, tremors, rigidity, and shuffling gait
C.Twisting, worm-like movements of the tongue and face
D.Sudden high fever, sweating, and blood pressure fluctuations - ANSWER C
The nurse prepares to administer the first dose of an antipsychotic agent to a
patient. One hour after administration, it is most important for the nurse to
assess what?
A.The range of motion of the upper and lower extremities
B.*The orthostatic blood pressure measurements*
C.The abdomen for distention and bowel sounds
D.The tympanic membrane with an otoscope - ANSWER B--> becuase its the s/e
of antipsy drug
A patient is prescribed isocarboxazid [Marplan] (an MAOI) for the treatment of
depression. Which foods should the patient be taught to avoid?
