NCLEX Exam Practice Question of the Week - 5/22/13

Question: The nurse is working in the pediatric unit and receives a phone order from the doctor for a 10-year-old client who weighs 40 kg. The order is for ceftazidime (Fortaz) 1.5 gm every 8 hours IV. The therapeutic dosage range is 90-150 mg/kg/24 hr. What would be the best nursing action?

1. Administer the medication because it is within the therapeutic dosage range.

2. Call the doctor to clarify the order because it is outside the therapeutic dosage range.

3. Call the hospital pharmacist and ask him or her to calculate the dosage.

4. Notify the nursing supervisor and request assistance.

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NCLEX Exam Practice Question of the Week - 5/15/13

Question: A practitioner orders additional diagnostic studies to assess a client’s acid-base status. The laboratory value that indicates metabolic acidosis is:

1. Urine pH of 8.4

2. Gastric content pH of 6.0

3. Venous serum pH of 7.28

4. Arterial plasma pH of 7.40

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NCLEX Exam Practice Question of the Week - 5/8/13

Question: A nurse is caring for a child after spinal fusion for scoliosis treatment. The child complains of abdominal discomfort and begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. Based on these findings, the nurse should take which action?

1. Notify the physician.

2. Administer an antiemetic.

3. Increase the intravenous fluids.

4. Place the child in a Sims’ position.

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NCLEX Exam Practice Question of the Week - 5/1/13

Question: When a client is taking theophylline (Theo-Dur), which is the highest priority for the nurse to include in the plan of care?

1. Restrict the client’s fluid intake.

2. Instruct the client to report lethargy and fatigue.

3. Assess the client for hypertension and polyuria.

4. Monitor the client for therapeutic plasma levels of the drug.

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NCLEX Exam Practice Question of the Week - 4/24/13

Question: When talking with a client who has been receiving paroxetine (Paxil), the nurse identifies that more clarification is needed when the client states:

1. “I will be a little drowsy in the mornings.”

2. “I’m expecting to feel somewhat better but I may need other therapy.”

3. “I’ve been on the medication for 8 days now and I don’t feel any better.”

4. “I know I will probably have to take this medication for several months.”

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NCLEX Exam Practice Question of the Week - 4/17/13

Question: The nurse is providing an educational session to new employees, and the topic is abuse of the older client. The nurse helps the employees identify that which client is most typical of a victim of abuse?

1. A 75-year-old man with moderate hypertension.

2. A 68-year-old man with newly diagnosed cataracts

3. A 90-year-old woman with advanced Parkinson’s disease

4. A 70-year-old woman with early diagnosed Lyme disease

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