Nursing nclex exam questions

 Nursing Australia and usa licence exam questions preparation 



Question1

A prescription reads: acetaminophen liquid, 650 mg orally

every 4 hours PRN for pain. The medication label reads:

500 mg/15 mL. The nurse prepares how many milliliters to

administer 1 dose? Fill in the blank. Record your answer using

one decimal place.

Answer: 19.5 mL

Formula:

Desired

Available volume¼ mL

650 mg

500 mg

 15 mL¼ 19:5 mL

In this question, you need to use the formula for calculat-

ing a medication dose. When the dose is determined, you will

need to type your numeric answer in the answer box. Always

follow the specific directions noted on the computer screen.

Also, remember that there will be an on-screen calculator

on the computer for your use.


Questions 2) 

The emergency department nurse is caring for a child sus-

pected of acute epiglottitis. Which interventions apply in the

care of the child? Select all that apply.

1. Obtain a throat culture.

2. Ensure a patent airway.

3. Prepare the child for a chest x-ray.

4. Maintain the child in a supine position.

5. Obtain a pediatric-size tracheostomy tray.

6. Place the child on an oxygen saturation monitor.


Answer 2 ,3,5,6 

In a multiple-response question, you will be asked to select

or check all of the options, such as interventions, that relate to

the information in the question. To answer this question,

recall that acute epiglottitis is a serious obstructive inflamma-

toryprocess that requires immediate intervention and that air-

way patency is a priority. Examination of the throat with a

tongue depressor or attempting to obtain a throat culture is

contraindicated because the examination can precipitate fur-

ther obstruction. A lateral neck and chest x-ray is obtained to

determine the degree of obstruction, if present. To reduce

respiratory distress, the child should sit upright. The child is

placed on an oxygen saturation monitor to monitor oxygena-

tion status. Tracheostomy and intubation may be necessary if

respiratory distress is severe. Remember to follow the specific

directions given on the computer screen.

Questions 3) 

The nurse is caring for a hospitalized client with a diagnosis of

heart failure who suddenly complains of shortness of breath

and dyspnea. The nurse should take which immediate action?

1. Administer oxygen to the client

2. Prepare to administer furosemide

3. Elevate the head of the client’s bed

4. Call the health care provider (HCP)

Answer: 3

Test-Taking Strategy: You mayimmediatelythink that the clienthas developed pulmonary edema, a complication of heart fail-ure, and needs a diuretic. Although pulmonary edema is a com-plication of heart failure, the question does not specificallystate

Questions 4) 

Event: The nurse is caring for a client with terminal cancer.

Event Query: The nurse should consider which factor when

planning opioid pain relief?

Options:

1. Not all pain is real.

2. Opioid analgesics are highly addictive.

3. Opioid analgesics can cause tachycardia.

4. Around-the-clock dosing gives better pain relief than as-

needed dosing.

Answer: 4

Questions 5 ) 

Event: The nurse is caring for a client with terminal cancer.
Event Query: The nurse should consider which factor when
planning opioid pain relief?
Options:

1. Not all pain is real.
2. Opioid analgesics are highly addictive.
3. Opioid analgesics can cause tachycardia.
4. Around-the-clock dosing gives better pain relief than as-
needed dosing.

Answer: 4

Test-Taking Strategy: Focus on what the question is asking and
consider the client’s diagnosis of terminal cancer. Around-the-
clock dosing provides increased pain relief and decreases
stressors associated with pain, such as anxiety and fear. Pain
is what the client describes it as, and any indication of pain
should be perceived as real for the client. Opioid analgesics
may be addictive, but this is not a concern for a client with ter-
minal cancer. Not all opioid analgesics cause tachycardia.
Remember to focus on what the question is asking.

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