NCLEX-PN 2024 TEST BANK 100 REAL
EXAM PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RELEVANT FEEDBACK
||COMPLETE A+ GUIDE
,1. The rnurse ris rcaring rfor rseveral rpatients rwho rare ron rintravenous
rantibioticrtherapy.Priortodischarge,thenurseanticipatesthefollowingantibi
oticstobe rswitched rand rbegiven rorally. rSelect rall rthat rapply:
A) Isoniazid
B) Ampicillin
C) Tobramycin
D) Vancomycin
E) Amphotericin B
rAns: rA, rB
Feedback:
Switchingintravenousantibioticstooralformshouldbedoneat once.Examplesof
f
rantibiotics rthat rcan rbe rswitched rto rits roral rform rinclude rIsoniazid rand
rAmpicillin. rAmphotericin rB, rVancomycin rand raminoglycosides rsuch ras
rTobramycin rare rnot radministered rorally rbecause rof rtheir rpoor
rgastrointestinal rabsorption. rThese rmedications rare rgiven rparenterally rto
rmaximize rtheir rserum rconcentrations.
2. A rpremature rinfant rsuddenly rdeveloped rerratic rrespirations, rdistention rof
rthe rabdomen, rand rcyanosis. rThe rpresence rof r“gray rsyndrome” ris rsuspected.
rThe rnurseknowsthatthisconditionismostlikelycausedbywhichmedication?
A) Bacitracin
B) Clindamycin
C) PolymyxinB
D) Chloramphenicol
rAns: rD
Feedback:
,A rserious radverse reffect rof rChloramphenicol ris rgray rsyndrome. rThis rcondition
ris rmanifested rby rcyanosis, rdistention rof rthe rabdomen, rirregular ror rerratic
rrespirations, rcollapse rof rthe rblood rvessels, rand rdeath. rThe rother roptions rare
rincorrect.
3. A rpatient rwho rrecently runderwent ra rkidney rtransplant ris rtaking
rCyclosporine. rWhich rof rthe rfollowing rstatements rmade rby rthe rpatient
rindicate ra rneed rfor r further rteaching?
A) “Iwillstayawayfrompatientswhohaveactiveinfection.”
B) “Ishouldhavemykidneyfunctionbemonitoredclosely.”
C) “Idon’ttakeanyothermedicationsforpainexceptforIbuprofen”
D) “Iwillcheckwith myphysicianfirstbeforeI takeanyantibiotic.”
f f r
r r Ans: rC
Feedback:
Cyclosporinecausesimmunosuppression.Hence,thepatientshouldavoidbeing rin
rcontact rwith rpersons rwho rhave ractive rinfection r(Option rA). rThis rmedication
rmay ralsoleadtonephrotoxicityinlargedoses.Therefore,kidneyfunctionshouldbe
r monitored rclosely r(Option rB). rCyclosporine rshould rnot rbe radministered
rwith
rmedicationsthat canalsocausenephrotoxicitysuchasaminoglycosides(Option
f
rD) randnon-steroidalanti-inflammatorydrugssuch ras rIbuprofen.
4. A r5-year-old rchild rwas radmitted rbecause rof raspirin rpoisoning. rThe rmother
rsuspectsthatherdaughterhasingestedthemedicationoveranhouragoandsheis r r r
r veryapprehensive.Uponassessment,thenurseexpectstonotethefollowing r
r signs. r Select rall rthat rapply:
A) Dyspnea
B) Bleeding
C) Jaundice
D) Rapidpulse
, E) Clammy
r extremities rAns: rA,
rD, rE
Feedback:
Acuteaspirinpoisoningusuallypresentswithdifficultyofbreathing,rapidpulse,and r r
r cold rand rclammy rextremities. rBleeding rand rjaundice rare rsigns rof rchronic
raspirin roverdose.
5. A rpatient rwith ra rhistory rof rbipolar rdisorder rhas rbeen rbrought rto rthe
remergency rdepartment rbecause rof rchronic rconstipation. rShe rstates rshe rtried
rto rmanage rthe rproblem rby rtaking rpsyllium. rHistory rtaking rrevealed rthat
rthe rpatient rhas rbeen
rprescribedLithiumtohelpcontrolmania.Basedonthenurse’sassessment,the
r appropriate rnursing rintervention rwould rbeto:
A) Document r the r assessment
B) Referthepatienttoapsychiatrist
C) ExplainthatpsylliumblockstheabsorptionofLithium
D) ExplainthatpsylliumpotentiatestheeffectofLithium;thusmayincreasetherisk
r r for rtoxicity
Ans: rC
Feedback:
Psylliumisabulk-forminglaxativethatisusedtomanageconstipationandto
r decreasecholesterollevels.Psylliumshouldnot betakentogetherwithLithium
f
rbecause rit rblocks rthe rabsorption rof rthe rmedication r(Lithium) rleading rto ra
rdecrease rin rthe rtherapeutic reffectiveness rofthe rdrug.
6. Thenurseiscaringforapatient infectedwithClostridiumdifficile.Whichofthe
f r r
r followingmedicationsdoesthenurseanticipatetobeprescribed?
