NCLEX-PN Review Questions Latest Update

NCLEX-PN Review Questions Latest Update

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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?

• A decrease in muscle spasticity and involuntary movements
• A slowed progression of Multiple Sclerosis related plaques
• A decrease in the length of the exacerbation
• A stabilization of mood and sleep - CORRECT ANSWER: 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.

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?

• "It's a standard part of the overall nutritional treatment for the prevention of

osteomalacia"

• "It helps your intestines absorb calcium, which is important for bone formation."

• "It stimulates skin cells to produce calcium, which is then released into the

bloodstream to be used for bone formation."

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• "Vitamin D supplements should not be taken by someone of your age." - CORRECT

ANSWER: 2. "It helps your intestines absorb calcium, which is important for bone formation." Correct - This is the correct mechanism of action for Vitamin D

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?

• Slurred speech
• Sudden dizziness
• Masklike facial expression

4. Stooped Posture - CORRECT ANSWER: 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).

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?

• Hypotension
• Tachycardia
• Back Pain

4. Difficulty Urinating - CORRECT ANSWER: 1. Hypotension

Correct - Hypotension can lead to dizziness and a risk for injury to the patient.

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?

• alprazolam (Xanax) 2 / 3

• Corticosteroid injection
• gabapentin (Neurontin)

4. hydrocodone/acetaminophen (Norco) - CORRECT ANSWER: 3. gabapentin

(Neurontin) Correct - Anticonvulsants like gabapentin are often the first line of treatment for 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?

• Diarrhea and Vomiting
• Dizziness and Drowsiness
• Metallic taste

4. Hypoglycemia - CORRECT ANSWER: 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?

• Hemoglobin 11 g/dl
• Platelet of 150,000
• INR of 2.5

4. Potassium of 2.7 mEq/L - CORRECT ANSWER: 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?

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