NCLEX Challenge 7
1. A nurse is caring for four clients. After administering morning
medications, she realizes that the nifedipine prescribed for one client
was inadvertently administered to another client. Which of the
following actions should the nurse take first?
Check the client’s vital signs.
2. A nurse is caring for a client who has a new diagnosis of type 1
diabetes mellitus. To focus on effective learning with this client, which
of the following interventions should the nurse use?
Explore the client’s feelings about dietary modifications.
3. A nurse is preparing to use the Z-track technique to administer a
medication to a client. Which of the following is an appropriate action
during this procedure?
Aspirate for 5 to 10 seconds.
4. A nurse is assessing a client who has an acoustic neuroma. Which of
the following client manifestations should the nurse expect?
Vertigo.
5. A nurse in an ophthalmology clinic is interviewing a client who was
referred by his primary care provider for suspicion of cataracts. The
nurse should expect the client to report?
Having a decreased ability to perceive colors.
6. A nurse is reviewing the medication list for a client who has a new
diagnosis of type 2 diabetes mellitus. The nurse should recognize
which of the following medications can cause glucose intolerance?
Prednisone.
7. A nurse is caring for a client who has difficulty swallowing medications
and is prescribed enteric-coated aspirin PO once daily. The client asks if
the medication can be crushed to make it easier to swallow. Which of
the following responses should the nurse provide?
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
https://www.coursehero.com/file/38974344/NCLEX-Challenge-7docx/
, “Crushing the medication might cause you to have a stomachache or
indigestion.”
8. A nurse is providing teaching to a client who has a new diagnosis of
type 2 diabetes mellitus. The nurse should recognize that the client
understands the teaching when he identifies which of the following as
manifestations of hypoglycemia? (Select all that apply).
Blurred vision
Tachycardia
Moist, clammy skin
9. A nurse is caring for a client who is receiving mydriatic eye drops.
Which of the following manifestations indicates to the nurse that the
client has developed a systemic anticholinergic effect?
Constipation.
10. A nurse is providing teaching for a client who is newly diagnosed
with type 2 diabetes mellitus and has a prescription for glipizide. Which
of the following statements by the nurse best describes the action of
glipizide?
“Glipizide stimulates your pancreas to release insulin.”
11. A nurse is administering timolol eye drops to a client who has
glaucoma. Which of the following actions should the nurse take?
Drop prescribed amount of medication into the conjunctival sac.
12. A nurse is teaching an older adult client who has diabetes
mellitus about preventing the long-term complications of retinopathy
and nephropathy. Which of the following instructions should the nurse
include?
“Maintain stable blood glucose levels.”
13. A nurse accidentally administers the wrong medication to a
client, which results in a severe allergic reaction and prolongs the
client’s hospitalization. The client could rightfully sue the nurse for
which of the following?
Malpractice.
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
https://www.coursehero.com/file/38974344/NCLEX-Challenge-7docx/
1. A nurse is caring for four clients. After administering morning
medications, she realizes that the nifedipine prescribed for one client
was inadvertently administered to another client. Which of the
following actions should the nurse take first?
Check the client’s vital signs.
2. A nurse is caring for a client who has a new diagnosis of type 1
diabetes mellitus. To focus on effective learning with this client, which
of the following interventions should the nurse use?
Explore the client’s feelings about dietary modifications.
3. A nurse is preparing to use the Z-track technique to administer a
medication to a client. Which of the following is an appropriate action
during this procedure?
Aspirate for 5 to 10 seconds.
4. A nurse is assessing a client who has an acoustic neuroma. Which of
the following client manifestations should the nurse expect?
Vertigo.
5. A nurse in an ophthalmology clinic is interviewing a client who was
referred by his primary care provider for suspicion of cataracts. The
nurse should expect the client to report?
Having a decreased ability to perceive colors.
6. A nurse is reviewing the medication list for a client who has a new
diagnosis of type 2 diabetes mellitus. The nurse should recognize
which of the following medications can cause glucose intolerance?
Prednisone.
7. A nurse is caring for a client who has difficulty swallowing medications
and is prescribed enteric-coated aspirin PO once daily. The client asks if
the medication can be crushed to make it easier to swallow. Which of
the following responses should the nurse provide?
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
https://www.coursehero.com/file/38974344/NCLEX-Challenge-7docx/
, “Crushing the medication might cause you to have a stomachache or
indigestion.”
8. A nurse is providing teaching to a client who has a new diagnosis of
type 2 diabetes mellitus. The nurse should recognize that the client
understands the teaching when he identifies which of the following as
manifestations of hypoglycemia? (Select all that apply).
Blurred vision
Tachycardia
Moist, clammy skin
9. A nurse is caring for a client who is receiving mydriatic eye drops.
Which of the following manifestations indicates to the nurse that the
client has developed a systemic anticholinergic effect?
Constipation.
10. A nurse is providing teaching for a client who is newly diagnosed
with type 2 diabetes mellitus and has a prescription for glipizide. Which
of the following statements by the nurse best describes the action of
glipizide?
“Glipizide stimulates your pancreas to release insulin.”
11. A nurse is administering timolol eye drops to a client who has
glaucoma. Which of the following actions should the nurse take?
Drop prescribed amount of medication into the conjunctival sac.
12. A nurse is teaching an older adult client who has diabetes
mellitus about preventing the long-term complications of retinopathy
and nephropathy. Which of the following instructions should the nurse
include?
“Maintain stable blood glucose levels.”
13. A nurse accidentally administers the wrong medication to a
client, which results in a severe allergic reaction and prolongs the
client’s hospitalization. The client could rightfully sue the nurse for
which of the following?
Malpractice.
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
https://www.coursehero.com/file/38974344/NCLEX-Challenge-7docx/
