NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
Question 1 See full question
A nurse preparing to administer medications on the respiratory floor is using the
computerized medication-dispensing system. Her password isn't working. The
nurse should:
You Selected:
• ask computer support to reset her password.
Correct response:
• ask computer support to reset her password.
Explanation:
The nurse should have computer support reset her password. A nurse should
never give her password to anyone. It's inappropriate for the nurse to delegate
medication administration to a nursing assistant. The nurse shouldn't override the
machine to dispense the medications; doing so is unsafe and could cause
medication errors.
Remediation:
Safe Medication Administration Practices, General
Question 2 See full question
A client is admitted with an acute schizophrenic reaction after a home rampage
that ended with an assault on local police. Which medication should the nurse
anticipate if these aggressive symptoms persist?
You Selected:
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
,NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
• Haloperidol
Correct response:
• Haloperidol
Explanation:
Haloperidol is the classic drug of choice to treat symptoms of acute
psychosis. Diphenhydramine may be indicated in conjunction with other
medications for its sedating effect, but is not a primary drug of choice.
Paroxetine and Fluoxetine are antidepressant medications, and not indicated
to treat acute schizophrenia.
Remediation:
Haloperidol
Question 3 See full question
A client has been in early labor, with contractions ever 10 to 12 minutes, for the
past 12 hours with no progression. What medication should the nurse anticipate to
help stimulate this client’s uterine contractions?
You Selected:
• Oxytocin
Correct response:
• Oxytocin
Explanation:
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
,NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
Oxytocin is the hormone responsible for stimulating uterine contractions. Pitocin,
the synthetic form, has similar action, and may be given to some clients to induce
or augment uterine contractions. Although estrogen plays a role in uterine
contractions, it is not given in synthetic form to help uterine contractility.
Progesterone has a relaxing effect on the uterus. Magnesium sulfate is used for
maternal preeclampsia. It is not a tocolytic agent.
Remediation:
Oxytocin Administration During Labor And
Delivery Oxytocin (Synthetic Injection)
Question 4 See full question
The nurse has a prescription to administer ampicillin 250 mg IM. After
reconstituting the ampicillin with sterile water for injection, the solution
available is 500 mg/mL. How many milliliters should the nurse administer?
Record your answer using one decimal place.
Your Response:
• 0.5
Correct response:
• 0.5
Explanation:
500 mg/1 mL = 250 mg/X; X = (250/500) mL = 0.5 mL.
Question 5 See full question
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
, NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
The nurse is caring for a client with influenza. The most effective way to decrease
the spread of microorganisms is:
You Selected:
• washing the hands frequently.
Correct response:
• washing the hands frequently.
Explanation:
The hands spread disease-causing organisms. Frequent handwashing is essential
to decrease the spread of microorganisms.
Having separate personal care items for each client does not eliminate the
potential for contamination of these items.
When practical, using disposable equipment is preferable to sterilization, but it
does not override frequent, thorough handwashing for control of infection.
Isolating people known to be harboring disease-causing organisms is a cornerstone
of infection control, but health care personnel must still wash their hands to avoid
spreading disease.
Remediation:
Infection Control,
PACU Influenza
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
Questions and Answers Verified Latest Update 2024
Question 1 See full question
A nurse preparing to administer medications on the respiratory floor is using the
computerized medication-dispensing system. Her password isn't working. The
nurse should:
You Selected:
• ask computer support to reset her password.
Correct response:
• ask computer support to reset her password.
Explanation:
The nurse should have computer support reset her password. A nurse should
never give her password to anyone. It's inappropriate for the nurse to delegate
medication administration to a nursing assistant. The nurse shouldn't override the
machine to dispense the medications; doing so is unsafe and could cause
medication errors.
Remediation:
Safe Medication Administration Practices, General
Question 2 See full question
A client is admitted with an acute schizophrenic reaction after a home rampage
that ended with an assault on local police. Which medication should the nurse
anticipate if these aggressive symptoms persist?
You Selected:
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
,NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
• Haloperidol
Correct response:
• Haloperidol
Explanation:
Haloperidol is the classic drug of choice to treat symptoms of acute
psychosis. Diphenhydramine may be indicated in conjunction with other
medications for its sedating effect, but is not a primary drug of choice.
Paroxetine and Fluoxetine are antidepressant medications, and not indicated
to treat acute schizophrenia.
Remediation:
Haloperidol
Question 3 See full question
A client has been in early labor, with contractions ever 10 to 12 minutes, for the
past 12 hours with no progression. What medication should the nurse anticipate to
help stimulate this client’s uterine contractions?
You Selected:
• Oxytocin
Correct response:
• Oxytocin
Explanation:
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
,NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
Oxytocin is the hormone responsible for stimulating uterine contractions. Pitocin,
the synthetic form, has similar action, and may be given to some clients to induce
or augment uterine contractions. Although estrogen plays a role in uterine
contractions, it is not given in synthetic form to help uterine contractility.
Progesterone has a relaxing effect on the uterus. Magnesium sulfate is used for
maternal preeclampsia. It is not a tocolytic agent.
Remediation:
Oxytocin Administration During Labor And
Delivery Oxytocin (Synthetic Injection)
Question 4 See full question
The nurse has a prescription to administer ampicillin 250 mg IM. After
reconstituting the ampicillin with sterile water for injection, the solution
available is 500 mg/mL. How many milliliters should the nurse administer?
Record your answer using one decimal place.
Your Response:
• 0.5
Correct response:
• 0.5
Explanation:
500 mg/1 mL = 250 mg/X; X = (250/500) mL = 0.5 mL.
Question 5 See full question
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
, NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
The nurse is caring for a client with influenza. The most effective way to decrease
the spread of microorganisms is:
You Selected:
• washing the hands frequently.
Correct response:
• washing the hands frequently.
Explanation:
The hands spread disease-causing organisms. Frequent handwashing is essential
to decrease the spread of microorganisms.
Having separate personal care items for each client does not eliminate the
potential for contamination of these items.
When practical, using disposable equipment is preferable to sterilization, but it
does not override frequent, thorough handwashing for control of infection.
Isolating people known to be harboring disease-causing organisms is a cornerstone
of infection control, but health care personnel must still wash their hands to avoid
spreading disease.
Remediation:
Infection Control,
PACU Influenza
NURS 438 NCLEX-RN Pass Point (Lippincott, 75 Exam
Questions and Answers Verified Latest Update 2024
