NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The client is prescribed albuterol (Proventil) for asthma. Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Albuterol, a beta-agonist, stimulates the sympathetic nervous system, causing tremors as a common side effect. Tachycardia (not bradycardia), hypertension, and diarrhea are more likely than hypotension or constipation.

Question 2 of 5

The client at 38 weeks gestation is admitted with a blood pressure of 150/100,proteinuria and edema. The nurse should prepare to administer which of the following medications?

Correct Answer: A

Rationale: The client’s symptoms (hypertension proteinuria edema) indicate preeclampsia. Magnesium sulfate is administered to prevent seizures (eclampsia). Terbutaline is a tocolytic hydralazine treats hypertension and betamethasone is for fetal lung maturity in preterm labor.

Question 3 of 5

A client with a history of asthma is experiencing an acute exacerbation. Which medication would the nurse expect to administer first?

Correct Answer: A

Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma exacerbation, rapidly relieving bronchospasm. Prednisone (
B), Ipratropium (
C), and Montelukast (
D) are adjunctive or long-term therapies.

Question 4 of 5

The nurse is caring for a client with a suspected pulmonary embolism. Which diagnostic test would the nurse expect to be ordered?

Correct Answer: B

Rationale: CT pulmonary angiography is the gold standard for diagnosing pulmonary embolism, visualizing clots in the lungs. Chest X-ray (
A), ECG (
C), and ABG (
D) are supportive but less specific.

Question 5 of 5

Which tasks should not be delegated to the unlicensed assistive personnel?

Question Image

Correct Answer: C

Rationale: Unlicensed assistive personnel (UAP) can perform basic care tasks like bathing (
A), perineal care (E), and assisting with feeding under supervision (
B). Basic life support (
D) may be within their scope if trained. However, administering parenteral medications (
C) requires assessment and judgment, which is beyond UAP scope and reserved for licensed nurses.

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