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NUR205 NCLEX Exam Questions With 100% Verified Answers.

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NUR205 NCLEX Exam Questions With 100% Verified Answers. The nurse is teaching the patient about amoxicillin prior to discharge and includes what important teaching point? - even if it seems like the infection is not improving, the drug is still working - yeast infections are unlikely to occur with this medication because it is a narrow spectrum - infections of the tongue may occur but will subside when the drug is discontinued - appearance of a rash is common and does not indicate an allergic reaction - answer- infections of the tongue may occur but will subside when the drug is discontinued *** lingua villosa nigra = remember furry tongue, or hairy tongue that can cause the tongue to look black in appearance, can happen with antibiotics. The best intervention/ pt. education the RN can do = maintain and promote good oral hygiene. Best preventative measure as well as treatment option. The nurse is providing discharge teaching for a patient prescribed prednisone to be taken on alternate days. The patient asks why he cannot take half a pill every day. What is the nurse's best response? ©BRAINBARTER 2024/2025 to eliminate adverse side effects to prolong therapeutic efforts to prevent steroidal tolerance to decrease adrenal suppression - answer- to decrease adrenal suppression *** remember this can help DECREASE adverse side effects not eliminate them. Many of the side effects are the result of adrenal gland suppression/ reduction in cortisol production. So decreasing the suppression of the adrenal glands makes the most sense! AG a citadel student living on campus presented to the emergency department. He developed a fever (Tmax 103/F/ 39.4C) 1 day prior. He presented with mild rhinorrhea, headache, decreased appetite, and was lethargic with an O2 sat of 97%. This morning his room mate had difficulty arousing him. Which of the following assessment/ intervention would a nurse perform FIRST? - perform a focused neuro assessment - obtain a set of vital signs - obtain a peripheral blood glucose level - auscultation of the respiratory system - answer- obtain a set of vital signs ©BRAINBARTER 2024/2025 *** you would want to get vitals first, perform a neuro assessment, obtain SMBG, auscultate respiratory last AG student living on campus presented to the emergency department. He developed a fever (Tmax 103F/ 39.4C) 1 day prior. He presented with mild rhinorrhea, headache, decreased appetite, and is lethargic. This morning his room mate had difficulty arousing him. Reviewing the lab values, which of the following would the nurse suggest to the provider? - request an order for frequent (q2hr) neurosensory assessment, an order for blood cultures (WBC elevated so we need to see what infection he is fighting off), request and opioid for pain. - answer*** remember elevated C-reactive protein levels in the blood increase inflammation. This can lead to an increased risk in ischemia possible resulting in an ischemic CVA. (too much inflammation = too much pressure on vessels = could cause stroke). So if patient has high CRP then neuro checks need to be frequent to assess for S and S of too much inflammation in the brain. CRP should be 0.1 or lower his was 12. something!!! In assessing the neurological status on an older patient, the nurse needs to consider which-age related change of the neurological system? - reaction time is slower - flexibility is maintained - pain sensation is heightened - higher basal body temperature - answer- reaction time is slower ©BRAINBARTER 2024/2025 ***with age, our temperature regulators aren't as effective as they used to be (hypothalamus) resulting in an overall decrease in basil body temp. Why elderly patients often describe feeling cold, keep their rooms at warmer temps, require extra blankets, and dress for cold weather even when it's relatively warm outside. Pain sensation is actually dullened. Flexibility slightly decreases (typically/ norm) and slower reaction time. The brains shrinks, loses a little weight, and thus decreases the firing speed of neurons and interferes with neuronal transfer at the synaptic cleft = delayed neuronal transmissions which presents as slowed or delayed reaction time. Both gross and motor. A nurse receives report on a patient who recently experienced a 15-minute generalized (Tonic Clonic)} seizure in the emergency department. On arrival to the unit, the patient is prone, breathing noisily, and hard to arouse. The nurse would initiate which of the following? (select all that apply) - place an oral airway - administer intravenous antibiotics - place patient in side lying position - perform a neurovascular assessment - obtain oxygen saturation level - call rapid response team - answer- place patient in side lying position

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©BRAINBARTER 2024/2025




NUR205 NCLEX Exam Questions With
100% Verified Answers.


