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NCLEX Practice Questions: Quiz 231
The nurse is administering a doxorubicin IV push to a client with breast cancer. Which of the following should the nurse explain is to be expected during therapy with this drug?
1. Burning at the IV site during administration
2. Red-colored urine
3. Permanent alopecia
4. Teeth discoloration
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June 20, 2015
NCLEX Practice Questions: Daily Bonus Quiz
A 6-year-old child with a congenital heart disorder is admitted with congestive heart failure. Digoxin 0.12 mg is ordered for the child. The bottle contains 0.05 mg of digoxin in 1 mL of solution. Which of the following amounts should the nurse administer to the child?
1. 1.2 mL
2. 2.4 mL
3. 3.5 mL
4. 4.2 mL
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June 19, 2015
NCLEX Practice Questions Part 1
1. The nurse is working at a skilled nursing facility. The nurse enters the client’s room and sees the client attempting to pull himself up from a sitting position on the floor. The nurse inquires with the client as to what happened. The client responds “I fell.” Which of the following should the nurse document in the incident report?
1. The nurse should file an incident report stating “Client fell, no injury noted.”
2. The nurse should file an incident report stating “Client fell on floor.”
3. The nurse should document the event only in the client’s medical record and not in an incident report.
4. The nurse should file an incident report stating “Client found on floor. Client stated ‘I fell.’ Assessment completed, no injury noted, physician notified.”
2. The nurse is administering medications to a client on an inpatient psychiatric unit. The client states “I don’t usually take a pink pill” when the nurse gives a cup holding 4 different pills to the client. Which of the following is the MOST appropriate response by the nurse?
1. The nurse checks the medication administration record, determines it is correct, and tells the client to take the medication.
2. The nurse discounts the client’s concern because he is a psychiatric client and doesn’t know any better.
3. The nurse asks the client for a list of medications he routinely takes, and tells the client that she will review and confirm the order with the physician.
4. The nurse tells the client that sometimes drugs come in different colors depending on what pharmacy they come from.
3. The nurse is working on a unit that is equipped with electronic medication administration processes. This includes a computer at the bedside that allows for scanning a bar code on the medication order, the medication label, and the client’s identification band. Which of the following is the BEST method for the nurse to practice regularly?
1. The nurse should rely solely on the barcoding scanner because it promotes safer medication administration practices.
2. The nurse should rely on a combination of nursing judgment and decisionmaking along with the computerized system.
3. The nurse should never give a medication that a bar-coding system scans as “incorrect medication.”
4. The nurse should override any medication that the machine scans as “incorrect medication” and administer it
4. The nurse is working on a state-of-the-art nursing unit with completely electronic medical records. The rooms are semiprivate, with two clients to a room, and equipped with a computer for each client. Which of the following actions by the nurse is the MOST appropriate?
1. After each use of the computer and upon leaving the client room, log off from the computer.
2. After each use of the computer and upon leaving the client room, face the computer away from where visitors would be able to see the screen.
3. The nurse should not be concerned about the security of the information because there is a single computer for each client and therefore no risk of the information being seen.
4. The nurse should pull the curtain to cover the computer screen so that visitors cannot view it.
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June 17, 2015
NCLEX Practice Questions: Part 2
The nurse performs a home visit on a client who delivered 2 days ago. The client states that she is bottle-feeding her infant. The nurse notes white, curdlike patches on the newborn’s oral mucous membranes. The nurse should take which of the following actions?
1. Determine the newborn’s blood glucose level.
2. Suggest that the newborn’s formula be changed..
3. Remind the caregiver not to let the infant sleep with the bottle.
4. Explain that the newborn will need to receive some medication.
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June 17, 2015
NCLEX Practice Questions
3. A suicidal client who was admitted to the psychiatric unit for treatment and observation a week ago suddenly appears cheerful and motivated. The nurse should be aware of which of the following?
1. The client is likely sleeping well because of the medication.
2. The client has made new friends and has a support group.
3. The client may have finalized a suicide plan.
4. The client is responding to treatment and is no longer depressed.
2. A client is telling the nurse about his perception of his thought patterns. Which of the following statements by the client would validate the diagnosis of schizophrenia?
1. “I can’t get the same thoughts out of my head.”
2. “I know I sometimes feel on top of the world, then suddenly down.”
3. “Sometimes I look up and wonder where I am.”
4. “It’s clear that this is an alien laboratory and I am in charge.”
1. The nurse is interviewing a client who is being treated for obsessive-compulsive disorder. Which of the following is the MOST important question the nurse should ask this client?
1. “Do you find yourself forgetting simple things?”
2. “Do you find it hard to stay on a task?”
3. “Do you have trouble controlling upsetting thoughts?”
4. “Do you experience feelings of panic in a closed area?”
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June 16, 2015
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