- | P a g e
100 NGN Nclex Questions Chat Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- What is correct regarding phenytoin and tube feeds?
Answer: Hold feeds 30 min before and after dose.
- Which tablets cannot be crushed?
Answer: Enteric-coated, SR, ER, XR
- Before giving a nasal spray, what must the patient do?
Answer: Blow nose gently.
- Which action demonstrates correct IM injection technique?
Answer: Inject at 90°, ventrogluteal site, Z-track method.
- How should multiple G-tube meds be given?
Answer: One at a time with flushing between each.
- What is the max volume for a deltoid IM injection?
Answer: 1 mL
- Why is sublingual nitroglycerin rapidly absorbed?
Answer: It bypasses first-pass metabolism.
- What statement shows correct SQ insulin technique?
Answer: "I inject at 45°, or 90° if I have more fat."
- Correct administration of eye drops includes what action?
Answer: Instill in conjunctival sac, apply nasolacrimal pressure.
- Which SQ site has the most consistent insulin absorption?
- | P a g e
Answer: Abdomen
- What is an expected effect of epinephrine?
Answer: Increased HR and bronchodilation.
- Which finding during epinephrine therapy requires immediate action?
Answer: New-onset dysrhythmia.
- What must the nurse assess before giving metoprolol?
Answer: Apical heart rate.
- Sudden discontinuation of beta blockers can cause what?
Answer: Rebound hypertension.
- Why are beta blockers risky for diabetics?
Answer: Mask hypoglycemia symptoms.
- Common anticholinergic side effect?
Answer: Dry mouth
- Anticholinergic contraindication?
Answer: Glaucoma
- Major adverse reaction to cholinesterase inhibitors?
Answer: Bradycardia
- Antidote for cholinergic crisis?
Answer: Atropine
- Which drug class commonly causes urinary retention?
Answer: Anticholinergics
- Early sign of digoxin toxicity?
Answer: Anorexia, nausea
- Classic digoxin toxicity symptom?
Answer: Yellow/green halos
- Why does hypokalemia increase digoxin toxicity?
- | P a g e
Answer: Low K increases sensitivity to digoxin.
- Nursing action before giving digoxin?
Answer: Hold if apical pulse < 60>
- Antidote for digoxin toxicity?
Answer: Digoxin immune Fab
- How does nitroglycerin work?
Answer: Vasodilation → ↓ preload/afterload
- What is the correct nitroglycerin administration rule?
Answer: 1 tablet q5 min × 3, then call 911
- Common nitroglycerin side effect?
Answer: Headache
- How do beta blockers relieve angina?
Answer: ↓ HR and ↓ contractility
- How do calcium channel blockers reduce angina?
Answer: ↓ workload and vasodilation
- Mechanism of action of sotalol?
Answer: Slows conduction, decreases HR
- Priority monitoring for sotalol?
Answer: ECG and BP
- Sotalol adverse effect?
Answer: Bradycardia
- What teaching is important for sotalol?
Answer: Avoid other QT-prolonging meds
- When should a patient on sotalol notify the provider?
Answer: New dizziness or chest pain
- Common ACE inhibitor side effect?
- | P a g e
Answer: Dry cough
- Dangerous ACE inhibitor reaction?
Answer: Angioedema
- Electrolyte concern with ACE inhibitors?
Answer: Hyperkalemia
- Why switch from ACE to ARB?
Answer: ARBs do not cause cough
- Common CCB side effect?
Answer: Peripheral edema
- CCB nursing action?
Answer: Hold if HR < 50>
- ACE/ARB pregnancy warning?
Answer: Contraindicated (fetal toxicity)
- ACE inhibitor teaching?
Answer: Avoid potassium supplements
- Adverse effect of CCBs?
Answer: Reflex tachycardia
- ARB adverse effect?
Answer: Angioedema
- How do statins work?
Answer: ↓ LDL, ↑ HDL
- Dangerous statin adverse effect?
Answer: Rhabdomyolysis
- Labs to monitor for statins?
Answer: AST/ALT
- When should statins be taken?
- ACE/ARB pregnancy warning?
Answer: Contraindicated (fetal toxicity)
- ACE inhibitor teaching?
Answer: Avoid potassium supplements
- Adverse effect of CCBs?
Answer: Reflex tachycardia
- ARB adverse effect?
Answer: Angioedema
- How do statins work?
Answer: ↓ LDL, ↑ HDL
- Dangerous statin adverse effect?
Answer: Rhabdomyolysis
- Labs to monitor for statins?
Answer: AST/ALT
- When should statins be taken?