The nurse is teaching the patient about amoxicillin prior to discharge and includes what

important teaching point?




- even if it seems like the infection is not improving, the drug is still working

- yeast infections are unlikely to occur with this medication because it is a narrow spectrum

- infections of the tongue may occur but will subside when the drug is discontinued


- appearance of a rash is common and does not indicate an allergic reaction - answer✔-

infections of the tongue may occur but will subside when the drug is discontinued

*** lingua villosa nigra = remember furry tongue, or hairy tongue that can cause the tongue to

look black in appearance, can happen with antibiotics. The best intervention/ pt. education the

RN can do = maintain and promote good oral hygiene. Best preventative measure as well as

treatment option.

The nurse is providing discharge teaching for a patient prescribed prednisone to be taken on

alternate days. The patient asks why he cannot take half a pill every day. What is the nurse's best

response?

, ©BRAINBARTER 2024/2025




to eliminate adverse side effects

to prolong therapeutic efforts

to prevent steroidal tolerance


to decrease adrenal suppression - answer✔- to decrease adrenal suppression


*** remember this can help DECREASE adverse side effects not eliminate them. Many of the

side effects are the result of adrenal gland suppression/ reduction in cortisol production. So

decreasing the suppression of the adrenal glands makes the most sense!

AG a citadel student living on campus presented to the emergency department. He developed a

fever (Tmax 103/F/ 39.4C) 1 day prior. He presented with mild rhinorrhea, headache, decreased

appetite, and was lethargic with an O2 sat of 97%. This morning his room mate had difficulty

arousing him. Which of the following assessment/ intervention would a nurse perform FIRST?




- perform a focused neuro assessment

- obtain a set of vital signs

- obtain a peripheral blood glucose level


- auscultation of the respiratory system - answer✔- obtain a set of vital signs

, ©BRAINBARTER 2024/2025


*** you would want to get vitals first, perform a neuro assessment, obtain SMBG, auscultate

respiratory last

AG student living on campus presented to the emergency department. He developed a fever

(Tmax 103F/ 39.4C) 1 day prior. He presented with mild rhinorrhea, headache, decreased

appetite, and is lethargic. This morning his room mate had difficulty arousing him. Reviewing

the lab values, which of the following would the nurse suggest to the provider?

- request an order for frequent (q2hr) neurosensory assessment, an order for blood cultures

(WBC elevated so we need to see what infection he is fighting off), request and opioid for pain. -

answer✔*** remember elevated C-reactive protein levels in the blood increase inflammation.

This can lead to an increased risk in ischemia possible resulting in an ischemic CVA. (too much

inflammation = too much pressure on vessels = could cause stroke). So if patient has high CRP

then neuro checks need to be frequent to assess for S and S of too much inflammation in the

brain. CRP should be 0.1 or lower his was 12. something!!!

In assessing the neurological status on an older patient, the nurse needs to consider which-age

related change of the neurological system?




- reaction time is slower

- flexibility is maintained

- pain sensation is heightened


- higher basal body temperature - answer✔- reaction time is slower

, ©BRAINBARTER 2024/2025




***with age, our temperature regulators aren't as effective as they used to be (hypothalamus)

resulting in an overall decrease in basil body temp. Why elderly patients often describe feeling

cold, keep their rooms at warmer temps, require extra blankets, and dress for cold weather even

when it's relatively warm outside. Pain sensation is actually dullened. Flexibility slightly

decreases (typically/ norm) and slower reaction time. The brains shrinks, loses a little weight,

and thus decreases the firing speed of neurons and interferes with neuronal transfer at the

synaptic cleft = delayed neuronal transmissions which presents as slowed or delayed reaction

time. Both gross and motor.

A nurse receives report on a patient who recently experienced a 15-minute generalized (Tonic

Clonic)} seizure in the emergency department. On arrival to the unit, the patient is prone,

breathing noisily, and hard to arouse. The nurse would initiate which of the following? (select all

that apply)




- place an oral airway

- administer intravenous antibiotics

- place patient in side lying position

- perform a neurovascular assessment

- obtain oxygen saturation level


- call rapid response team - answer✔- place patient in side lying position

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