NCLEX-PN 2024 TEST BANK 100 REAL
EXAM PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RELEVANT FEEDBACK
||COMPLETE A+ GUIDE
,1. The nurse is caring for several patients who are on intravenous antibiotic
f f f f f f f f f f f
therapy. Prior to discharge, the nurse anticipates the following antibiotics to be
f f f f f f f f f f f f
switched and be given orally. Select all that apply:
f f f f f f f f f
A) Isoniazid
B) Ampicillin
C) Tobramycin
D) Vancomycin
E) Amphotericin B f
Ans: A, B
f f f
f Feedback:
Switching intravenous antibiotics to oral form should be done at once. Examplesof
f f f f f f f f f f f f
antibiotics that can be switched to its oral form include Isoniazid and Ampicillin.
f f f f f f f f f f f f f
Amphotericin B, Vancomycin and aminoglycosides such as Tobramycin are not
f f f f f f f f f f
administered orally because of their poor gastrointestinal absorption. These
f f f f f f f f f
medications are given parenterally to maximize their serum concentrations.
f f f f f f f f f
2. A premature infant suddenly developed erratic respirations, distention of the
f f f f f f f f f
abdomen, and cyanosis. The presence of “gray syndrome” is suspected. The
f f f f f f f f f f f
nurse knows that this condition is most likely caused by which medication?
f f f f f f f f f f f f
A) Bacitracin
B) Clindamycin
C) Polymyxin B f
D) Chloramphenicol
Ans: D
f f
Feedback:
,A serious adverse effect of Chloramphenicol is gray syndrome. This condition is
f f f f f f f f f f f
manifested by cyanosis, distention of the abdomen, irregular or erratic
f f f f f f f f f f
respirations, collapse of the blood vessels, and death. The other options are
f f f f f f f f f f f f
incorrect.
f
3. A patient who recently underwent a kidney transplant is taking Cyclosporine.
f f f f f f f f f f
Which of the following statements made by the patient indicate a need for
f f f f f f f f f f f f f
further teaching?
f f
A) “I will stay away from patients who have active infection.”
f f f f f f f f f
B) “I should have my kidney function be monitored closely.”
f f f f f f f f
C) “I don’t take any other medications for pain except for Ibuprofen”
f f f f f f f f f f
D) “I will check with my physician first before I take any antibiotic.”
f f f f f f f f f f f
Ans: C
f f
Feedback:
Cyclosporine causes immunosuppression. Hence, the patient should avoid being in f f f f f f f f f
contact with persons who have active infection (Option A). This medication may
f f f f f f f f f f f f
also lead to nephrotoxicity in large doses. Therefore, kidney function shouldbe
f f f f f f f f f f f f
monitored closely (Option B). Cyclosporine should not be administered with
f f f f f f f f f f
medications that can also cause nephrotoxicity such as aminoglycosides (Option D)
f f f f f f f f f f f
and non-steroidal anti-inflammatory drugs such as Ibuprofen.
f f f f f f f
4. A 5-year-old child was admitted because of aspirin poisoning. The mother
f f f f f f f f f f
suspects that her daughter has ingested the medication over an hour ago and sheis
f f f f f f f f f f f f f f f
very apprehensive. Upon assessment, the nurse expects to note the following signs.
f f f f f f f f f f f f
Select all that apply:
f f f f
A) Dyspnea
B) Bleeding
C) Jaundice
D) Rapid pulse f
, E) Clammy extremities f
Ans: A, D, E
f f f f
f Feedback:
Acute aspirin poisoning usually presents with difficulty of breathing, rapid pulse,and
f f f f f f f f f f f
cold and clammy extremities. Bleeding and jaundice are signs of chronic aspirin
f f f f f f f f f f f f
overdose.
f
5. A patient with a history of bipolar disorder has been brought to the emergency
f f f f f f f f f f f f f
department because of chronic constipation. She states she tried to manage the
f f f f f f f f f f f f
problem by taking psyllium. History taking revealed that the patient has been
f f f f f f f f f f f f
prescribed Lithium to help control mania. Based on the nurse’s assessment, the
f f f f f f f f f f f f
appropriate nursing intervention would be to:
f f f f f f
A) Document the assessment f f
B) Refer the patient to a psychiatrist f f f f f
C) Explain that psyllium blocks the absorption of Lithium
f f f f f f f
D) Explain that psyllium potentiates the effect of Lithium; thus may increase therisk
f f f f f f f f f f f f
for toxicity
f f
Ans: C f
Feedback:
Psyllium is a bulk-forming laxative that is used to manage constipation and to
f f f f f f f f f f f f
decrease cholesterol levels. Psyllium should not be taken together with Lithium
f f f f f f f f f f f
because it blocks the absorption of the medication (Lithium) leading to a decrease
f f f f f f f f f f f f f
in the therapeutic effectiveness of the drug.
f f f f f f f
6. The nurse is caring for a patient infected with Clostridium difficile. Which ofthe
f f f f f f f f f f f f f
following medications does the nurse anticipate to be prescribed?
