NCLEX-PN Review Questions
A 23-yr-old female is admitted to the infusion medical institution after a Multiple Sclerosis
Exacerbation. The medical doctor orders methylprednisolone infusions (Solu-Medrol). The
nurse might assume which of the subsequent outcomes after administration of this medicine?
1. A lower in muscle spasticity and involuntary actions
2. A slowed progression of Multiple Sclerosis related plaques
3. A decrease inside the length of the exacerbation
four. A stabilization of mood and sleep - ANS-3. A decrease inside the duration of the
exacerbation
Correct - A methylprednisolone infusion is the first line of treatment all through an acute
exacerbation and is used to lower the period and severity of a relapse.
A 30-yr vintage Caucasian woman who works the night time shift has been found to have early
bone loss and has a high danger for osteomalacia and bone degradation. She asks the nurse
precisely why she must take Vitamin D dietary supplements. What is the nurse's pleasant
response?
1. "It's a standard part of the general nutritional treatment for the prevention of osteomalacia"
2. "It facilitates your intestines absorb calcium, that's crucial for bone formation."
3. "It stimulates pores and skin cells to provide calcium, that's then released into the
bloodstream for use for bone formation."
four. "Vitamin D supplements ought to not be taken through someone of your age." - ANS-2. "It
enables your intestines absorb calcium, that's essential for bone formation."
Correct - This is the perfect mechanism of movement for Vitamin D
A 45-yr vintage lady is prescribed ropinirole (Requip) for Parkinson's Disease. The affected
person is dwelling at home with her daughter. The nurse is maximum involved approximately
which side effect of ropinirole?
1. Slurred speech
2. Sudden dizziness
3. Masklike facial expression
4. Stooped Posture - ANS-2. Sudden dizziness
Correct - Dizziness and orthostatic hypotension are serious detrimental results of this drug that
can result in an multiplied threat of falls. Ropinirole's drug magnificence is a dopamine agonist,
which mimic dopamine within the brain (PD is characterized by a lack of dopamine).
,A sixty five 12 months vintage guy is prescribed Flomax (Tamsulosin) for Benign Prostatic
Hyperplasia. The patient lives in an upstairs apartment. The nurse is most concerned
approximately which facet impact of Flomax?
1. Hypotension
2. Tachycardia
three. Back Pain
four. Difficulty Urinating - ANS-1. Hypotension
Correct - Hypotension can lead to dizziness and a danger for injury to the patient.
A consumer with Multiple Sclerosis reviews a steady, burning, tingling ache inside the
shoulders. The nurse anticipates that the doctor will order which medicine for this type of ache?
1. Alprazolam (Xanax)
2. Corticosteroid injection
3. Gabapentin (Neurontin)
4. Hydrocodone/acetaminophen (Norco) - ANS-3. Gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the primary line of treatment for nerve ache
A female patient is prescribed metformin for glucose manage. The affected person is on NPO
popularity pending a diagnostic test. The nurse is maximum involved approximately which facet
effect of metformin?
1. Diarrhea and Vomiting
2. Dizziness and Drowsiness
3. Metallic taste
4. Hypoglycemia - ANS-4. Hypoglycemia
Correct - The affected person is at threat because she is on NPO reputation and continuing to
take an anti-glycemic drug.
A lady affected person with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl,
a platelet matter of 150,000, an INR of two.5, and potassium of two.7 mEq/L. Which end result
is essential and ought to be said to the doctor straight away?
1. Hemoglobin eleven g/dl
2. Platelet of one hundred fifty,000
3. INR of two.Five
four. Potassium of 2.7 mEq/L - ANS-four. Potassium of two.7 mEq/L
CORRECT - A potassium imbalance for a patient with a records of dysrhythmia may be
existence-threatening and might cause cardiac distress.
A man is has been taking lisinopril for CHF. The affected person is seen in the emergency room
for chronic diarrhea. The nurse is concerned about which facet effect of lisinopril?
, 1. Vertigo
2. Hypotension
3. Palpitations
four. Nagging, dry cough - ANS-2. Hypotension
Correct - The affected person is specially at chance for hypotension due to feasible dehydration
from fluid loss.
A guy is prescribed lithium to treat bipolar sickness. The nurse is maximum concerned
approximately lithium toxicity whilst he notices which of those evaluation findings?
1. The affected person states he had a manic episode every week ago
2. The patient states he has been having diarrhea every day
three. The patient has a rashy pruritis on his arms and legs
4. The patient offers as severely depressed
5. The affected person's lithium level is 1.Three mcg/L - ANS-2. The patient states he has been
having diarrhea each day
Correct - Persistent diarrhea can result in dehydration, which can increase the threat of lithium
toxicity.
A guy is receiving heparin subcutaneously. The affected person has dementia and lives at home
with a component-time caretaker. The nurse is most concerned about which aspect impact of
heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
four. Dizziness - ANS-3. Risk for Bleeding
Correct - A stressed patient is at risk for injuring themselves and at risk for hemorrhage have to
an injury arise
A nurse cares for a kid this is diagnosed with Hepatitis A. Which of those following precautions
could be maximum critical to take to prevent transmission of this infectious sickness?
1. Encourage the Hepatitis A vaccine for circle of relatives contributors and siblings
2. Use needleless structures if feasible, in any other case use cautious needle precautionary
measures
three. Teach the kid and enforce strict and frequent hand washing
four. Teach the kid and family the risks of contaminated food and water - ANS-3. Teach the kid
and implement strict and common hand washing
Correct - Hand washing is the single only way to save you transmission of Hepatitis A. Hepatitis
A is a virulent disease transmitted via the oral-fecal course and lives on human palms.
