NCLEX-PN Review Questions
A 23-12 months-old girl is admitted to the infusion health facility after a Multiple Sclerosis
Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The nurse
might assume which of the following consequences after administration of this medication?
1. A lower in muscle spasticity and involuntary actions
2. A slowed development of Multiple Sclerosis associated plaques
three. A decrease inside the length of the exacerbation
4. A stabilization of mood and sleep - ANS-3. A lower in the duration of the exacerbation
Correct - A methylprednisolone infusion is the primary line of treatment during an acute
exacerbation and is used to decrease the length and severity of a relapse.
A 30-year antique Caucasian lady who works the night shift has been determined to have
early bone loss and has a high threat for osteomalacia and bone degradation. She asks the
nurse precisely why she must take Vitamin D dietary supplements. What is the nurse's fine
response?
1. "It's a fashionable part of the general nutritional treatment for the prevention of
osteomalacia"
2. "It helps your intestines soak up calcium, which is critical for bone formation."
three. "It stimulates skin cells to provide calcium, that's then launched into the bloodstream
to be used for bone formation."
four. "Vitamin D dietary supplements must now not be taken via someone of your age." -
ANS-2. "It allows your intestines take in calcium, which is crucial for bone formation."
Correct - This is an appropriate mechanism of action for Vitamin D
A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The patient
is dwelling at domestic along with her daughter. The nurse is most concerned approximately
which facet impact of ropinirole?
1. Slurred speech
2. Sudden dizziness
three. Masklike facial features
4. Stooped Posture - ANS-2. Sudden dizziness
Correct - Dizziness and orthostatic hypotension are extreme damaging outcomes of this
drug that could lead to an improved hazard of falls. Ropinirole's drug elegance is a dopamine
agonist, which mimic dopamine in the mind (PD is characterised via a lack of dopamine).
,A 65 year antique man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.
The affected person lives in an upstairs rental. The nurse is maximum involved
approximately which facet impact of Flomax?
1. Hypotension
2. Tachycardia
three. Back Pain
4. Difficulty Urinating - ANS-1. Hypotension
Correct - Hypotension can result in dizziness and a danger for damage to the affected
person.
A consumer with Multiple Sclerosis reviews a steady, burning, tingling ache inside the
shoulders. The nurse anticipates that the doctor will order which medicinal drug for this type
of pain?
1. Alprazolam (Xanax)
2. Corticosteroid injection
three. Gabapentin (Neurontin)
4. Hydrocodone/acetaminophen (Norco) - ANS-three. Gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are frequently the first line of treatment for nerve
pain
A girl patient is prescribed metformin for glucose control. The affected person is on NPO
popularity pending a diagnostic take a look at. The nurse is most involved approximately
which side impact of metformin?
1. Diarrhea and Vomiting
2. Dizziness and Drowsiness
three. Metallic flavor
4. Hypoglycemia - ANS-four. Hypoglycemia
Correct - The affected person is at hazard because she is on NPO repute and persevering
with to take an anti-glycemic drug.
A female patient with atrial traumatic inflammation has the following lab results: Hemoglobin
of eleven g/dl, a platelet depend of a hundred and fifty,000, an INR of two.Five, and
potassium of 2.7 mEq/L. Which result is critical and should be suggested to the doctor at
once?
1. Hemoglobin 11 g/dl
2. Platelet of a hundred and fifty,000
3. INR of two.5
four. Potassium of two.7 mEq/L - ANS-four. Potassium of two.7 mEq/L
CORRECT - A potassium imbalance for a affected person with a history of dysrhythmia may
be existence-threatening and may cause cardiac misery.
, A guy is has been taking lisinopril for CHF. The affected person is visible inside the
emergency room for continual diarrhea. The nurse is involved approximately which aspect
effect of lisinopril?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ANS-2. Hypotension
Correct - The affected person is mainly at threat for hypotension due to feasible dehydration
from fluid loss.
A guy is prescribed lithium to deal with bipolar ailment. The nurse is most concerned
approximately lithium toxicity while he notices which of these evaluation findings?
1. The patient states he had a manic episode per week ago
2. The affected person states he has been having diarrhea every day
3. The patient has a rashy pruritis on his arms and legs
4. The patient affords as severely depressed
five. The affected person's lithium level is 1.3 mcg/L - ANS-2. The affected person states he
has been having diarrhea every day
Correct - Persistent diarrhea can cause dehydration, that can boom the danger of lithium
toxicity.
A guy is receiving heparin subcutaneously. The patient has dementia and lives at home with
a component-time caretaker. The nurse is most involved approximately which aspect impact
of heparin?
1. Back Pain
2. Fever and Chills
three. Risk for Bleeding
4. Dizziness - ANS-three. Risk for Bleeding
Correct - A stressed affected person is at chance for injuring themselves and at risk for
hemorrhage should an injury occur
A nurse cares for a child that is diagnosed with Hepatitis A. Which of these following
precautions might be most important to take to prevent transmission of this infectious
ailment?
1. Encourage the Hepatitis A vaccine for own family members and siblings
2. Use needleless systems if possible, in any other case use careful needle precautionary
measures
3. Teach the child and put into effect strict and common hand washing
4. Teach the kid and own family the dangers of contaminated food and water - ANS-three.
Teach the kid and put in force strict and common hand washing
Correct - Hand washing is the single only manner to prevent transmission of Hepatitis A.
Hepatitis A is a deadly disease transmitted through the oral-fecal course and lives on human
fingers.
