NCLEX Practice Exam 2 (GRADED A) Questions and Answer Elaborations | Rated A+

NCLEX Practice Exam 2 (40 Items) 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 a ll that apply: Finasteride (Propecia, Proscar) Clonidine (Catapres) Clofazimine(Lamprene) 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: Sulfonamide Sulfamethoxazole and Trimethoprim (Bactrim) Nitro-Dur patch 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? Levodopa Aspirin You are responsible for reviewing the nursing unit’s refrigerator. Which of the following drug, if found inside the fridge, should be removed? Opened (in-use) Humulin N injection Epoetin alfa IV (Epogen) 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? IgD IgG A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most significant action that nursing student should take? Start prophylactic AZT treatment. Seek counseling. A thirty-five-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? Diabetic nephropathy Somatic neuropathy You are taking the history of a 14-year-old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect? Anorexia nervosa Systemic sclerosis A 24-year-old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you most likely suspect? Hypercalcaemia Irritable bowel syndrome Question 9 Explanation: Rhogam is most often used to treat mothers that have a infant. RH positive, RH negative RH negative, RH negative A new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU? The urine has a high concentration of phenylpyruvic acid The effects of PKU are reversible. A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient? Metabolic alkalosis Parkinson’s disease type symptoms A 50-year-old blind and deaf patient have been admitted to your floor. As the charge nurse, your primary responsibility for this patient is? Communicate with your supervisor your patient safety concerns Provide a secure environment for the patient A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe easily. Which of the following would be the best instruction for this patient? Cough regularly and deeply to clear airway passages Decrease CO2 levels by increase oxygen take output during meals A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present? Weight gain Irregular WBC lab values A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome? Brachycephaly Hypotonicity A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following? Monitor for any signs of renal failure. Observe for signs of bleeding. A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?” Yellow vegetables and red meat Milk A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans? H. influenza Cl. difficile A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is. The life span of RBC is 45 days The life span of RBC is 120 days A 65-year-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient? Upon admit Preoperative discussion A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson's psychosocial development stages, the child is in which stage? Initiative vs. guilt Intimacy vs. isolation A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in? Initiative vs. guilt Intimacy vs. isolation A young adult is 20 years old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in? Initiative vs. guilt Intimacy vs. isolation A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal? 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg 6-year-old female: 100 BPM, 26 RPM, 90/70 mmHg 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? Calcitonin Verapamil (Calan) Which of the following conditions would a nurse not administer erythromycin? Legionnaire’s disease Multiple Sclerosis A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute? Paresthesias Migraines A patient’s chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute? Extreme Thirst Acetone breath smell A patient’s chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute? Vomiting Poor tolerance of light A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition? Helicobacter pylori Haemophilus aegyptius 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? Streptococcus pyogenes Enterococcus faecalis A fragile 87-year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed? ECG (electrocardiogram) CT scan An 84-year-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed? ECG (electrocardiogram) CT scan A 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first? CT scan Arterial blood gases A 28-year-old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first? CT scan Arterial blood gases A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training? The child's ability to understand instruction Frequent attempts with positive reinforcement A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent? Take the child immediately to the ER Give the child syrup of ipecac Question 39 A nurse is administering a shot of Vitamin K to a 30-day-old infant. Which of the following target areas is the most appropriate? Gluteus minimus Vastus medialis A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4-year-old boy who is non-verbal. This child does not have on any identification. What should the nurse do? Ask the child to write their name on paper Ask the father who is in the room the child’s name Show Less