NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
A+|BRAN NEW!!2024
4. Hypoglycemia
Correct - The patient is at risk because she is on NPO status and continuing to take an
anti-glycemic drug.
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11
g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
result is critical and should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L - ans1. Hemoglobin 11 g/dl
This is below normal, but a normal female hemoglobin is 12-14. There is a more critical
lab result.
2. Platelet of 150,000
This is also below the normal values, but is not the most critical lab result.
3. INR of 2.5
This is a therapeutic range for a patient who is taking an anticoagulant for atrial
fibrillation
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be
life-threatening and can lead to cardiac distress.
A man is has been taking lisinopril for CHF. The patient is seen in the emergency room
for persistent diarrhea. The nurse is concerned about which side effect of lisinopril?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ans1. Vertigo
Incorrect - While this may occur, the patient is at higher risk due to another adverse
effect.
2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible dehydration
from fluid loss.
3. Palpitations
Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
4. Nagging, dry cough
, NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
A+|BRAN NEW!!2024
Incorrect - While this is a common side effect, the patient is at higher risk for another
adverse effect..
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about
lithium toxicity when he notices which of these assessment findings?
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L - ans1. The patient states he had a manic
episode a week ago
Incorrect - Having a manic episode is not an indication of lithium toxicity. This finding
indicates that the lithium is not effective or is not at a therapeutic level.
2. The patient states he has been having diarrhea every day
Correct - Persistent diarrhea can lead to dehydration, which can increase the risk of
lithium toxicity.
3. The patient has a rashy pruritis on his arms and legs
Incorrect - This is not a symptom of lithium toxicity
4. The patient presents as severely depressed
Incorrect - Having a depressive episode is not an indication of lithium toxicity. This
finding indicates that the lithium is not effective or is not at a therapeutic level.
5. The patient's lithium level is 1.3 mcg/L
This is within the therapeutic range of lithium
A man is receiving heparin subcutaneously. The patient has dementia and lives at home
with a part-time caretaker. The nurse is most concerned about which side effect of
heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
4. Dizziness - ans1. Back Pain
Incorrect - Back pain, while it can occur, is not an immediate concern
2. Fever and Chills
Incorrect - Fever and Chills, while it can occur, is not an immediate concern
3. Risk for Bleeding
Correct - A confused patient is at risk for injuring themselves and at risk for hemorrhage
should an injury occur
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
A+|BRAN NEW!!2024
4. Hypoglycemia
Correct - The patient is at risk because she is on NPO status and continuing to take an
anti-glycemic drug.
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11
g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
result is critical and should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L - ans1. Hemoglobin 11 g/dl
This is below normal, but a normal female hemoglobin is 12-14. There is a more critical
lab result.
2. Platelet of 150,000
This is also below the normal values, but is not the most critical lab result.
3. INR of 2.5
This is a therapeutic range for a patient who is taking an anticoagulant for atrial
fibrillation
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be
life-threatening and can lead to cardiac distress.
A man is has been taking lisinopril for CHF. The patient is seen in the emergency room
for persistent diarrhea. The nurse is concerned about which side effect of lisinopril?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ans1. Vertigo
Incorrect - While this may occur, the patient is at higher risk due to another adverse
effect.
2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible dehydration
from fluid loss.
3. Palpitations
Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
4. Nagging, dry cough
, NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
A+|BRAN NEW!!2024
Incorrect - While this is a common side effect, the patient is at higher risk for another
adverse effect..
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about
lithium toxicity when he notices which of these assessment findings?
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L - ans1. The patient states he had a manic
episode a week ago
Incorrect - Having a manic episode is not an indication of lithium toxicity. This finding
indicates that the lithium is not effective or is not at a therapeutic level.
2. The patient states he has been having diarrhea every day
Correct - Persistent diarrhea can lead to dehydration, which can increase the risk of
lithium toxicity.
3. The patient has a rashy pruritis on his arms and legs
Incorrect - This is not a symptom of lithium toxicity
4. The patient presents as severely depressed
Incorrect - Having a depressive episode is not an indication of lithium toxicity. This
finding indicates that the lithium is not effective or is not at a therapeutic level.
5. The patient's lithium level is 1.3 mcg/L
This is within the therapeutic range of lithium
A man is receiving heparin subcutaneously. The patient has dementia and lives at home
with a part-time caretaker. The nurse is most concerned about which side effect of
heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
4. Dizziness - ans1. Back Pain
Incorrect - Back pain, while it can occur, is not an immediate concern
2. Fever and Chills
Incorrect - Fever and Chills, while it can occur, is not an immediate concern
3. Risk for Bleeding
Correct - A confused patient is at risk for injuring themselves and at risk for hemorrhage
should an injury occur
