NCLEX Questions ('06 Blog)

Worried about passing the National Council Licensure Examination (NCLEX), the test from the National Council of State Boards of Nursing (NCSBN) that your state board of nursing will use to determine whether you are ready to practice nursing? The more practice questions you do, the more confident you'll feel. Try these, then review the answers and rationales that follow. Experts recommend taking many practice questions before the NCLEX, so take advantage of review courses, books, and other products to help you succeed and pass the NCLEX.

1. The surgeon orders cefazolin (Ancef) 1 gram to be given intravenously at 7:30 a.m.; the client's surgery is scheduled at 8:00 a.m. What's the primary reason to start the antibiotic exactly at 7:30?

a. Legally, the medication has to be given at the ordered time.

b. The antibiotic is most effective in preventing infection if it's given 30 to 60 minutes before the operative incision is made.

c. The postoperative dose of Ancef needs to be started exactly 8 hours after the preoperative dose.

d. The peak and titer levels are needed for antibiotic therapy.

2. Which of the following clients is most at risk for latex allergies?

a. A woman who's admitted for her seventh surgery.

b. A man who works as a sales clerk.

c. A man with well-controlled type 2 diabetes.

d. A woman who's having laser surgery.

3. The nurse receives the preoperative blood work report for a client who's scheduled to undergo surgery. Which of the following laboratory findings should she report to the surgeon?

a. Red blood cells, 4.5 million/mm³

b. Creatinine, 2.6 mg/dL.

c. Hemoglobin, 12.2 g/dL.

d. Blood urea nitrogen, 15 mg/dL.

4. When the nurse administers intravenous midazolam hydrochloride (Versed), the client shows signs of an overdose. Which of the following interventions should the nurse be prepared to implement first?

a. Ventilate with an oxygenated Ambu bag.

b. Defibrillate the patient.

c. Administer 0.5 mL 1:1000 epinephrine.

d. Titrate flumazenil (Romazicon).

5. A client who had a thoracoscopy sustained an injury secondary to the surgery position. Which of the following injuries would he demonstrate?

a. foot drop

b. knee swelling and pain

c. tingling in the arm

d. absence of the Achilles reflex
Posted by Bonnie Boss at 19:39 1 comments