NCLEX- RN Practice Exam 2 Question and Answers 2023

Questions

  1. A patient informs you that they have noticed a change in their urine color.
    Assuming this alteration is a result of medication, which of the patient’s
    medications is not known to cause urine discoloration?
    A. Amoxicillin
    B. Levodopa
    C. Phenolphthalein
    D. Aspirin
  2. You have been assigned the task of inspecting the nursing unit’s
    refrigerator. Which of the following medications, if found, should be removed
    from the refrigerator?
    A. Corgard
    B. Humulin (injection)
    C. Urokinase
    D. Epogen (injection)
  3. A woman aged 34 has been diagnosed with an autoimmune disorder and
    has found out that she is expecting a baby. Which sole immunoglobulin type
    will offer protection to the unborn child within the uterus?
    A. IgA
    B. IgD
    C. IgE
    D. IgG
  4. A nursing student has just experienced a needlestick injury while attending
    to a patient who has tested positive for AIDS. What is the most crucial step
    the nursing student should take?
    A. Consult a social worker right away
    B. Initiate prophylactic AZT therapy
    C. Begin prophylactic Pyrimethamine treatment
    D. Pursue counseling services
  5. A 37-year-old male has been an insulin-dependent diabetic for five years
    and is now unable to urinate. Which of the following is the most likely cause?
    A. Arteriosclerosis
    B. Diabetic nephropathy
    C. Autonomic neuropathy
    D. Peripheral neuropathy
  6. You are taking the history of a 14-year-old girl with a BMI of 18. She reports
    difficulty eating, self-induced vomiting, and severe constipation. Which of the
    following conditions is most likely?
    A. Multiple sclerosis
    B. Anorexia nervosa
    C. Bulimia nervosa
    D. Systemic sclerosis
  7. A 24-year-old female is admitted to the ER for confusion. She has a history
    of myeloma diagnosis, constipation, severe abdominal pain, and polyuria.
    Which of the following conditions is most likely?
    A. Diverticulitis
    B. Hypercalcemia
    C. Hypokalemia
    D. Irritable bowel syndrome
  8. RhoGAM is most commonly administered to _ mothers with a _
    infant.
    A. Rh-positive, Rh-positive
    B. Rh-positive, Rh-negative
    C. Rh-negative, Rh-positive
    D. Rh-negative, Rh-negative
  9. A new mother has a few inquiries concerning Phenylketonuria (PKU). Which
    of these statements provided by a nurse is inaccurate in relation to PKU?

    A. The Guthrie test is utilized to assess the essential lab values for PKU.
    B. High levels of phenylpyruvic acid are present in the urine of individuals with
    PKU.
    C. Mental impairments are frequently associated with PKU.
    D. PKU’s effects can be reversed.
  10. A patient has ingested an excessive amount of aspirin. During the acute
    management of this patient, which symptom should a nurse primarily observe
    for?
    A. Hypoventilation
    B. Hypertension
    C. Constipation
    D. Tachypnea
  11. A 52-year-old patient who is both blind and deaf has been admitted to your
    ward. As the charge nurse, what is your primary responsibility for this patient?
    A. Inform other staff members of the patient’s sensory limitations.
    B. Share your concerns about the patient’s sensory deficits with your
    supervisor.
    C. Keep the patient constantly informed about the social environment.
    D. Ensure a safe and secure environment for the patient.
  12. A patient with a history of severe COPD and PVD is being discharged from
    a skilled nursing facility. Their main concern is maintaining ease of breathing.
    Which of the following recommendations is most suitable for this patient?
    A. Practice deep breathing techniques to enhance oxygen levels.
    B. Cough frequently and deeply to clear airway passages.
    C. Cough after using a bronchodilator.
    D. Lower CO2 levels by increasing oxygen intake during meals.
  13. A nurse is attending to an infant recently diagnosed with a congenital
    heart defect. Which of the following clinical indicators would most likely be
    observed?
    A. Reduced pulse rate
    B. Increased weight
    C. Lowered systolic pressure
    D. Instant development of perfect pitch in hearin

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