NCLEX RN RECENT 2022- 2024 MOST RECENT UPDATE| QUESTIONS AND CORRECT ACTUAL ANSWERS| RN NCLEX TEST BANK| GRADED A+

NCLEX RN RECENT 2022- 2024 MOST RECENT
UPDATE| QUESTIONS AND CORRECT ACTUAL
ANSWERS| RN NCLEX TEST BANK| GRADED A+
What instruction would be given to client taking alendronate sodium (Fosamax)?
A. Take med before arising
B. Force fluids while taking this med
C. Remain upright for 30 min after taking
D. Take med in conjunction w/ estrogen - CORRECT ANSWER-C - alendronate
sodium used to Tx osteoporosis; remain upright because it causes gastric reflux
The client is discharged from the unit with a prescription for Evista (raloxifene
HCl). Which of the following is a SE of this med?
A. leg cramps
B. hot flashes
C. urinary frequency
D. cold extremities - CORRECT ANSWER-B - same class as tamoxifen chemo for
breast cancer; but Evista used to treat osteoporosis. This med has an agonist effect,
so it binds with estrogen and may cause hot flashes
An elderly diabetic who has been maintained on metformin (Glucophage) is
scheduled for cardiac catheterization. Which instruction should be given to client?
A. take med as ordered prior to exam
B. limit amount of protein in diet prior to exam
C. d/c med prior to exam
D. take med with only water prior to exam - CORRECT ANSWER-C -
Glucophage may cause renal problems and the dye used in cardiac cath is also
detrimental to kidneys. Client may be placed on sliding scale for 48hr after dye
procedure or until renal function returns
The client's mother contacts the clinic regarding med admin stating, "my daughter
can't swallow this capsule. It's too large" Investigation reveals the med is a capsule
marked SR. The nurse should instruct the mother to:
A. open capsule and mix med with ice cream
B. crush med and administer with 8 oz of liquid
C. call pharmacist and request alternative preparation of med
D. stop med and inform physician at follow-up visit - CORRECT ANSWER-C -
SR = sustained release and cannot be altered
A 5 y/o is being treated for acute asthma attack using racemic epi nebulizer stat.
Which finding indicates an adverse effect of this med?
A. excitability
B. tremors
C. HR 150
D. Nausea - CORRECT ANSWER-C - adverse effects of epi include HTN and
Tachycardia; others are expected side effects of racemic epi
The client is being treated with IV vancomycin for MRSA when nurse notes
redness of client's neck and chest. Place in ordered sequence the actions to be taken
by the nurse
A. call doctor
B. stop IV infusion
C. administer benadryl as ordered
D. take VS - CORRECT ANSWER-B,D,A,C
A client with leukemia is receiving oral prednisolone (Prednisone). An expected
SE of the prolonged use of prednisolone is which of the following?
A. weight loss
B. decreased appetite
C. hirsutism
D. integumentary bronzing - CORRECT ANSWER-C
Which lab result would concern the nurse caring for a client who is receiving
furosemide (Lasix)?
A. potassium level of 2.5
B. sodium level of 140
C. glucose level of 110
D. calcium level of 8 - CORRECT ANSWER-A
Which instruction should be given to a client taking Lugol's solution prior to a
thyroidectomy?
A. take at bedtime
B. take med with juice
C. report changes in appetite