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NCLEX-RN Practice Questions

National Council Licensure Examination(NCLEX-RN)

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Total Questions : 860

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Question # 81

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

Options:

A.  

Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.

B.  

The therapeutic effect of the drug occurs 2–4 weeks after treatment is begun.

C.  

Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.

D.  

Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.

Discussion 0
Question # 82

The therapeutic blood-level range for lithium is:

Options:

A.  

0.25–1.0 mEq/L

B.  

0.5–1.5 mEq/L

C.  

1.0–2.0 mEq/L

D.  

2.0–2.5 mEq/L

Discussion 0
Question # 83

In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:

Options:

A.  

Decreased pulmonary blood flow and cyanosis

B.  

Increased pressure in the pulmonary veins and pulmonary edema

C.  

Systemic venous engorgement

D.  

Increased left ventricular systolic pressures and hypertrophy

Discussion 0
Question # 84

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

Options:

A.  

Stephens-Johnson syndrome

B.  

Folate deficiency

C.  

Leukopenic aplastic anemia

D.  

Granulocytosis and nephrosis

Discussion 0
Question # 85

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

Options:

A.  

Positive inotropes

B.  

Vasodilators

C.  

Diuretics

D.  

Antidysrhythmics

Discussion 0
Question # 86

When the nurse is evaluating lab data for a client 18–24 hours after a major thermal burn, the expected physiological changes would include which of the following?

Options:

A.  

Elevated serum sodium

B.  

Elevated serum calcium

C.  

Elevated serum protein

D.  

Elevated hematocrit

Discussion 0
Question # 87

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

Options:

A.  

Digoxin (Lanoxin)

B.  

Lidocaine (Xylocaine)

C.  

Quinidine gluconate or sulfate (Quinaglute,Quinidex)

D.  

Nitroglycerin IV (Tridil)

Discussion 0
Question # 88

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

Options:

A.  

Sustained temperature elevation over 103F is generally related to febrile seizures

B.  

Febrile seizures do not usually recur

C.  

There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures

D.  

Febrile seizures are associated with diseases of the central nervous system

Discussion 0
Question # 89

A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:

Options:

A.  

Prevention of seizures

B.  

Prevention of uterine contractions

C.  

Sedation

D.  

Fetal lung protection

Discussion 0
Question # 90

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

Options:

A.  

Neosporin sulfate

B.  

Mafenide acetate

C.  

Silver sulfadiazine

D.  

Povidone-iodine

Discussion 0
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