NCLEX Exam Practice Question of the Week - 2/8/12

Elsevier NCLEX Exam Review

Question: The nurse is assigned to a client who has had surgery. Nalbuphine (Nubain) is prescribed for pain. For which side effects/adverse reactions should the nurse assess this client after administering this medication? Select all that apply.


1. Oliguria
2. Dry mouth
3. Palpitations
4. Constipation
5. Urinary retention
6. Orthostatic hypotension

NCLEX Exam Practice Question of the Week - 2/1/12

Elsevier NCLEX Exam Review

Question:What is the primary concern of the nurse administering narcotics and sedatives to a client with cirrhosis?


1. The kidneys cannot excrete the drug.
2. The liver cannot metabolize drugs effectively.
3. Hepatic enzymes potentiate these drugs to high levels.
4. Narcotics and sedatives are contraindicated in clients with cirrhosis.

NCLEX Exam Practice Question of the Week - 1/25/12

Elsevier NCLEX Exam Review

Question: Tamoxifen (Nolvadex) is prescribed for the client with metastatic breast carcinoma. The nurse administering the medication understands that the primary action of this medication is to:

1.  Increase DNA and RNA synthesis.
2.  Promote the biosynthesis of nucleic acids.
3.  Increase estrogen concentration and estrogen response.
4.  Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.

NCLEX Exam Practice Question of the Week - 1/18/12

Elsevier NCLEX Exam Review

Question: A client is experiencing a sickle cell crisis during labor and delivery. What is the best nursing action?

1 Maintain IV fluid infusion and assess adequacy of hydration.
2 Administer a high concentration of oxygen.
3 Insert a Foley catheter and monitor hourly urine output.
4 Provide continuous sedation for pain relief.

NCLEX Exam Practice Question of the Week - 1/11/12

Elsevier NCLEX Exam Review

Question: At a client’s first visit to the prenatal clinic, the nurse asks the client when she had her last menstrual period so the estimated date of birth (EDB) can be determined. The client responds, “January 21.” Using Nägele’s rule, what is the month and day of the client’s EDB?        


1. October 21
2. October 28
3. November 21
4. November 28