A 23-yr-old female is admitted to the infusion medical institution after a Multiple Sclerosis
Exacerbation. The medical doctor orders methylprednisolone infusions (Solu-Medrol). The
nurse might assume which of the subsequent outcomes after administration of this medicine?
1. A lower in muscle spasticity and involuntary actions
2. A slowed progression of Multiple Sclerosis related plaques
3. A decrease inside the length of the exacerbation
four. A stabilization of mood and sleep - ANS-3. A decrease inside the duration of the
exacerbation
Correct - A methylprednisolone infusion is the first line of treatment all through an acute
exacerbation and is used to lower the period and severity of a relapse.
A 30-yr vintage Caucasian woman who works the night time shift has been found to have early
bone loss and has a high danger for osteomalacia and bone degradation. She asks the nurse
precisely why she must take Vitamin D dietary supplements. What is the nurse's pleasant
response?
1. "It's a standard part of the general nutritional treatment for the prevention of osteomalacia"
2. "It facilitates your intestines absorb calcium, that's crucial for bone formation."
3. "It stimulates pores and skin cells to provide calcium, that's then released into the
bloodstream for use for bone formation."
four. "Vitamin D supplements ought to not be taken through someone of your age." - ANS-2. "It
enables your intestines absorb calcium, that's essential for bone formation."
Correct - This is the perfect mechanism of movement for Vitamin D
A 45-yr vintage lady is prescribed ropinirole (Requip) for Parkinson's Disease. The affected
person is dwelling at home with her daughter. The nurse is maximum involved approximately
which side effect of ropinirole?
1. Slurred speech
2. Sudden dizziness
3. Masklike facial expression
4. Stooped Posture - ANS-2. Sudden dizziness
Correct - Dizziness and orthostatic hypotension are serious detrimental results of this drug that
can result in an multiplied threat of falls. Ropinirole's drug magnificence is a dopamine agonist,
which mimic dopamine within the brain (PD is characterized by a lack of dopamine).
,A sixty five 12 months vintage guy is prescribed Flomax (Tamsulosin) for Benign Prostatic
Hyperplasia. The patient lives in an upstairs apartment. The nurse is most concerned
approximately which facet impact of Flomax?
1. Hypotension
2. Tachycardia
three. Back Pain
four. Difficulty Urinating - ANS-1. Hypotension
Correct - Hypotension can lead to dizziness and a danger for injury to the patient.
A consumer with Multiple Sclerosis reviews a steady, burning, tingling ache inside the
shoulders. The nurse anticipates that the doctor will order which medicine for this type of ache?
1. Alprazolam (Xanax)
2. Corticosteroid injection
3. Gabapentin (Neurontin)
4. Hydrocodone/acetaminophen (Norco) - ANS-3. Gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the primary line of treatment for nerve ache
A female patient is prescribed metformin for glucose manage. The affected person is on NPO
popularity pending a diagnostic test. The nurse is maximum involved approximately which facet
effect of metformin?
1. Diarrhea and Vomiting
2. Dizziness and Drowsiness
3. Metallic taste
4. Hypoglycemia - ANS-4. Hypoglycemia
Correct - The affected person is at threat because she is on NPO reputation and continuing to
take an anti-glycemic drug.
A lady affected person with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl,
a platelet matter of 150,000, an INR of two.5, and potassium of two.7 mEq/L. Which end result
is essential and ought to be said to the doctor straight away?
1. Hemoglobin eleven g/dl
2. Platelet of one hundred fifty,000
3. INR of two.Five
four. Potassium of 2.7 mEq/L - ANS-four. Potassium of two.7 mEq/L
CORRECT - A potassium imbalance for a patient with a records of dysrhythmia may be
existence-threatening and might cause cardiac distress.
A man is has been taking lisinopril for CHF. The affected person is seen in the emergency room
for chronic diarrhea. The nurse is concerned about which facet effect of lisinopril?
, 1. Vertigo
2. Hypotension
3. Palpitations
four. Nagging, dry cough - ANS-2. Hypotension
Correct - The affected person is specially at chance for hypotension due to feasible dehydration
from fluid loss.
A guy is prescribed lithium to treat bipolar sickness. The nurse is maximum concerned
approximately lithium toxicity whilst he notices which of those evaluation findings?
1. The affected person states he had a manic episode every week ago
2. The patient states he has been having diarrhea every day
three. The patient has a rashy pruritis on his arms and legs
4. The patient offers as severely depressed
5. The affected person's lithium level is 1.Three mcg/L - ANS-2. The patient states he has been
having diarrhea each day
Correct - Persistent diarrhea can result in dehydration, which can increase the threat of lithium
toxicity.
A guy is receiving heparin subcutaneously. The affected person has dementia and lives at home
with a component-time caretaker. The nurse is most concerned about which aspect impact of
heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
four. Dizziness - ANS-3. Risk for Bleeding
Correct - A stressed patient is at risk for injuring themselves and at risk for hemorrhage have to
an injury arise
A nurse cares for a kid this is diagnosed with Hepatitis A. Which of those following precautions
could be maximum critical to take to prevent transmission of this infectious sickness?
1. Encourage the Hepatitis A vaccine for circle of relatives contributors and siblings
2. Use needleless structures if feasible, in any other case use cautious needle precautionary
measures
three. Teach the kid and enforce strict and frequent hand washing
four. Teach the kid and family the risks of contaminated food and water - ANS-3. Teach the kid
and implement strict and common hand washing
Correct - Hand washing is the single only way to save you transmission of Hepatitis A. Hepatitis
A is a virulent disease transmitted via the oral-fecal course and lives on human palms.
