NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS RATED A+ LATEST UPDATE 2022

NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022
Exam A

QUESTION 1
To appropriately monitor therapy and client progress, the nurse should be aware that
increased myocardial work and O2 demand will occur with which of the following?

A. Positive inotropic therapy
B. Negative chronotropic therapy
C. Increase in balance of myocardial O2 supply and demand
D. Afterload reduction therapy

Correct Answer: A
Section: Questions Set A
Explanation

Explanation/Reference:
Explanation:


(A) Inotropic therapy will increase contractility, which will increase myocardial O2 demand.
(B) Decreased heart rate to the point of bradycardia will increase coronary artery filling time.
This should be used cautiously because tachycardia may be a compensatory mechanism to
increase cardiac output. (C) The goal in the care of the MI client with angina is to maintain a
balance between myocardial O2 supply and demand. (D) Decrease in systemic vascular
resistance by drug therapy, such as IV nitroglycerin or nitroprusside, or intra-aortic balloon
pump therapy, would decrease myocardial work and O2 demand.

QUESTION 2
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his
nose. After establishing a clear airway, administering supplemental O2, and establishing IV
access, the next nursing intervention would be to:

A. Pass a nasogastric tube through the left nostril
B. Place a 4 X 4 gauze in the nares to impede the flow
C. Gently suction the nasal drainage to protect the airway
D. Perform a halo test and glucose level on the drainage

Correct Answer: D
Section: Questions Set A
Explanation

Explanation/Reference:
Explanation:


(A) Basilar skull fracture may cause dural lacerations, which result in CSF leaking from the ears
or nose. Insertion of a tube could lead to CSF going into the brain tissue or sinuses. (B)
Tamponading flow could worsen the problem and increase ICP. (C) Suction could increase
brain damage and dislocate tissue. (D) Testing the fluid from the nares would determine the
presence of CSF. Elevation of the head, notification of the medical staff, and prophylactic
antibiotics are appropriate therapy.


NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022

,NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022

QUESTION 3
Which of the following medications requires close observation for bronchospasm in the client
with chronic obstructive pulmonary disease or asthma?

A. Verapamil (Isoptin)
B. Amrinone (Inocor)
C. Epinephrine (Adrenalin)
D. Propranolol (Inderal)

Correct Answer: D




NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022

,NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022
Section: Questions Set A
Explanation

Explanation/Reference:
Explanation:


(A) Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness
of breath (SOB), and wheezing. (B) Amrinone has the effect of increased contractility and
dilation of the vascular smooth muscle. It has no noted respiratory side effects. (C)
Epinephrine has the effect of bronchodilation through β stimulation. (D) Propranolol, esmolol,
and labetalol are all β- blocking agents, which can increase airway resistance and cause
bronchospasms.

QUESTION 4
Priapism may be a sign of:

A. Altered neurological function
B. Imminent death
C. Urinary incontinence
D. Reproductive dysfunction

Correct Answer: A
Section: Questions Set A
Explanation

Explanation/Reference:
Explanation:


(A) Priapism in the trauma client is due to the neurological dysfunction seen in spinal cord
injury. Priapism is an abnormal erection of the penis; it may be accompanied by pain and
tenderness. This may disappear as spinal cord edema is relieved. (B) Priapism is not
associated with death. (C) Urinary retention, rather than incontinence, may occur. (D)
Reproductive dysfunction may be a secondary problem.


QUESTION 5
In the client with a diagnosis of coronary artery disease, the nurse would anticipate the
complication of bradycardia with occlusion of which coronary artery?

A. Right coronary artery
B. Left main coronary artery
C. Circumflex coronary artery
D. Left anterior descending coronary artery

Correct Answer: A
Section: Questions Set A
Explanation

Explanation/Reference:


NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022

, NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022
Explanation:


(A) Sinus bradycardia and atrioventricular (AV) heart block are usually a result of right
coronary artery occlusion. The right coronary artery perfuses the sinoatrial and AV nodes in
mostindividuals. (B) Occlusion of the left main coronary artery causes bundle branch blocks
and premature ventricular contractions. (C) Occlusion of the circumflex artery does not
cause bradycardia. (D) Sinus tachycardia occurs primarily with left anterior descending
coronary artery occlusion because this form of occlusion impairs left ventricular function.

QUESTION 6
When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to
breathe. This behavior is most indicative of:




NCLEX-RN-515 NURSING REVIEW EXAM QUESTIONS AND
ANSWERS WITH BEST SOLUTIONS GUARANTEED SUCCESS
RATED A+ LATEST UPDATE 2022