EXERCISE #8: NCLEX PRACTICE QUESTIONS 1. In assessing the client's response to narcotics, the nurse understands that morphine affects respirations by: a. depressing the rate and depth b. accelerating the rate and depth c. depressing the rate, accelerating the depth d. accelerating the rate, depressing the depth 2. Clients may benefit by having a reduction in pain due to the "placebo effect". The effectiveness of placebos is generally credited to: a. the production of endorphins in the brain b. the nurturing attitude of the nurse c. the action of the active drug in the placebo d. the client's ability to metabolize the placebo 3 A 44 year old female patient had a laminectomy 4 days ago. She is complaining of pain every 2 hours. The doctor has ordered Morphine, a narcotic, every 4 hours in steadily increasing doses over the last 4 days. In conferring with the doctor regarding her care, the nurse will express her concern that the patient is developing a(an) : a. addiction to the drug b. dependence on the drug c. tolerance to the drug d. hypersensitivity to the drug
13. The nurse correctly administers an intradermal injection; a. by selecting a 22G needle b. when selecting the upper thigh as the site c. by inserting the needle bevel up at a 45 degree angle d. when a small wheal is produced 14. Under what circumstances may a medication be administered by a patient? a. never b. when the patient requests c. with a physician's order d. when the family requests 15. Whenever a drug dosage requires a calculation by the nurse, it is a good idea to: a. have a second opinion b. use your calculator c. call the pharmacist d. refuse to give the drug
4. KNOWLEDGE: After a drug has been administered, the body must be able to eliminate it. This is usually accomplished by which organs? a. heart \& skin b. Kidneys \& stomach c. liver \& kidneys d. liver \& brain APPLTCATION The nurse would be the most concerned about drug accumulation in a client with which of the following problems? a. intestinal obstruction b. renal failure c. congestive heart failure d. diabetes mellitus 5. KNOWLEDGE: The practice of adding additional drugs to combat side effects is termed: a. cumulation b. chain reaction c. refractoriness d. tolerance APPLICATION Mr Smith has developed an electrolyte deficiency as the result of receiving a diuretic. The physician has prescribed administration of this electrolyte on a daily basis. This would be an example of which if the following? a. cumulation b. chain reaction c. refractoriness d. tolerance
a. wear 2 pairs of glove b. wear a gown c. wear a mask d. wash the injection site with betadine 11. When asked about medications to be taken after the signs and symptoms have disappeared, the nurse appropriately tells the patient to: a. discard what is left b. finish what is left c. save what is left d. call the doctor 12. When a medication is ordered for "swish and swallow", the nurse tells the patient to: a. thoroughly rinse the mouth and then swallow b. swallow immediately followed by 60cc water c. thoroughly rinse the mouth and spit out the remains d. gargle deep in the throat and then swallow
Exercise #5: praCTICE EXAM: 1. The parenteral route of administration that allows for the fastest absorption is the : b. meradermai route c. intramuscular route d. intravenous route 2. For accurate drug administration, the nurse should read the drug label: a. twice b. three times c. four times d. five times 3. When a medication is being administered, the TWO most accurate ways to verify a patient's identification is to: a. call the patient by the name on the drug card or chart b. ask the patient to state his name c. ask another nurse to identify the patient 4. When administering medications to a patient, he that the tablet he usually receives is a different should: a. insist that he take the tablet b. have the patient take the tablet and then recheck the order c. leave the medication by the bedside and recheck the order d. recheck the order before giving the drug 5. To instill ear drops in the adult patient, the ear canal is opened by pulling the ear: a. up and back b. down and back c. up and forward d. back and forward 6. The rule of thumb to follow when administering a drug that has be prepared by another nurse is to: a. check it very carefully b. get a physician's order c. don't do it d. get permission from the charge nurse
EXERCTSE #3: AUTONOMTC NERVOUS SYSTEM (ANS) Practice Questions 1. A nursing assistant asks the nurse to explain the autonomic nervous 1. A mursing (ANS). The nurse begins by explaining that the ANS consists a. the brain and spinal cord b. the somatic and peripheral nervous systems c. the sympathetic and parasympathetic nervous systems 2. The nurse is assessing the moluntary moment adrenergic drug which might include which of the following? a. bradycardia, hypotension, bronchospasm b. hunger, nervousness, drowsiness c. nausea, vomiting, hypotension d. dysrhyhmias, increased B/P, tachycardia 3. The nurse is preparing to administer the scheduled dosage of a beta blocker when the client complains of dizziness. His heart rate is 58 and his B./P has decreased. The most appropriate action for the nurse to take is to: a. give the next dose of medication and call the physician b. withhold the next dose of medication and notify the physician c. administer the next since these are the expected results of d. advise the client to notify the nurse if his dizziness worsens 4. When administering a beta blocker the nurse knows to: a. take the B/P before giving the drug b. take the B/P 30 minutes after giving the drug c. take the apical pulse 30 minutes after administration of the drug d. have the client void before administration of the drug 5. Which of the following actions of epinephrine will benefit the client experiencing an allergic reaction? a. vasodilation b. bronchodilation c. increased heart rate d. decreased cardiac output
EXERCISE #8: NCLEX PRACTICE QUESTIONS 1. In assessing the client's response to narcotics, the nurse understands that mor
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EXERCISE #8: NCLEX PRACTICE QUESTIONS 1. In assessing the client's response to narcotics, the nurse understands that mor
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