75 Free NCLEX Questions - c/o BrilliantNurse.com 2 Questions and Answers 100% pass

75 Free NCLEX Questions - c/o BrilliantN 2 Questions and Answers 100% pass A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The nurse would expect which of the following outcomes after administration of this medication? 1. A decrease in muscle spasticity and involuntary movements 2. A slowed progression of Multiple Sclerosis related plaques 3. A decrease in the length of the exacerbation 4. A stabilization of mood and sleep - ANS- 3 A 30-year old Caucasian woman who works the night shift has been found to have early bone loss and has a high risk for osteomalacia and bone degradation. She asks the nurse exactly why she should take Vitamin D supplements. What is the nurse's best response? 1. "It's a standard part of the overall nutritional treatment for the prevention of osteomalacia" 2. "It helps your intestines absorb calcium, which is important for bone formation." 3. "It stimulates skin cells to produce calcium, which is then released into the bloodstream to be used for bone formation." 4. "Vitamin D supplements should not be taken by someone of your age." - ANS- 2 A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The patient is living at home with her daughter. The nurse is most concerned about which side effect of ropinirole? 1. Slurred speech 2. Sudden dizziness 3. Masklike facial expression 4. Stooped Posture - ANS- 2 A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia. The patient lives in an upstairs apartment. The nurse is most concerned about which side effect of Flomax? 1. Hypotension 2. Tachycardia 3. Back Pain 4. Difficulty Urinating - ANS- 1 A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The nurse anticipates that the physician will order which medication for this type of pain? 1. alprazolam (Xanax) 2. Corticosteroid injection 3. gabapentin (Neurontin) 4. hydrocodone/acetaminophen (Norco) - ANS- 3 A female patient is prescribed metformin for glucose control. The patient is on NPO status pending a diagnostic test. The nurse is most concerned about which side effect of metformin? 1. Diarrhea and Vomiting 2. Dizziness and Drowsiness 3. Metallic taste 4. Hypoglycemia - ANS- 4 A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical and should be reported to the physician immediately? 1. Hemoglobin 11 g/dl 2. Platelet of 150,000 3. INR of 2.5 4. Potassium of 2.7 mEq/L - ANS- 4 A man is has been taking lisinopril for CHF. The patient is seen in the emergency room for persistent diarrhea. The nurse is concerned about which side effect of lisinopril? 1. Vertigo 2. Hypotension 3. Palpitations 4. Nagging, dry cough - ANS- 2 A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about lithium toxicity when he notices which of these assessment findings? 1. The patient states he had a manic episode a week ago 2. The patient states he has been having diarrhea every day 3. The patient has a rashy pruritis on his arms and legs 4. The patient presents as severely depressed 5. The patient's lithium level is 1.3 mcg/L - ANS- 2 A man is receiving heparin subcutaneously. The patient has dementia and lives at home with a part-time caretaker. The nurse is most concerned about which side effect of heparin? 1. Back Pain 2. Fever and Chills 3. Risk for Bleeding 4. Dizziness - ANS- 3 A nurse cares for a child that is diagnosed with Hepatitis A. Which of these following precautions would be most important to take to prevent transmission of this infectious disease? 1. Encourage the Hepatitis A vaccine for family members and siblings 2. Use needleless systems if possible, otherwise use careful needle precautionary measures 3. Teach the child and enforce strict and frequent hand washing 4. Teach the child and family the dangers of contaminated food and water - ANS- 3 A nurse enters a patient's room and finds them unconscious with a rhythmic jerking of all four extremities. The patient is foaming heavily at the mouth. The patient was on seizure precautions and the bedrails are up and padded. What is the nurse's priority action? 1. Administer Lorazepam (Ativan) 2. Turn the patient to his/her side 3. Call the physician 4. Suction the patient - ANS- 2 A nurse finds a 30-year-old woman experiencing anaphylaxis from a bee sting. Emergency personnel have been called. The nurse notes the woman is breathing but short of breath. Which of the following interventions should the nurse do first? 1. Initiate cardiopulmonary resuscitation 2. Check for a pulse 3. Ask the woman if she carries an emergency medical kit 4. Stay with the woman until help comes - ANS- 3 A nurse frequently treats patients in the 72-hour period after a stroke has occurred. The nurse would be most concerned about which of these assessment findings? 1. INR is 3 seconds long 2. Heart rate is 110 beats per minute 3. Intracranial Pressure is 22 mm/Hg