NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
The nurse should assess the client with Ménière'sdisease for the intended outcomes of which of the following medications that are commonly used to manage the disease? Select all that apply.
Correct Answer: A,B,C
Rationale: Common medications for Ménière'sdisease include antihistamines (e.g., meclizine) to reduce vertigo, antiemetics to control nausea, and diuretics to reduce inner ear fluid, all aimed at symptom management.
Question 2 of 5
A client receiving TPN reports sudden chest pain and dyspnea. Which action should the nurse take first?
Correct Answer: C
Rationale: Sudden chest pain and dyspnea in a client receiving TPN may indicate a serious complication like an air embolism or infection, requiring immediate physician notification. Stopping the infusion or checking glucose is premature, and oxygen requires an order. CN: Physiological adaptation; CL: Synthesize
Question 3 of 5
Which activity increases the risk of renal calculi?
Correct Answer: B
Rationale: A sedentary lifestyle promotes urinary stasis, increasing stone risk.
Question 4 of 5
A client with terminal cancer expresses fear of dying alone. The nurse's most therapeutic response is:
Correct Answer: A
Rationale: Assuring the client that someone will be present addresses their fear directly, providing emotional reassurance and support.
Question 5 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.