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NCLEX NCLEX-RN Exam Questions
National Council Licensure Examination - NCLEX-RN (Page 14 )

Updated On: 24-Feb-2026
Page 14 of 345
PDF with 862 Questions

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

  1. Neosporin sulfate
  2. Mafenide acetate
  3. Silver sulfadiazine
  4. Povidone-iodine

Answer(s): B

Explanation:

(A) The side effects of neomycin sulfate include rash, urticaria, nephrotoxicity, and ototoxicity. (B) The side effects of mafenide acetate include bone marrow suppression, hemolytic anemia, eosinophilia, and metabolic acidosis. The hyperventilation is a compensatory response to the metabolic acidosis. (C) The side effects of silver sulfadiazine include rash, itching, leukopenia, and decreased renal function. (D) The primary side effect of povidone- iodine is decreased renal function.



The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

  1. Neosporin sulfate
  2. Mafenide acetate
  3. Silver sulfadiazine
  4. Povidone-iodine

Answer(s): B

Explanation:

(A) The side effects of neomycin sulfate include rash, urticaria, nephrotoxicity, and ototoxicity. (B) The side effects of mafenide acetate include bone marrow suppression, hemolytic anemia, eosinophilia, and metabolic acidosis. The hyperventilation is a compensatory response to the metabolic acidosis. (C) The side effects of silver sulfadiazine include rash, itching, leukopenia, and decreased renal function. (D) The primary side effect of povidone- iodine is decreased renal function.



Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

  1. Elevated central venous pressure and peripheral edema
  2. Dyspnea and jaundice
  3. Hypotension and hepatomegaly
  4. Decreased peripheral perfusion and rales

Answer(s): D

Explanation:

(A, B, C) Clinical manifestations of right-sided heart failure are weakness, peripheral edema, jugular venous distention, hepatomegaly, jaundice, and elevated central venous pressure. (D) Clinical manifestations of left-sided heart failure are left ventricular dysfunction, decreased cardiac output, hypotension, and the backward failure as a result of increased left atrium and pulmonary artery pressures, pulmonary edema, and rales.



Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

  1. Elevated central venous pressure and peripheral edema
  2. Dyspnea and jaundice
  3. Hypotension and hepatomegaly
  4. Decreased peripheral perfusion and rales

Answer(s): D

Explanation:

(A, B, C) Clinical manifestations of right-sided heart failure are weakness, peripheral edema, jugular venous distention, hepatomegaly, jaundice, and elevated central venous pressure. (D) Clinical manifestations of left-sided heart failure are left ventricular dysfunction, decreased cardiac output, hypotension, and the backward failure as a result of increased left atrium and pulmonary artery pressures, pulmonary edema, and rales.



Which of the following should be included in discharge teaching for a client with hepatitis C?

  1. He should take aspirin as needed for muscle and joint pain.
  2. He may become a blood donor when his liver enzymes return to normal.
  3. He should avoid alcoholic beverages during his recovery period.
  4. He should use disposable dishes for eating and drinking.

Answer(s): C

Explanation:

(A) Aspirin is hepatotoxic, may increase bleeding, and should be avoided. (B) Blood should not be donated by a client who has had hepatitis C because of the possibility of transmission of disease. (C) Alcohol is detoxified in the liver. (D) Hepatitis C is not spread through the oral route.






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