A 23-12 months-old girl is admitted to the infusion health facility after a Multiple Sclerosis
Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The nurse
might assume which of the following consequences after administration of this medication?
1. A lower in muscle spasticity and involuntary actions
2. A slowed development of Multiple Sclerosis associated plaques
three. A decrease inside the length of the exacerbation
4. A stabilization of mood and sleep - ANS-3. A lower in the duration of the exacerbation
Correct - A methylprednisolone infusion is the primary line of treatment during an acute
exacerbation and is used to decrease the length and severity of a relapse.
A 30-year antique Caucasian lady who works the night shift has been determined to have
early bone loss and has a high threat for osteomalacia and bone degradation. She asks the
nurse precisely why she must take Vitamin D dietary supplements. What is the nurse's fine
response?
1. "It's a fashionable part of the general nutritional treatment for the prevention of
osteomalacia"
2. "It helps your intestines soak up calcium, which is critical for bone formation."
three. "It stimulates skin cells to provide calcium, that's then launched into the bloodstream
to be used for bone formation."
four. "Vitamin D dietary supplements must now not be taken via someone of your age." -
ANS-2. "It allows your intestines take in calcium, which is crucial for bone formation."
Correct - This is an appropriate mechanism of action for Vitamin D
A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The patient
is dwelling at domestic along with her daughter. The nurse is most concerned approximately
which facet impact of ropinirole?
1. Slurred speech
2. Sudden dizziness
three. Masklike facial features
4. Stooped Posture - ANS-2. Sudden dizziness
Correct - Dizziness and orthostatic hypotension are extreme damaging outcomes of this
drug that could lead to an improved hazard of falls. Ropinirole's drug elegance is a dopamine
agonist, which mimic dopamine in the mind (PD is characterised via a lack of dopamine).
,A 65 year antique man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.
The affected person lives in an upstairs rental. The nurse is maximum involved
approximately which facet impact of Flomax?
1. Hypotension
2. Tachycardia
three. Back Pain
4. Difficulty Urinating - ANS-1. Hypotension
Correct - Hypotension can result in dizziness and a danger for damage to the affected
person.
A consumer with Multiple Sclerosis reviews a steady, burning, tingling ache inside the
shoulders. The nurse anticipates that the doctor will order which medicinal drug for this type
of pain?
1. Alprazolam (Xanax)
2. Corticosteroid injection
three. Gabapentin (Neurontin)
4. Hydrocodone/acetaminophen (Norco) - ANS-three. Gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are frequently the first line of treatment for nerve
pain
A girl patient is prescribed metformin for glucose control. The affected person is on NPO
popularity pending a diagnostic take a look at. The nurse is most involved approximately
which side impact of metformin?
1. Diarrhea and Vomiting
2. Dizziness and Drowsiness
three. Metallic flavor
4. Hypoglycemia - ANS-four. Hypoglycemia
Correct - The affected person is at hazard because she is on NPO repute and persevering
with to take an anti-glycemic drug.
A female patient with atrial traumatic inflammation has the following lab results: Hemoglobin
of eleven g/dl, a platelet depend of a hundred and fifty,000, an INR of two.Five, and
potassium of 2.7 mEq/L. Which result is critical and should be suggested to the doctor at
once?
1. Hemoglobin 11 g/dl
2. Platelet of a hundred and fifty,000
3. INR of two.5
four. Potassium of two.7 mEq/L - ANS-four. Potassium of two.7 mEq/L
CORRECT - A potassium imbalance for a affected person with a history of dysrhythmia may
be existence-threatening and may cause cardiac misery.
, A guy is has been taking lisinopril for CHF. The affected person is visible inside the
emergency room for continual diarrhea. The nurse is involved approximately which aspect
effect of lisinopril?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ANS-2. Hypotension
Correct - The affected person is mainly at threat for hypotension due to feasible dehydration
from fluid loss.
A guy is prescribed lithium to deal with bipolar ailment. The nurse is most concerned
approximately lithium toxicity while he notices which of these evaluation findings?
1. The patient states he had a manic episode per week ago
2. The affected person states he has been having diarrhea every day
3. The patient has a rashy pruritis on his arms and legs
4. The patient affords as severely depressed
five. The affected person's lithium level is 1.3 mcg/L - ANS-2. The affected person states he
has been having diarrhea every day
Correct - Persistent diarrhea can cause dehydration, that can boom the danger of lithium
toxicity.
A guy is receiving heparin subcutaneously. The patient has dementia and lives at home with
a component-time caretaker. The nurse is most involved approximately which aspect impact
of heparin?
1. Back Pain
2. Fever and Chills
three. Risk for Bleeding
4. Dizziness - ANS-three. Risk for Bleeding
Correct - A stressed affected person is at chance for injuring themselves and at risk for
hemorrhage should an injury occur
A nurse cares for a child that is diagnosed with Hepatitis A. Which of these following
precautions might be most important to take to prevent transmission of this infectious
ailment?
1. Encourage the Hepatitis A vaccine for own family members and siblings
2. Use needleless systems if possible, in any other case use careful needle precautionary
measures
3. Teach the child and put into effect strict and common hand washing
4. Teach the kid and own family the dangers of contaminated food and water - ANS-three.
Teach the kid and put in force strict and common hand washing
Correct - Hand washing is the single only manner to prevent transmission of Hepatitis A.
Hepatitis A is a deadly disease transmitted through the oral-fecal course and lives on human
fingers.