f f f f f f f f f
A) Linezolid
B) Daptomycin
EXAM PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RELEVANT FEEDBACK
||COMPLETE A+ GUIDE
,1. The nurse is caring for several patients who are on intravenous antibiotic
f f f f f f f f f f f
therapy. Prior to discharge, the nurse anticipates the following antibiotics to be
f f f f f f f f f f f f
switched and be given orally. Select all that apply:
f f f f f f f f f
A) Isoniazid
B) Ampicillin
C) Tobramycin
D) Vancomycin
E) Amphotericin B f
Ans: A, B
f f f
f Feedback:
Switching intravenous antibiotics to oral form should be done at once. Examplesof
f f f f f f f f f f f f
antibiotics that can be switched to its oral form include Isoniazid and Ampicillin.
f f f f f f f f f f f f f
Amphotericin B, Vancomycin and aminoglycosides such as Tobramycin are not
f f f f f f f f f f
administered orally because of their poor gastrointestinal absorption. These
f f f f f f f f f
medications are given parenterally to maximize their serum concentrations.
f f f f f f f f f
2. A premature infant suddenly developed erratic respirations, distention of the
f f f f f f f f f
abdomen, and cyanosis. The presence of “gray syndrome” is suspected. The
f f f f f f f f f f f
nurse knows that this condition is most likely caused by which medication?
f f f f f f f f f f f f
A) Bacitracin
B) Clindamycin
C) Polymyxin B f
D) Chloramphenicol
Ans: D
f f
Feedback:
,A serious adverse effect of Chloramphenicol is gray syndrome. This condition is
f f f f f f f f f f f
manifested by cyanosis, distention of the abdomen, irregular or erratic
f f f f f f f f f f
respirations, collapse of the blood vessels, and death. The other options are
f f f f f f f f f f f f
incorrect.
f
3. A patient who recently underwent a kidney transplant is taking Cyclosporine.
f f f f f f f f f f
Which of the following statements made by the patient indicate a need for
f f f f f f f f f f f f f
further teaching?
f f
A) “I will stay away from patients who have active infection.”
f f f f f f f f f
B) “I should have my kidney function be monitored closely.”
f f f f f f f f
C) “I don’t take any other medications for pain except for Ibuprofen”
f f f f f f f f f f
D) “I will check with my physician first before I take any antibiotic.”
f f f f f f f f f f f
Ans: C
f f
Feedback:
Cyclosporine causes immunosuppression. Hence, the patient should avoid being in f f f f f f f f f
contact with persons who have active infection (Option A). This medication may
f f f f f f f f f f f f
also lead to nephrotoxicity in large doses. Therefore, kidney function shouldbe
f f f f f f f f f f f f
monitored closely (Option B). Cyclosporine should not be administered with
f f f f f f f f f f
medications that can also cause nephrotoxicity such as aminoglycosides (Option D)
f f f f f f f f f f f
and non-steroidal anti-inflammatory drugs such as Ibuprofen.
f f f f f f f
4. A 5-year-old child was admitted because of aspirin poisoning. The mother
f f f f f f f f f f
suspects that her daughter has ingested the medication over an hour ago and sheis
f f f f f f f f f f f f f f f
very apprehensive. Upon assessment, the nurse expects to note the following signs.
f f f f f f f f f f f f
Select all that apply:
f f f f
A) Dyspnea
B) Bleeding
C) Jaundice
D) Rapid pulse f
, E) Clammy extremities f
Ans: A, D, E
f f f f
f Feedback:
Acute aspirin poisoning usually presents with difficulty of breathing, rapid pulse,and
f f f f f f f f f f f
cold and clammy extremities. Bleeding and jaundice are signs of chronic aspirin
f f f f f f f f f f f f
overdose.
f
5. A patient with a history of bipolar disorder has been brought to the emergency
f f f f f f f f f f f f f
department because of chronic constipation. She states she tried to manage the
f f f f f f f f f f f f
problem by taking psyllium. History taking revealed that the patient has been
f f f f f f f f f f f f
prescribed Lithium to help control mania. Based on the nurse’s assessment, the
f f f f f f f f f f f f
appropriate nursing intervention would be to:
f f f f f f
A) Document the assessment f f
B) Refer the patient to a psychiatrist f f f f f
C) Explain that psyllium blocks the absorption of Lithium
f f f f f f f
D) Explain that psyllium potentiates the effect of Lithium; thus may increase therisk
f f f f f f f f f f f f
for toxicity
f f
Ans: C f
Feedback:
Psyllium is a bulk-forming laxative that is used to manage constipation and to
f f f f f f f f f f f f
decrease cholesterol levels. Psyllium should not be taken together with Lithium
f f f f f f f f f f f
because it blocks the absorption of the medication (Lithium) leading to a decrease
f f f f f f f f f f f f f
in the therapeutic effectiveness of the drug.
f f f f f f f
6. The nurse is caring for a patient infected with Clostridium difficile. Which ofthe
f f f f f f f f f f f f f
following medications does the nurse anticipate to be prescribed?
f f f f f f f f f
A) Linezolid
B) Daptomycin
