NUR 101 ACLEX PRACTISE EXAM 2 (40 MARKS)
NCLEX Practice Exam 2 (40 Items)
Question 1
A nurse is reviewing a patient’s medication during shift change. Which of the following medication would
be contraindicated if the patient were pregnant? Select all that apply:
Warfarin (Coumadin)
Finasteride (Propecia, Proscar)
Celecoxib (Celebrex)
Clonidine (Catapres)
Transdermal nicotine (Habitrol)
Clofazimine(Lamprene)
Question 1 Explanation:
Option A: Warfarin (Coumadin). Has a pregnancy category X and associated with central nervous system
defects, spontaneous abortion, stillbirth, prematurity, hemorrhage, and ocular defects when given
anytime during pregnancy and a fetal warfarin syndrome when given during the first trimester. Option B:
Finasteride (Propecia, Proscar). Also has a pregnancy category X which has a high risk of causing
permanent damage to the fetus. Option C: Celecoxib (Celebrex). Large doses cause birth defects in
rabbits; not known if the effect on people is the same. Option D: Clonidine (Catapres). Crosses the
placenta but no adverse fetal effects have been observed. Option E: Transdermal nicotine (Habitrol).
Nicotine replacement products have been assigned to pregnancy category C (nicotine gum) and category
D (transdermal patches, inhalers, and spray nicotine products). Option F: Clofazimine
(Lamprene). Clofazimine has been assigned to pregnancy category C.
Question 2
A nurse is reviewing a patient’s past medical history (PMH). The history indicates the patient has
photosensitive reactions to medications. Which of the following drugs is associated with photosensitive
reactions? Select all that apply:
Ciprofloxacin (Cipro)
, Sulfonamide
Norfloxacin (Noroxin)
Sulfamethoxazole and Trimethoprim (Bactrim)
Isotretinoin (Accutane)
Nitro-Dur patch
Question 2 Explanation:
Photosensitivity is an extreme sensitivity to ultraviolet (UV) rays from the sun and other light sources. A
type of photosensitivity called Phototoxic reactions are caused when medications in the body interact
with UV rays from the sun. Antiinfectives are the most common cause of this type of reaction.
Question 3
A patient tells you that her urine is starting to look discolored. If you believe this change is due to
medication, which of the following of the patient’s medication does not cause urine discoloration?
Sulfasalazine
Levodopa
Phenolphthalein
Aspirin
Question 3 Explanation:
Aspirin is not known to cause discoloration of the urine. Option A: Sulfasalazine may discolor the urine or
skin to an orange-yellow color. Option B: Levodopa may discolor the urine, saliva, or sweat to a dark
brown color. Option C: Phenolphthalein can discolor the urine to a red color.
Question 4
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)
Question 4 Explanation:
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 light.
Question 5
A 34-year-old female has recently been diagnosed with an autoimmune disease. She has also recently
discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide
protection to the fetus in the womb?
IgA
IgD
IgE
IgG
Question 5 Explanation:
IgG is the only immunoglobulin that can cross the placental barrier. Option A: IgA antibodies protect
body surfaces that are exposed to outside foreign substances. Option B: IgD antibodies are found in small
amounts in the tissues that line the belly or chest. Option C: IgE antibodies cause the body to react
against foreign substances such as pollen, spores, animal dander.
NCLEX Practice Exam 2 (40 Items)
Question 1
A nurse is reviewing a patient’s medication during shift change. Which of the following medication would
be contraindicated if the patient were pregnant? Select all that apply:
Warfarin (Coumadin)
Finasteride (Propecia, Proscar)
Celecoxib (Celebrex)
Clonidine (Catapres)
Transdermal nicotine (Habitrol)
Clofazimine(Lamprene)
Question 1 Explanation:
Option A: Warfarin (Coumadin). Has a pregnancy category X and associated with central nervous system
defects, spontaneous abortion, stillbirth, prematurity, hemorrhage, and ocular defects when given
anytime during pregnancy and a fetal warfarin syndrome when given during the first trimester. Option B:
Finasteride (Propecia, Proscar). Also has a pregnancy category X which has a high risk of causing
permanent damage to the fetus. Option C: Celecoxib (Celebrex). Large doses cause birth defects in
rabbits; not known if the effect on people is the same. Option D: Clonidine (Catapres). Crosses the
placenta but no adverse fetal effects have been observed. Option E: Transdermal nicotine (Habitrol).
Nicotine replacement products have been assigned to pregnancy category C (nicotine gum) and category
D (transdermal patches, inhalers, and spray nicotine products). Option F: Clofazimine
(Lamprene). Clofazimine has been assigned to pregnancy category C.
Question 2
A nurse is reviewing a patient’s past medical history (PMH). The history indicates the patient has
photosensitive reactions to medications. Which of the following drugs is associated with photosensitive
reactions? Select all that apply:
Ciprofloxacin (Cipro)
, Sulfonamide
Norfloxacin (Noroxin)
Sulfamethoxazole and Trimethoprim (Bactrim)
Isotretinoin (Accutane)
Nitro-Dur patch
Question 2 Explanation:
Photosensitivity is an extreme sensitivity to ultraviolet (UV) rays from the sun and other light sources. A
type of photosensitivity called Phototoxic reactions are caused when medications in the body interact
with UV rays from the sun. Antiinfectives are the most common cause of this type of reaction.
Question 3
A patient tells you that her urine is starting to look discolored. If you believe this change is due to
medication, which of the following of the patient’s medication does not cause urine discoloration?
Sulfasalazine
Levodopa
Phenolphthalein
Aspirin
Question 3 Explanation:
Aspirin is not known to cause discoloration of the urine. Option A: Sulfasalazine may discolor the urine or
skin to an orange-yellow color. Option B: Levodopa may discolor the urine, saliva, or sweat to a dark
brown color. Option C: Phenolphthalein can discolor the urine to a red color.
Question 4
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)
Question 4 Explanation:
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 light.
Question 5
A 34-year-old female has recently been diagnosed with an autoimmune disease. She has also recently
discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide
protection to the fetus in the womb?
IgA
IgD
IgE
IgG
Question 5 Explanation:
IgG is the only immunoglobulin that can cross the placental barrier. Option A: IgA antibodies protect
body surfaces that are exposed to outside foreign substances. Option B: IgD antibodies are found in small
amounts in the tissues that line the belly or chest. Option C: IgE antibodies cause the body to react
against foreign substances such as pollen, spores, animal dander.
