Exam (elaborations)
NCLEX RN NGN 2024 SAUNDERS COMPREHENSIVE REVIEW
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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX RN 2024
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SAUNDERS COMPREHENSIVE REVIEWFOR NCLEX RN 2024
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,SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX RN 2024
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 epiduralcatheter 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 doseof albuterol for
which side or adverse effect of this medication?
✓ Tachycardia
4) The client has a prescription to receive pirbuterol 2 puffsand
beclomethasone dipropionate 2 puffs by metered-dose inhaler. The
nurse plans to give these medications in whichway to ensure
effectiveness?
✓ Administering the pirbuterolbefore
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 changeis 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 levelof 15 mcg/mL
(60 mcmol/L). How does the nurse interpret thislaboratory value?
✓ In the middle of the
therapeutic range
7) A client is taking cetirizine. The nurse should inform theclient of which
side effect of this medication?
, ✓ Drowsiness
8) A client is scheduled to receive acetylcysteine 20% solutiondiluted 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 health care provider prescribes cromolyn for the clientwith asthma.
The nurse identifies that the client correctlyunderstands the purpose of
this medication when the client states that the medication will produce
which effect?
✓
10) 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 theclient to take which measure
while taking this medication?
✓ Avoid activities requiring mental
alertness.
11) The health care provider (HCP) has prescribed codeinesulfate for a
client with a nonproductive cough to suppressthe cough reflex. The
nurse should teach the client to monitor for which side effect of the
medication?
✓ Constipation
12) 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
allthat apply.
✓ Coffee
✓ Chocolate
13) Which supplies should the nurse obtain for the
administration of ribavirin to a hospitalized child withrespiratory
syncytial virus (RSV)?
✓ A mask and pair of goggles
14) The nurse is documenting information in a client's chart when the
electrocardiogram telemetry alarm sounds, andthe nurse notes that the
client is in ventricular
, tachycardia (VT). The nurse rushes to the client's bedsideand should
perform which assessment first?
✓ Check responsiveness
15) A client is brought into the emergency department in ventricular
fibrillation (VF). The nurse prepares to defibrillate by placing
defibrillation pads on which part ofthe chest?
✓ To the right of the sternum and tothe left
of the precordium
16) An adult client has been unsuccessfully defibrillatedfor
ventricular fibrillation, and cardiopulmonary resuscitation (CPR) is
resumed. The nurse confirms that CPRis being administered effectively
by noting which action
✓ The carotid pulse is palpable witheach
compression.
17) The nurse is assigned the care of a client who experienced a
myocardial infarction and is being monitoredby 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).
18) To perform defibrillation, the defibrillator padsshould 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 ofthe pectoral muscle
19) The nurse is caring for a client who is pulseless and experiencing
this dysrhythmia. Which interventions should the nurse anticipate
implementing in collaboration with thehealth care provider (HCP)?
Select all that apply. Refer toFigure.
View Figure
✓ Prepare to administer amiodarone.
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