NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
The nurse is to administer flumazenil (Mazicon) I.V. for reversal of sedation. Which of the following interventions should be included in the care plan? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Flumazenil is given undiluted in incremental doses (
B), via a free-flowing IV line (
D), with monitoring for side effects like shivering and hypotension (
C) and level of consciousness (E). A 2-mg bolus (
A) is incorrect, as flumazenil is titrated in smaller doses.
Question 2 of 5
The nurse is reviewing laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following indicate that the drug has had a therapeutic effect?
Correct Answer: D
Rationale: Allopurinol reduces serum uric acid levels, indicating therapeutic effectiveness in preventing uric acid stone formation.
Question 3 of 5
The nurse is preparing the client for cardioversion. The nurse should do which of the following? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Using a conducting agent (
A), calling 'clear' (
C), recording energy/rhythm (
D), and applying pressure (E) ensure safe and effective cardioversion. Paddles over clothing is incorrect.
Question 4 of 5
The nurse is teaching the client and family how to manage possible nausea and vomiting at home. The nurse should include information about:
Correct Answer: A
Rationale: Eating frequent, small meals helps prevent nausea by avoiding an empty or overly full stomach, which can trigger vomiting during chemotherapy.
Question 5 of 5
The client is scheduled to have a kidney, ureter, and bladder (KUB) radiograph. To prepare the client for this procedure, the nurse should explain to the client that:
Correct Answer: D
Rationale: A KUB radiograph requires no special preparation, as it is a non-invasive imaging test to locate renal calculi.