NCLEX DEC FILE 3
1. Which assessment best determines the effectiveness of
Sumatriptan (triptans are used for treatment of Migraines so…
Termination of the migraine
2. Pt with schizophrenia is prescribed chlorpromazine (Thorazine –
first generation antipsychotic) oral concentrate
The medic...
nclex dec file 3 1 which assessment best determines the effectiveness of sumatriptan triptans are used for treatment of migraines so… termination of the migraine 2 pt with schizophrenia is prescrib
NCLEX DEC FILE 3
1. Which assessment best determines the effectiveness of
Sumatriptan (triptans are used for treatment of Migraines so…
Termination of the migraine
2. Pt with schizophrenia is prescribed chlorpromazine (Thorazine –
first generation antipsychotic) oral concentrate
The medication may cause excessive salivation and no direct skin
contact (both correct – not a good question)
3. Which best assessment best determines the pt is developing
tardive dyskinesia
Twisting, writhing, worm-like movements of tongue
4. Pt with depression is prIscribed Fluoxitine (Prozac)
“It may take 3-4 weeks before my mood is elevated”
5. Pt is on Marplan (MAOIs – have the most food interactions) for
depression
Bananas, smoked fish, and cheese
6. Pt on Lithium
Polydypsia (increased thirst), slurred speech, and fine hand tremors
7.Pt is prescribed Lunesta for insomnia
Anterograde amnesia (memory loss of events right before taking
drug)
8. A 24 yr female gets Triazolam (Halcion) for insomnia at home
(remember to use the process of elimination)
“The medication will not alter my breathing”
9. A pt is prescribed Venlafaxine and the pt asks what the purpose
of medication is, you should state
Depression and anxiety
10. . A client who was prescribed atorvastatin Lipitor one month ago calls the
triage nurse at the clinic complaining of muscle pain and weakness in his
legs. Which statement reflects the correct drug-specific teaching the nurse
should provide to this client?
Make an appointment to see the healthcare provider, because
muscle pain may be an indication of a serious side effect
,11. A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained release
levodopa/carbidopa Sinemet 25/100 PO BID. The client took his levodopa at
0800. Which instruction should the nurse include in the teaching plan for this
client?
You can begin taking the Sinemet this evening, but do not take any more
levodopa
12. A client is receiving methylprednisolone Solu-Medrol 40 mg IV daily. The
nurse anticipates an increase in which laboratory value as the result of this
medication?
Serum glucose
13. A client with hyperlipidemia receives a prescription for niacin Niaspan.
Which client teaching is most important for the nurse to provide?
Expected duration of flushing
14. When assessing an adolescent who recently overdosed on
acetaminophen Tylenol, it is most important for the nurse to assess for pain
in which area of the body?
Abdomen
15. The nurse is preparing the 0900 dose of losartan Cozaar, an angiotensin
II receptor blocker ARB, for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. What action should the nurse take first?
Withhold the scheduled dose
16. An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorolac Toradol 30 mg IV q6h. Which action should the nurse implement?
Administer both medications according to the prescription
17. A nurse is caring for a client who has a depressive disorder and declines electroconvulsive
therapy (ECT) despite the provider’srecommendation. Which of the following ethical principles
is the nurse demonstrating by supporting the client’s decision?
Answer: Autonomy
18. A nurse isreinforcing teaching with an adolescent client who has a history of aggressive
behavior. Which of the following statements should the nurse make?
Answer: Have you considered participating in a sport to help control your aggression
, 19. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s
dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually
becomes violent and injures another client. For which of the following isthe nurse liable?
Answer: Negligence
20. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the
following findingsshould the nurse withhold the client’s medications and notify the provider?
Answer: WBC count
21. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of
the following clients should the nurse see first?
Answer: The client who is experiencing command hallucinations
22. A nurse isreinforcing teaching about stress management techniques with a client who has
mild anxiety. Which of the following statements should the nurse make?
Answer: You should listen to music when you feel stress
23. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to
treat rapid-cycling bipolar disorder. Following the procedure, which of the following action
should the nurse take?
Answer: Administer oxygen to the client
24. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following
actions should the nurse take?
Answer: Encourage the client to examine how hisillness behavior affects hisfamily
25. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is
expressing feelings of hopelessness. Which of the following questions is the most important for
the nurse to ask?
Answer: Have you had any thoughts of harming yourself
26. A nurse is caring for a client who has dementia. Which of the following actions should the
nurse take?
Answer: Stand in front of the client when speaking
27. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the
following medications should the nurse anticipate the provider to prescribe?
Answer: Naloxone
28. A nurse is assisting with the admission of a client who has an eating disorder. During data
collection, which of the following findingsshould the nurse identify as manifestations of bulimia
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