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