2024 NCLEX RN REVIEW 2

2024 NCLEX RN REVIEW 2

• A patient is taking gabapentin (Neurontin) for spasticity

associated with multiple sclerosis. Which of the following should be the priority for monitoring?

• Hepatic function
• Cardiac function
• Respiratory function
• Renal function

64. Some first-generation antihistamines are used:

• As stimulants
• To prevent motion sickness
• As laxatives
• As anticonvulsants
• A Nurse Practitioner is caring for a 73-year-old man who is

receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal. The Nurse Practitioner will base the patient's plan of care on the understanding that there is

• An increase in drug excretion
• A decrease in the effectiveness of the prescribed drugs
• An increase in the production of creatinine
• A decrease in the amount of creatinine to be filtered
• Which of the following is a contraindication for antimuscarinic

drugs?

• Overactive bladder
• Nausea and vomiting
• Parkinson's disease
• Pyloric stenosis
• A 70-year-old man who enjoys good health began taking low-

dose aspirin several months ago based on recommendations that he read in a magazine article. During the man's most recent visit to his care provider, routine blood work was ordered, and the results indicated an unprecedented rise in the man's serum This study source was downloaded by 100000880700921 from CourseHero.com on 02-15-2024 12:03:22 GMT -06:00

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creatinine and blood urea nitrogen (BUN) levels. How should a nurse best interpret these findings?

• The man may be experiencing a paradoxical effect of aspirin
• The man may be allergic to aspirin
• The man may be experiencing liver toxicity from the aspirin
• The man may be experiencing nephrotoxic effects of aspirin
• A patient in need of myocardial infarction prophylaxis has

been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?

• Hypothermia
• Hypotension
• Renal dysfunction
• Bleeding
• A client with bipolar disorder is taking lithium (Lithane). What

should the nurse emphasize when teaching about this medication?

• Take the medication before meals
• Maintain adequate daily salt intake
• Reduce fluid intake to minimize diuresis
• Use antacids to prevent heartburn
• A 4-year-old child is admitted with burns on his legs and

lower abdomen. When assessing the child's hydration status, which of the following indicates a less than adequate fluid replacement?

• Decreasing hematocrit and increasing urine volume
• Rising hematocrit and decreasing urine volume
• Falling hematocrit and decreasing urine volume
• Stable hematocrit and increasing urine volume
• A client newly diagnosed with Type I Diabetes Mellitus asks

the purpose of the test measuring glycosylated hemoglobin. The nurse should explain that the purpose of this test is to

determine:

• The presence of anemia often associated with Diabetes
• The oxygen carrying capacity of the client's red cells
• The average blood glucose for the past 2-3 months This study source was downloaded by 100000880700921 from CourseHero.com on 02-15-2024 12:03:22 GMT -06:00

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• The client's risk for cardiac complications
• The nurse is teaching a client with chronic renal failure (CRF)

about medications. The client questions the purpose of aluminum hydroxide (Amphojel) in her medication regimen. What is the best explanation for the nurse to give the client about the therapeutic effects of this medication?

• It decreases serum phosphate
• It will reduce serum calcium
• Amphojel increases urine output
• The drug is taken to control gastric acid secretion
• A client with testicular cancer has had an orchiectomy. Prior

to discharge, the client expresses his fears related to his prognosis. Which principle should the nurse base the response on?

• Testicular cancer has a cure rate of 90% with early diagnosis
• Testicular cancer has a cure rate of 50% with early diagnosis
• Intensive chemotherapy is the treatment of choice
• Testicular cancer is usually fatal
• A client has a history of chronic obstructive pulmonary

disease (COPD). As the nurse enters the client's room, his oxygen is running at 6 liters per minute, his color is flushed, and his respirations are 8 per minute. What should the nurse do first?

• Obtain a 12-lead EKG
• Place the client in high Fowler's position
• Lower the oxygen rate
• Take baseline vital signs
• A 4-year-old has been hospitalized for 24 hours with skeletal

traction for treatment of a fracture of the right femur. The nurse finds that the child is now crying, and the right foot is pale with the absence of a pulse. What should the nurse do first?

• Notify the health care provider
• Readjust the traction
• Administer the ordered prn medication
• Reassess the foot in fifteen minutes This study source was downloaded by 100000880700921 from CourseHero.com on 02-15-2024 12:03:22 GMT -06:00

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• The nurse is caring for a client who requires a mechanical

ventilator for breathing. The high-pressure alarm goes off on the ventilator. What is the first action the nurse should perform?

• Disconnect the client from the ventilator and use a manual

resuscitation bag

• Perform a quick assessment of the client's condition
• Call the respiratory therapist for help
• Press the alarm re-set button on the ventilator
• A patient is taking gabapentin (Neurontin) for spasticity

associated with multiple sclerosis. Which of the following should be the priority for monitoring?A. Hepatic function B. Cardiac function C. Respiratory function D. Renal function

50. Some first-generation antihistamines are used:

A. As stimulants B. To prevent motion sickness C. As laxatives D. As anticonvulsants

• A Nurse Practitioner is caring for a 73-year-old man who is

receiving drug therapy. He is beginning to exhibit signs of decline in his renal system, yet his current serum creatinine level is normal.The Nurse Practitioner will base the patient's plan of care on the understanding that there is A. An increase in drug excretion B. A decrease in the effectiveness of the prescribed drugs C. An increase in the production of creatinine D. A decrease in the amount of creatinine to be filtered

• Which of the following is a contraindication for antimuscarinic

drugs?A. Overactive bladder B. Nausea and vomiting This study source was downloaded by 100000880700921 from CourseHero.com on 02-15-2024 12:03:22 GMT -06:00

https://www.coursehero.com/file/220590196/2024-NCLEX-RN-REVIEW-2docx/