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?
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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
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*** 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
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***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