NCLEX NCLEX-RN Exam Questions

Monitor the catheterization site every 15 minutes.

(A) A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client
must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye.
(B) Streptokinase activates plasminogen, dissolving fibrin deposits. To prevent bleeding,
pressure is applied at the insertion site. The client is assessed for both internal and
external bleeding. (C) The extremity used for the insertion site must be kept straight and be
immobilized because of the potential for bleeding. (D) The client is kept on bed rest for
8–12 hours following the procedure because of the potential for bleeding

Akathisia

(A) Akathisia, or motor restlessness, is a reversible EPS frequently associated with the
administration of antipsychotic drugs such as haloperidol. (B) Akinesia, or muscular or
motor retardation, is an example of reversible EPS frequently associated with the
administration of major tranquilizers such as haloperidol. (C) Acute dystonic reactions,
bizarre and severe muscle contractions usually of the tongue, face, neck or extraocular
muscles, are examples of EPS. (D) Opisthotonos, a severe type of whole-body dystonic
reaction in which the head and heels are bent backward while the body is bowed forward,
is an example of EPS.

Sleep or lie quietly 10 hr/day.

(A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to
allow for rest is the most important. (B) Although nutrition is important, the child needs
fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child
may not be able to swallow solid foods owing to epiglottic swelling. (C) This goal is
unrealistic because fever is a common symptom of the infection associated with epiglottitis.
(D) If overexerted, the child will need more O2 and energy than available, and these
requirements may exacerbate the condition.

Malignant hyperthermia

(A, D) Dantrolene sodium is a peripheral skeletal muscle relaxant and would have no effect
on a postoperative infection. (B) Dantrolene sodium is indicated prophylactically for clients
with malignant hyperthermia or with a family history of the disorder. The mortality rate for
malignant hyperthermia is high. (C) Neuroleptic malignant syndrome is an exercise-induced

Interferes with iron absorption because the iron precipitates as an insoluble substance

(A) Eating chalk is not related to calcium and its absorption. (B) Poor nutritional habits may
result in increased discomfort during premenstrual days, but this is not a primary reason for
the client to stop eating chalk. Premenstrual discomfort has not been mentioned. (C) Iron is
rendered insoluble and is excreted through the gastrointestinal tract. (D) There is no
competition between the two nutrients.