A) Linezolid
B) Daptomycin
EXAM PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RELEVANT FEEDBACK
||COMPLETE A+ GUIDE
,1. The rnurse ris rcaring rfor rseveral rpatients rwho rare ron rintravenous
rantibioticrtherapy.Priortodischarge,thenurseanticipatesthefollowingantibi
oticstobe rswitched rand rbegiven rorally. rSelect rall rthat rapply:
A) Isoniazid
B) Ampicillin
C) Tobramycin
D) Vancomycin
E) Amphotericin B
rAns: rA, rB
Feedback:
Switchingintravenousantibioticstooralformshouldbedoneat once.Examplesof
f
rantibiotics rthat rcan rbe rswitched rto rits roral rform rinclude rIsoniazid rand
rAmpicillin. rAmphotericin rB, rVancomycin rand raminoglycosides rsuch ras
rTobramycin rare rnot radministered rorally rbecause rof rtheir rpoor
rgastrointestinal rabsorption. rThese rmedications rare rgiven rparenterally rto
rmaximize rtheir rserum rconcentrations.
2. A rpremature rinfant rsuddenly rdeveloped rerratic rrespirations, rdistention rof
rthe rabdomen, rand rcyanosis. rThe rpresence rof r“gray rsyndrome” ris rsuspected.
rThe rnurseknowsthatthisconditionismostlikelycausedbywhichmedication?
A) Bacitracin
B) Clindamycin
C) PolymyxinB
D) Chloramphenicol
rAns: rD
Feedback:
,A rserious radverse reffect rof rChloramphenicol ris rgray rsyndrome. rThis rcondition
ris rmanifested rby rcyanosis, rdistention rof rthe rabdomen, rirregular ror rerratic
rrespirations, rcollapse rof rthe rblood rvessels, rand rdeath. rThe rother roptions rare
rincorrect.
3. A rpatient rwho rrecently runderwent ra rkidney rtransplant ris rtaking
rCyclosporine. rWhich rof rthe rfollowing rstatements rmade rby rthe rpatient
rindicate ra rneed rfor r further rteaching?
A) “Iwillstayawayfrompatientswhohaveactiveinfection.”
B) “Ishouldhavemykidneyfunctionbemonitoredclosely.”
C) “Idon’ttakeanyothermedicationsforpainexceptforIbuprofen”
D) “Iwillcheckwith myphysicianfirstbeforeI takeanyantibiotic.”
f f r
r r Ans: rC
Feedback:
Cyclosporinecausesimmunosuppression.Hence,thepatientshouldavoidbeing rin
rcontact rwith rpersons rwho rhave ractive rinfection r(Option rA). rThis rmedication
rmay ralsoleadtonephrotoxicityinlargedoses.Therefore,kidneyfunctionshouldbe
r monitored rclosely r(Option rB). rCyclosporine rshould rnot rbe radministered
rwith
rmedicationsthat canalsocausenephrotoxicitysuchasaminoglycosides(Option
f
rD) randnon-steroidalanti-inflammatorydrugssuch ras rIbuprofen.
4. A r5-year-old rchild rwas radmitted rbecause rof raspirin rpoisoning. rThe rmother
rsuspectsthatherdaughterhasingestedthemedicationoveranhouragoandsheis r r r
r veryapprehensive.Uponassessment,thenurseexpectstonotethefollowing r
r signs. r Select rall rthat rapply:
A) Dyspnea
B) Bleeding
C) Jaundice
D) Rapidpulse
, E) Clammy
r extremities rAns: rA,
rD, rE
Feedback:
Acuteaspirinpoisoningusuallypresentswithdifficultyofbreathing,rapidpulse,and r r
r cold rand rclammy rextremities. rBleeding rand rjaundice rare rsigns rof rchronic
raspirin roverdose.
5. A rpatient rwith ra rhistory rof rbipolar rdisorder rhas rbeen rbrought rto rthe
remergency rdepartment rbecause rof rchronic rconstipation. rShe rstates rshe rtried
rto rmanage rthe rproblem rby rtaking rpsyllium. rHistory rtaking rrevealed rthat
rthe rpatient rhas rbeen
rprescribedLithiumtohelpcontrolmania.Basedonthenurse’sassessment,the
r appropriate rnursing rintervention rwould rbeto:
A) Document r the r assessment
B) Referthepatienttoapsychiatrist
C) ExplainthatpsylliumblockstheabsorptionofLithium
D) ExplainthatpsylliumpotentiatestheeffectofLithium;thusmayincreasetherisk
r r for rtoxicity
Ans: rC
Feedback:
Psylliumisabulk-forminglaxativethatisusedtomanageconstipationandto
r decreasecholesterollevels.Psylliumshouldnot betakentogetherwithLithium
f
rbecause rit rblocks rthe rabsorption rof rthe rmedication r(Lithium) rleading rto ra
rdecrease rin rthe rtherapeutic reffectiveness rofthe rdrug.
6. Thenurseiscaringforapatient infectedwithClostridiumdifficile.Whichofthe
f r r
r followingmedicationsdoesthenurseanticipatetobeprescribed?
A) Linezolid
B) Daptomycin
