SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
1. The nurse would anticipate that the health care provider (HCP) would add which
medication to the regimen of the client receiving isoniazid?
✓ Pyridoxine
2. A postpartum nurse is caring for a client with an epidural catheter in place for opioid
analgesic administration following cesarean birth. The client develops respiratory
depression and requires naloxone administration. Which finding should the nurse
anticipate as a result of the naloxone administration?
✓ Increase in pain level
3. The nurse should monitor the client receiving the first dose of albuterol for which side or
adverse effect of this medication?
✓ Tachycardia
4. The client has a prescription to receive pirbuterol 2 puffs and beclomethasone
dipropionate 2 puffs by metered-dose inhaler. The nurse plans to give these medications
in which way to ensure effectiveness?
✓ Administering the pirbuterol before the
beclomethasone
5. A client with chronic obstructive pulmonary disease (COPD) is being changed from an
oral glucocorticoid to triamcinolone by inhalation. The client asks why this change is
necessary. Which statement by the nurse to the client is accurate?
✓ "Inhaled glucocorticoids are preferred
because of decreased adverse effects."
6. A client taking theophylline has a serum theophylline level of 15 mcg/mL (60 mcmol/L).
How does the nurse interpret this laboratory value?
✓ In the middle of the
therapeutic range
7. A client is taking cetirizine. The nurse should inform the client of which side effect of
this medication?
,SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
✓ Drowsiness
8. A client is scheduled to receive acetylcysteine 20% solution diluted in 0.9% normal
saline by nebulizer. Which outcome would the nurse expect as a result of the
administration of this medication?
✓ Thinning of respiratory secretions
9. The nurse is teaching a client about the effects of diphenhydramine, an ingredient in the
cough suppressant prescribed for the client. The nurse should plan to tell the client to take
which measure while taking this medication?
✓ Avoid activities requiring mental alertness.
10. The health care provider (HCP) has prescribed codeine sulfate for a client with a
nonproductive cough to suppress the cough reflex. The nurse should teach the client to
monitor for which side effect of the medication?
✓ Constipation
11. A client has begun therapy with a xanthine bronchodilator. The nurse determines that
the client understands dietary alterations if the client states to limit which items while
taking this medication? Select all that apply.
✓ Coffee
✓ Chocolate
12. Which supplies should the nurse obtain for the administration of ribavirin to a
hospitalized child with respiratory syncytial virus (RSV)?
✓ A mask and pair of goggles
13. The nurse is documenting information in a client's chart when the electrocardiogram
telemetry alarm sounds, and the nurse notes that the client is in ventricular
,SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
tachycardia (VT). The nurse rushes to the client's bedside and should perform which
assessment first?
✓ Check responsiveness
14. A client is brought into the emergency department in ventricular fibrillation (VF). The
nurse prepares to defibrillate by placing defibrillation pads on which part of the chest?
✓ To the right of the sternum and to the left of the
precordium
15. An adult client has been unsuccessfully defibrillated for ventricular fibrillation, and
cardiopulmonary resuscitation (CPR) is resumed. The nurse confirms that CPR is being
administered effectively by noting which action
✓ The carotid pulse is palpable with each
compression.
16. The nurse is assigned the care of a client who experienced a myocardial infarction and
is being monitored by cardiac telemetry. The nurse notes the sudden onset of this
cardiac rhythm on the monitor. The nurse should immediately take which action?
Refer to Figure.
View Figure
✓ Initiate cardiopulmonary
resuscitation (CPR).
17. To perform defibrillation, the defibrillator pads should be placed in which areas
of the client's chest?
✓ To the right of the sternum just below the clavicle
and to the left side, just below and to the left of the
pectoral muscle
18. The nurse is caring for a client who is pulseless and experiencing this dysrhythmia.
Which interventions should the nurse anticipate implementing in collaboration with the
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
health care provider (HCP)? Select all that apply. Refer to Figure.
View Figure
✓ Prepare to administer amiodarone.
