Comprehensive Review for the NCLEX-PN Actual Real Practice Exam Questions And Detailed Answers.

A client is being discharged home, and the health care provider has prescribed spironolactone for the client. The nurse reinforces instructions to the client about the medication. Which statement by the client indicates a need for further teaching by the nurse? - correct answer "I know I need to eat foods that are high in potassium because of the diuretic effect of the medication." Submit A client with a diagnosis of human immunodeficiency virus (HIV) who was prescribed an oral solution of ritonavir complains about the taste of the solution. Which response would the nurse give the client? - correct answer "Mix the oral solution with chocolate milk."4 The nurse is caring for a client prescribed an oral hypoglycemic agent who has just been diagnosed with a urinary tract infection. The primary health care provider plans to treat the infection with sulfamethoxazole. The nurse would expect that because of medication interactions, the primary health care provider will adjust which prescription? - correct answer Lower dose of the oral hypoglycemic3 A client with a urinary tract infection with dysuria is given a prescription for phenazopyridine hydrochloride for symptom relief. Which would the nurse reinforce instructing the client about this medication? - correct answer Expect the urine to become reddish orange.4 A client is receiving a daily dose of oral fluphenazine. The nurse would reinforce instructions to the client to practice which intervention to minimize common side effects of this medication? - correct answer Use hard, sour candy or sugarless gum.4 A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol for the control of angina pectoris. Because of the effects of atenolol, the nurse determines that which is the most reliable indicator of hypoglycemia? - correct answer Low blood glucose level Submit The nurse reinforces instructions to a client who has been prescribed betaxolol eye drops for the treatment of glaucoma. The nurse instructs the client regarding the administration of the medication and about the importance of returning to the clinic for which assessment? - correct answer Blood pressure and apical pulse Submit A long-term care nurse is caring for an older client taking cimetidine. The nurse would observe this client frequently for which most common central nervous system (CNS) side effect of this medication? - correct answer Confusion The nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. Which interpretation would the nurse make of this occurrence? - correct answer Bronchospasm, which must be reported to the primary health care provider2 The nurse is caring for a client diagnosed with herpes simplex virus (HSV) who has just been prescribed acyclovir. The nurse explains that which statement is true about treatment with this medication? - correct answer The medication can help reduce the severity of the outbreak.4 A client with schizophrenia has been started on medication therapy with loxapine. The nurse determines that the client is experiencing the intended effects of the medication if which client behavior is observed? - correct answer Absence of delusional statements3 A client with bladder cancer is receiving cisplatin and vincristine. The nurse plans care, knowing that which is the purpose of administering both of these medications? - correct answer Decrease medication resistance and reduce medication toxicity Submit Carbidopa-levodopa is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse effects of the medication. Which sign/symptom indicates the client is experiencing an adverse effect? - correct answer Impaired voluntary movements Submit The clinic nurse prepares to administer an MMR (measles, mumps, rubella) vaccine to the child. The nurse would administer this vaccine by which method? - correct answer Subcutaneously in the outer aspect of the upper arm4 An adult client with hypothyroidism is admitted to the hospital. When reviewing the client's health record, the nurse notes that the client is taking a maintenance dose of levothyroxine. The nurse is also reviewing instructions concerning taking levothyroxine with the client. There is a need for further teaching when the client makes which statement? - correct answer "I will take the pill with milk to keep from upsetting my stomach." Submit A client receiving nitrofurantoin calls the primary health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication? - correct answer Chest pain Submit The nurse is reviewing the results of serum laboratory studies drawn on a client diagnosed with acquired immunodeficiency syndrome (AIDS) who is receiving didanosine. The nurse determines that the client may have the medication discontinued by the primary health care provider (PHCP) if which significantly elevated result is noted? - correct answer Serum amylase4 Diphenhydramine hydrochloride 25 mg orally every 6 hours is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. Which conclusion would the nurse infer? - correct answer The dose is within the safe dosage range.4 The nurse is caring for a client with chronic heart failure who is taking digoxin 0.125 mg daily. Before administering the medication, the nurse reviews the serum digoxin level that was drawn earlier in the day. The result is 1 ng/mL. Which action would the nurse take based on this laboratory result? - correct answer Administer the dose of the medication as scheduled.4 Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions would the nurse include when administering this medication? Select all that apply. - correct answer Monitor liver function studies.3 Instruct the client to avoid alcohol.4 Instruct the client to avoid exposure to the sun.6 The client with myasthenia gravis is receiving pyridostigmine. The nurse monitors for signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs? - correct answer Atropine sulfate4 A client is receiving a maintenance dose of oral dantrolene sodium for the treatment of spasticity. The nurse reviews the medication record, expecting which dose to be prescribed? - correct answer 100 mg twice daily4 A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse would check the client for which sign/symptom? - correct answer Sudden increase in pain4