Remar nclex pn question

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NCLEX EXAM PREVIEW

110 terms kandykat1012Preview PEARSON NCLEX-RN Questions & R...199 terms Candice_Haygood Preview Fundam 54 terms mo 1- A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?

• Naproxen sodium (Naprosyn).
• Calcium carbonate.
• Clarithromycin (Biaxin).
• Furosemide (Lasix).

answer A the answer is A. Naproxen sodium is a nonsteroidal anti-inflammatory drug that can cause inflammation of the upper GI tract 2- The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication?

• Digoxin
• Epinephrine
• Aminophylline
• Atropine

answer A Metronidazole is used for

• cough
• anemia
• diarrhea
• none of above.

answer D metronidazole used for infection it belong to antibiotics Widal test is used for diagnosis of (a) Typhoid (b) Cancer (c) AIDS (d) Malaria answer A

A nurse if reviewing a patient's chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition?

• Borrelia burgdorferi
• Streptococcus pyogenes
• Bacillus anthracis
• Enterococcus faecalis

Answer A 62 year old client present with dyspnea and blue colored nails and lips. The client has a suspected history of congested heart failure and is admitted to emergency room. The client has not been compliant with his medications regimen and state he has not taken his hydrochlorothiazide for 4 days.The nurse should anticipate a diagnosis of which of the following?

• Pneumonia
• Pulmonary edema
• Pneumothorax
• Atelectasis

Answer B A client receiving parenteral nutrition (PN) complains of shortness of breath and shoulder pain. A nurse notes that the client has an increased pulse rate. The nurse determines that the client is experiencing which complication of PN therapy?

• Air embolism.
• Hypervolemia.
• Hyperglycemia.
• Pneumothorax

correct answer is D Pneumothorax. Pneumothorax might happen during a parenteral therapy due to inexact catheter placement. In order to prevent this, the nurse obtains a chest x-ray after insertion of the catheter to ensure proper catheter placement.A nurse is caring for a group of adult clients on an acute care medical-surgical nursing unit. The nurse understands that which of the following clients would be the least likely candidate for parental nutrition (PN)?

• A 66 year old client with extensive burns
• A 42 year old client who has had an open

cholecystectomy

• A 27 year old client with severe exacerbation of

Crohn's Disease

• A 35 year old client with persistent nausea and

vomiting from chemotherapy.Answer is B. A 42 year old client who has had an open cholecystectomy. PN is indicated in clients whose gastrointestinal tracts are not functional or who cannot take in a diet enterally for extended periods. The client with the open cholecystectomy is not a candidate because this client would resume a regular diet within a few days following surgery.The client asks the nurse about various herbal therapies available for the treatment of insomnia. The nurse should encourage the client to discuss use of which product with the healthcare provider?

• Garlic
• Valerian
• Lavender
• Glucosamine

answer B

A nurse prepares to care for a 4-year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body?

• All striated muscles
• The cerebellum
• The kidneys
• The leg bones

The answer is A. Rhabdomyosarcoma is the most common children's soft tissue sarcoma. It originates in striated (skeletal) muscles and can be found anywhere in the body. The clue is in the middle of the word and is "myo" which typically means muscle.When you are taking a patient's history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

• Amitriptyline (Elavil)
• Calcitonin
• Pergolide mesylate (Permax)
• Verapamil (Calan)

answer is A. Amitriptyline (Elavil) is a tricyclic antidepressant and used to treat

symptoms of depression. Option B: Calcitonin is used to treat osteoporosis in

women who have been in menopause. Option C: Pergolide mesylate (Permax) is

used in the treatment of Parkinson's disease. Option D: Verapamil (Calan) is a

calcium channel blocker You are responsible for reviewing the nursing unit's refrigerator. Which of the following drug, if found inside the fridge, should be removed?

• Nadolol (Corgard)
• Opened (in-use) Humulin N injection
• Urokinase (Kinlytic)
• Epoetin alfa IV (Epogen)

the answer is A. Nadolol (Corgard) is stored at room temperature between 59 to 86 ºF (15 and 30 ºC) away from heat, moisture, and light. Do not store in the

bathroom and keep bottle tightly closed. Option B: Humulin N injection if

unopened (not in use) is stored in the fridge and is used until the expiration date, or stored at room temperature and used within 31 days. If opened (in-use), store the vial in a refrigerator or at room temperature and use within 31 days. Store the injection pen at room temperature (do not refrigerate) and use within 14 days.Keep it in its original container protected from heat and light. Do not draw insulin from a vial into a syringe until you are ready to give an injection. Do not freeze insulin or store it near the cooling element in a refrigerator. Throw away any insulin

that has been frozen. Option C: Urokinase (Kinlytic) is refrigerated at 2-8°C.

Option D: Epoetin alfa IV (Epogen) vials should be stored at 2°C to 8°C (36°F to 46°F); Do not freeze. Do not shake. Protect from ligh The nurse is caring for 68 years old client whose children are concerned about her memory loss. The client is later diagnosed with mild dementia. Which of the following would be clinically observed?

• Diminished logic
• Hallucinations
• Alexia
• Agnosia
• Feeling of being overwhelmed by simple decisions
• Social withdrawal