NCLEX QUESTION ANSWERS WITH RATIONALE- OCT 2016

Question #1. The nurse is assisting in the assessment of the patient admitted with abdominal pain. Why should the nurse ask about medications that the client is taking?
❍ A. Interactions between medications can be identified.

❍ B. Various medications taken by mouth can affect the alimentary tract.
❍ C. This will provide an opportunity to educate the patient regarding the medications used.
❍ D. The types of medications might be attributable to an abdominal pathology not already identified.

Answer B is correct. Many medications can irritate the stomach and contribute to
abdominal pain. For answer A, the primary reason for asking about medications is not
to identify interactions between medication. Although this might provide an opportunity
for teaching, this is not the best time to teach. Therefore, answers C and D are
incorrect.

Question #2. Shortly after the client was admitted to the postpartum unit, the nurse notes heavy lochia rubra with large clots. The nurse should anticipate an order for:
❍ A. Methergine
❍ B. Stadol
❍ C. Magnesium sulfate
❍ D. Phenergan

Answer A is correct. Methergine is a drug that causes uterine contractions. It is used for postpartal bleeding that is not controlled by Pitocin. Answers B, C, and D are incorrect: Stadol is an analgesic; magnesium sulfate is used for preeclampsia; and phenergan is an antiemetic.

Question #3. The physician has ordered that the client’s medication be administered intrathecally. The nurse is aware that medications will be administered by which method?

❍ A. Intravenously
❍ B. Rectally
❍ C. Intramuscularly
❍ D. Into the cerebrospinal fluid

Answer D is correct. Intrathecal medications are administered into the cerebrospinal fluid. This method of administering medications is reserved for the client with metastases, the client with chronic pain, or the client with cerebrospinal infections. Answers A, B, and C are incorrect because intravenous, rectal, and intramuscular injections are entirely different procedures.

191. The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for:
❍ A. Constipation
❍ B. Hyperphosphatemia
❍ C. Hypomagnesemia
❍ D. Diarrhea

Answer A is correct. The client taking calcium preparations will frequently develop constipation so the client should be assessed for any problems related to bowel elimination. Answers B, C, and D are not problems related to the use of calcium carbonate.

Question #4. The nurse is performing discharge teaching on a client with diverticulitis who has been placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?
❍ A. Roasted chicken
❍ B. Noodles
❍ C. Cooked broccoli
❍ D. Custard

Answer C is correct. The client with diverticulitis should avoid eating foods that are gas forming and that increase abdominal discomfort, such as cooked broccoli. Foods such as those listed in answers A, B, and D are allowed.
The above NCLEX Question and Answers published by www.nursingwork.in on 03/10/2016
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