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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q151-Q156):

NEW QUESTION # 151
The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

A. Thyroid agents
B. Quinidine
C. KCl
D. Theophylline

Answer: B

Explanation:
(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B) Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D) Theophylline is not noted to have an effect on digoxin levels.

NEW QUESTION # 152
A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?

A. Thioridazine (Mellaril), lithium, and benztropine
B. Sodium, potassium, and magnesium
C. Atropine, sodium brevitol, and succinylcholine chloride (Anectine)
D. Carbamazepine (Tegretol), haloperidol, and trihexyphenidyl (Artane)

Answer: C

Explanation:
Explanation
(A) Thioridazine (an antipsychotic drug), lithium (an antimanic drug), and benztropine (an antiparkinsonism agent) are generally administered to treat schizophrenic and bipolar disorders. (B) Atropine (a cholinergic blocker), sodium brevitol (a shortacting anesthetic), and succinylcholine (a neuromuscular blocker) are administered either before or during ECT to coun teract bradycardia and to provide anesthesia and total muscle relaxation. (C) These are electrolyte substances administered to correct fluid and electrolyte imbalances in the body. (D) Carbamazepine (an anticonvulsant), haldoperidol (an antipsychotic), and trihexyphenydyl (an antiparkinsonism agent) are usually administered in psychiatric settings to control problems associated with psychotic behavior.

NEW QUESTION # 153
The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

A. "I will maintain the sterility of the eye medications."
B. "I will wear an eye patch for the first 3 postoperative days."
C. "I will wear sunglasses when going outside."
D. "I will wash my hands before instilling eye medications."

Answer: B

Explanation:
Explanation
(A) Hand washing would be an important action designed to prevent transmission of pathogens from the hands to the eye. (B) Wearing sunglasses when going outside will prevent airborne pathogens from entering the eye.
(C) Eye patches are most frequently ordered to be worn while the client sleeps or naps, not constantly for this length of time. (D) Eye medications are sterile; clients need to be taught how to maintain this sterility.

NEW QUESTION # 154
When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) in the diagnosis of cardiovascular disorders, the nurse's response should be based on the fact that:

A. The procedure simulates usual daily activity and myocardial performance
B. The client can be monitored while cardiac conditioning and heart toning are done
C. Ischemia can be diagnosed because exercise increases O2 consumption and demand
D. The test provides a baseline for further tests

Answer: C

Explanation:
(A)
The purpose of the study is not to provide a baseline for further tests. (B) The test causes an increase in O2 demand beyond that required to perform usual daily activities.
(C)
Monitoring does occur, but the test is not for the purpose of cardiac toning and conditioning. (D) Exercise ECG, or stress testing, is designed to elevate the peripheral and myocardial needs for O2 to evaluate the ability of the myocardium and coronary arteries to meet the additional demands.

NEW QUESTION # 155
Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?

A. Bran flakes with fresh peaches
B. Lasagna with garlic bread
C. Cauliflower and lettuce salad
D. Broiled fish with rice

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Broiled fish and rice are both excellent sources of protein. (B) Fresh fruits are not a good source of protein. (C) Foods in the bread group are not high in protein. (D) Most vegetables are not high in protein; peas and beans are the major vegetables higher in protein.

NEW QUESTION # 156
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