NCLEX NCLEX Certifications NCLEX-RN Questions & Answers

• Question 861:

  Signs and symptoms of an allergy attack include which of the following?

  A. Wheezing on inspiration

  B. Increased respiratory rate

  C. Circumoral cyanosis

  D. Prolonged expiration

  Correct Answer: D

  (A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.

• Question 862:

  Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

  A. Positive inotropes

  B. Vasodilators

  C. Diuretics

  D. Antidysrhythmics

  Correct Answer: A

  (A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C) Diuretics are used with caution to avoid causing hypovolemia. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.