NCLEX Q & A 100% CORRECT RATED A+
1. The nurse would anticipate that the health care provider (HCP) would add which
medication to the regimen of the client receiving isoniazid?
✓ Pyridoxine
2. A postpartum nurse is caring for a client with an epidural catheter in place for opioid
analgesic administration following cesarean birth. The client develops respiratory
depression and requires naloxone administration. Which finding should the nurse
anticipate as a result of the naloxone administration?
✓ Increase in pain level
3. The nurse should monitor the client receiving the first dose of albuterol for which side or
adverse effect of this medication?
✓ Tachycardia
4. The client has a prescription to receive pirbuterol 2 puffs and beclomethasone
dipropionate 2 puffs by metered-dose inhaler. The nurse plans to give these medications
in which way to ensure effectiveness?
✓ Administering the pirbuterol before the
beclomethasone
5. A client with chronic obstructive pulmonary disease (COPD) is being changed from an
oral glucocorticoid to triamcinolone by inhalation. The client asks why this change is
necessary. Which statement by the nurse to the client is accurate?
✓ "Inhaled glucocorticoids are preferred
because of decreased adverse effects."
6. A client taking theophylline has a serum theophylline level of 15 mcg/mL (60 mcmol/L).
How does the nurse interpret this laboratory value?
✓ In the middle of the
therapeutic range
7. A client is taking cetirizine. The nurse should inform the client of which side effect of
this medication?
,SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
✓ Drowsiness
8. A client is scheduled to receive acetylcysteine 20% solution diluted in 0.9% normal
saline by nebulizer. Which outcome would the nurse expect as a result of the
administration of this medication?
✓ Thinning of respiratory secretions
9. The nurse is teaching a client about the effects of diphenhydramine, an ingredient in the
cough suppressant prescribed for the client. The nurse should plan to tell the client to take
which measure while taking this medication?
✓ Avoid activities requiring mental alertness.
10. The health care provider (HCP) has prescribed codeine sulfate for a client with a
nonproductive cough to suppress the cough reflex. The nurse should teach the client to
monitor for which side effect of the medication?
✓ Constipation
11. A client has begun therapy with a xanthine bronchodilator. The nurse determines that
the client understands dietary alterations if the client states to limit which items while
taking this medication? Select all that apply.
✓ Coffee
✓ Chocolate
12. Which supplies should the nurse obtain for the administration of ribavirin to a
hospitalized child with respiratory syncytial virus (RSV)?
✓ A mask and pair of goggles
13. The nurse is documenting information in a client's chart when the electrocardiogram
telemetry alarm sounds, and the nurse notes that the client is in ventricular
,SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
tachycardia (VT). The nurse rushes to the client's bedside and should perform which
assessment first?
✓ Check responsiveness
14. A client is brought into the emergency department in ventricular fibrillation (VF). The
nurse prepares to defibrillate by placing defibrillation pads on which part of the chest?
✓ To the right of the sternum and to the left of the
precordium
15. An adult client has been unsuccessfully defibrillated for ventricular fibrillation, and
cardiopulmonary resuscitation (CPR) is resumed. The nurse confirms that CPR is being
administered effectively by noting which action
✓ The carotid pulse is palpable with each
compression.
16. The nurse is assigned the care of a client who experienced a myocardial infarction and
is being monitored by cardiac telemetry. The nurse notes the sudden onset of this
cardiac rhythm on the monitor. The nurse should immediately take which action?
Refer to Figure.
View Figure
✓ Initiate cardiopulmonary
resuscitation (CPR).
17. To perform defibrillation, the defibrillator pads should be placed in which areas
of the client's chest?
✓ To the right of the sternum just below the clavicle
and to the left side, just below and to the left of the
pectoral muscle
18. The nurse is caring for a client who is pulseless and experiencing this dysrhythmia.
Which interventions should the nurse anticipate implementing in collaboration with the
, SAUNDERS COMPREHENSIVE REVIEW FOR
NCLEX Q & A 100% CORRECT RATED A+
health care provider (HCP)? Select all that apply. Refer to Figure.
View Figure
✓ Prepare to administer amiodarone.
