NCLEX QUESTIONS

1. A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to: ❍ A. Treat anemia ❍ B. Create a synergistic effect ❍ C. Increase the number of white blood cells ❍ D. Reverse drug toxicity 2. A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question? ❍ A. TB skin test ❍ B. Rubella vaccine ❍ C. ELISA test ❍ D. Chest x-ray 3. The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication: ❍ A. 30 minutes before meals ❍ B. With each meal ❍ C. In a single dose at bedtime ❍ D. 60 minutes after meals 4. A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy: ❍ A. Is the opening on the client’s left side ❍ B. Is the opening on the distal...

1. An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess: ❍ A. The client’s knowledge of the signs of preterm labor ❍ B. The client’s feelings about the pregnancy ❍ C. Whether the client was using a method of birth control ❍ D. The client’s thought about future children 2. An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client? ❍ A. .45 normal saline ❍ B. Dextrose 1% in water ❍ C. Lactated Ringer’s ❍ D. Dextrose 5% in .45 normal saline 3. The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should: ❍ A. Assess the client for allergies. ❍ B. Bolus the client with IV fluid. ❍ C. Tell the client he will be asleep. ❍ D. Insert a urinary catheter. 4. The physician has ordered an injection of RhoGam for a client with blood type A negat...

HEPATITIS A Mode of Transmission: Ingestion of fecal matter, even in microscopic amount, from   Close person-to-person contact with hepatitis A-infected person Sexual contact with hepatitis A-infected person Contaminated food or drinks Contaminated drug paraphernalia (works )  Risk Activities: Travel to countries where hepatitis A is common Sexual contact with a hep A infected person Use of illegal drugs (Injection or non-injection) Living with a clothing factor disorder Prevention Methods: Hepatitis A vaccination Immune globulin Proper hand washing with soap after the use of toilets and changing diapers, and before preparing and eating foods   Treatment Options: Provide supportive treatment (e.g. bed rest) No hepatitis A-specific medication are available   HEPATITIS B Modes of Transmission: Contact with infectious blood , semen and other bodily fluids, primarily through: Birth from a hep B-infected...