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NCLEX NCLEX-RN Exam Questions
National Council Licensure Examination - NCLEX-RN (Page 66 )

Updated On: 15-Feb-2026
Page 66 of 345
PDF with 862 Questions

A nurse should carefully monitor a client for the following side effect of MgSO4:

  1. Visual blurring
  2. Tachypnea
  3. Epigastric pain
  4. Respiratory depression

Answer(s): D

Explanation:

(A, C) The nurse should provide good distractors because these symptoms indicate that PIH has become more severe and may precede the convulsive or eclamptic phase. (B) This is the oppositeside effect of this medication. (D) This is a common side effect of this medication and needs to be monitored and recorded
frequently.



A nurse should carefully monitor a client for the following side effect of MgSO4:

  1. Visual blurring
  2. Tachypnea
  3. Epigastric pain
  4. Respiratory depression

Answer(s): D

Explanation:

(A, C) The nurse should provide good distractors because these symptoms indicate that PIH has become more severe and may precede the convulsive or eclamptic phase. (B) This is the oppositeside effect of this medication. (D) This is a common side effect of this medication and needs to be monitored and recorded
frequently.



Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

  1. Limit fluids to 500 mL/day.
  2. Administer 2 hours before meals.
  3. Observe for skin rash and diarrhea.
  4. Monitor blood pressure, pulse.

Answer(s): C

Explanation:

(A) Fluids up to 2500­3000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.



Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

  1. Limit fluids to 500 mL/day.
  2. Administer 2 hours before meals.
  3. Observe for skin rash and diarrhea.
  4. Monitor blood pressure, pulse.

Answer(s): C

Explanation:

(A) Fluids up to 2500­3000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.



The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. Which one of the following steps must be taught for insulin administration?

  1. Never use abdominal site for a rotation site.
  2. Pinch the skin up to form a subcutaneous pocket.
  3. Avoid applying pressure after injection.
  4. Change needles after injection.

Answer(s): B

Explanation:

(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injection facilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3­7 days.






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