NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100 % COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024

NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100 % COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED A+|BRAN NEW!!2024 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 - ans1. A decrease in muscle spasticity and involuntary movements Incorrect - While muscle spasticity and involuntary movements can be symptoms of MS, a corticosteroid infusion is not meant to directly treat these symptoms. 2. A slowed progression of Multiple Sclerosis related plaques Incorrect - Special drugs like Interferon Beta, Natalizumab, or Glatiramir acetate are used as first-line treatments to slow the progression of MS. While corticosteroids can be used in conjunction with these drugs on a long-term basis, they would not be infused. They would be taken orally. 3. A decrease in the length of the exacerbation Correct - A methylprednisolone infusion is the first line of treatment during an acute exacerbation and is used to decrease the length and severity of a relapse. 4. A stabilization of mood and sleep Incorrect - Some of the frequent side effects of a Methylprednisolone infusion are anxiety, insomnia, and mood swings. 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." - ans1. "It's a standard part of the overall nutritional treatment for the prevention of osteomalacia" Incorrect - While this is true, it doesn't answer the woman's question. 2. "It helps your intestines absorb calcium, which is important for bone formation." Correct - This is the correct mechanism of action for Vitamin D 3. "It stimulates skin cells to produce calcium, which is then released into the bloodstream to be used for bone formation." Incorrect- This is not the correct mechanism of action for Vitamin D 4. "Vitamin D supplements should not be taken by someone of your age." Incorrect - Vitamin D supplements should be taken for patients who are homebound, institutionalized, or by some other limitations, unable to meet daily requirements. This woman works the night shift, which may limit her ability to absorb Vitamin D naturally. 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 - ans1. Slurred speech Incorrect - Slurred speech is a common symptom of PD, not a side effect of this drug. 2. Sudden dizziness Correct - Dizziness and orthostatic hypotension are serious adverse effects of this drug that can lead to an increased risk of falls. Ropinirole's drug class is a dopamine agonist, which mimic dopamine in the brain (PD is characterized by a lack of dopamine). 3. Masklike facial expression Incorrect - Masklike facial expression is a common symptom of PD, not a side effect of this drug. 4. Stooped Posture Incorrect - Stooped Posture is a common symptom of PD, not a side effect of this drug. 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 - ans1. Hypotension Correct - Hypotension can lead to dizziness and a risk for injury to the patient. 2. Tachycardia Tachycardia can be a side effect of Flomax, but is not an immediate safety risk, nor is it a common side effect. 3. Back Pain Back Pain can be a side effect of Floma, but is not a safety risk 4. Difficulty Urinating Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of Flomax 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) - ans1. alprazolam (Xanax) Incorrect - alprazolam is used to reduce anxiety 2. Corticosteroid injection Incorrect - Corticosteroid injections are used to reduce inflammation in a localized area, often due to joint breakdown. In MS patients it is used to treat acute exacerbations ("flare-ups"), but the symptoms described do not constitute an acute exacerbation. 3. gabapentin (Neurontin) Correct - Anticonvulsants like gabapentin are often the first line of treatment for nerve pain 4. hydrocodone/acetaminophen (Norco) Incorrect - Opioids would not be the appropriate medication to treat nerve pain. 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 - ans1. Diarrhea and Vomiting Incorrect - While these may occur, the patient is at higher risk for another adverse effect. 2. Dizziness and Drowsiness Incorrect - While these may occur, the patient is at higher risk for another adverse effect. 3. Metallic taste Incorrect - While this may occur, the patient is at higher risk for another adverse effect. 4. Hypoglycemia Correct - The patient is at risk because she is on NPO status and continuing to take an anti-glycemic drug. 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 - ans1. Hemoglobin 11 g/dl This is below normal, but a normal female hemoglobin is 12-14. There is a more critical lab result. 2. Platelet of 150,000 This is also below the normal values, but is not the most critical lab result. 3. INR of 2.5 This is a therapeutic range for a patient who is taking an anticoagulant for atrial fibrillation 4. Potassium of 2.7 mEq/L CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be life-threatening and can lead to cardiac distress. 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 - ans1. Vertigo Incorrect - While this may occur, the patient is at higher risk due to another adverse effect. 2. Hypotension Correct - The patient is particularly at risk for hypotension due to possible dehydration from fluid loss. 3. Palpitations Incorrect - While this may occur, the patient is at higher risk for another adverse effect. 4. Nagging, dry cough Incorrect - While this is a common side effect, the patient is at higher risk for another adverse effect.. 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 - ans1. The patient states he had a manic episode a week ago Incorrect - Having a manic episode is not an indication of lithium toxicity. This finding indicates that the lithium is not effective or is not at a therapeutic level. 2. The patient states he has been having diarrhea every day Correct - Persistent diarrhea can lead to dehydration, which can increase the risk of lithium toxicity. 3. The patient has a rashy pruritis on his arms and legs Incorrect - This is not a symptom of lithium toxicity 4. The patient presents as severely depressed Incorrect - Having a depressive episode is not an indication of lithium toxicity. This finding indicates that the lithium is not effective or is not at a therapeutic level. 5. The patient's lithium level is 1.3 mcg/L This is within the therapeutic range of lithium 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 - ans1. Back Pain Incorrect - Back pain, while it can occur, is not an immediate concern 2. Fever and Chills Incorrect - Fever and Chills, while it can occur, is not an immediate concern 3. Risk for Bleeding Correct - A confused patient is at risk for injuring themselves and at risk for hemorrhage should an injury occur 4. Dizziness Incorrect - Dizziness is not a side effect of Heparin 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 - ans1. Encourage the Hepatitis A vaccine for family members and siblings Incorrect - Although this is a valuable point for patient education, this does not take the priority, since the patient is still at risk of transmitting Hepatitis A to others right now. 2. Use needleless systems if possible, otherwise use careful needle precautionary measures Incorrect - Hepatitis A is transmitted through the fecal-oral route. 3. Teach the child and enforce strict and frequent hand washing Correct - Hand washing is the single most effective way to prevent transmission of Hepatitis A. Hepatitis A is a virus transmitted via the oral-fecal route and lives on human hands. 4. Teach the child and family the dangers of contaminated food and water Incorrect - Although this is a valuable teaching point, it is not the priority intervention. 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 - ans1. Administer Lorazepam (Ativan) Incorrect - If a seizure lasts more than 5 minutes, it is called Status epilepticus and can be life-threatening. Physicians will often order anxiolytics or sedatives to treat this condition. However, at this point it would not be appropriate for the nurse to administer this drug. 2. Turn the patient to his/her side Correct - Turning the patient to the side will keep the airway open, which is the first priority 3. Call the physician Incorrect - This would be a priority action after ensuring the patient's safety, or in the case of Status epilepticus 4. Suction the patient Incorrect - This intervention is warranted, but after an assessment of the patient's airway, since forcing a suction catheter into a patient's mouth is a last resort. 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 - ans1. Initiate cardiopulmonary resuscitation Incorrect - CPR is premature at