NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
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EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
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% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
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A+|BRAN NEW!!2024
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A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis
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Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol). The
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nurse would expect which of the following outcomes after administration of this
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medication?
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1. A decrease in muscle spasticity and involuntary movements2.
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cA slowed progression of Multiple Sclerosis related plaques 3. A
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cdecrease in the length of the exacerbation c c c c c c
4. A stabilization of mood and sleep - ans1. A decrease in muscle spasticity and
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involuntary movements
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Incorrect - While muscle spasticity and involuntary movements can be symptoms of MS,a
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ccorticosteroid infusion is not meant to directly treat these symptoms. c c c c c c c c c
2. A slowed progression of Multiple Sclerosis related plaques
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Incorrect - Special drugs like Interferon Beta, Natalizumab, or Glatiramir acetate are used
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as first-line treatments to slow the progression of MS. While corticosteroids can beused in
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conjunction with these drugs on a long-term basis, they would not be infused.
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They would be taken orally.
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3. A decrease in the length of the exacerbation
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Correct - A methylprednisolone infusion is the first line of treatment during an acute
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exacerbation and is used to decrease the length and severity of a relapse.
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4. A stabilization of mood and sleep
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Incorrect - Some of the frequent side effects of a Methylprednisolone infusion areanxiety,
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insomnia, and mood swings.
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A 30-year old Caucasian woman who works the night shift has been found to have early
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bone loss and has a high risk for osteomalacia and bone degradation. She asks the nurse
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exactly why she should take Vitamin D supplements. What is the nurse's best response?
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1. "It's a standard part of the overall nutritional treatment for the prevention of
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osteomalacia"
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2. "It helps your intestines absorb calcium, which is important for bone formation."
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3. "It stimulates skin cells to produce calcium, which is then released into the
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bloodstream to be used for bone formation."
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4. "Vitamin D supplements should not be taken by someone of your age." - ans1. "It's a
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standard part of the overall nutritional treatment for the prevention of osteomalacia"
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Incorrect - While this is true, it doesn't answer the woman's question.
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2. "It helps your intestines absorb calcium, which is important for bone formation."
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,NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
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EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
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% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
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Correct - This is the correct mechanism of action for Vitamin D
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3. "It stimulates skin cells to produce calcium, which is then released into the
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bloodstream to be used for bone formation."
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Incorrect- This is not the correct mechanism of action for Vitamin D
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4. "Vitamin D supplements should not be taken by someone of your age."
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Incorrect - Vitamin D supplements should be taken for patients who are homebound,
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institutionalized, or by some other limitations, unable to meet daily requirements. This
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woman works the night shift, which may limit her ability to absorb Vitamin D naturally.
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A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The
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patient is living at home with her daughter. The nurse is most concerned about which
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side effect of ropinirole?
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1. Slurred speech c
2. Sudden dizziness c
3. Masklike facial expression c c
4. Stooped Posture - ans1. Slurred speech c c c c c
Incorrect - Slurred speech is a common symptom of PD, not a side effect of this drug.
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2. Sudden dizziness c
Correct - Dizziness and orthostatic hypotension are serious adverse effects of this drug
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that can lead to an increased risk of falls. Ropinirole's drug class is a dopamine agonist,
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which mimic dopamine in the brain (PD is characterized by a lack of dopamine).
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3. Masklike facial expression c c
Incorrect - Masklike facial expression is a common symptom of PD, not a side effect ofthis
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drug.
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4. Stooped Posture c
Incorrect - Stooped Posture is a common symptom of PD, not a side effect of this drug.
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A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.
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The patient lives in an upstairs apartment. The nurse is most concerned about which side
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effect of Flomax?
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1. Hypotension
2. Tachycardia
3. Back Pain c
4. Difficulty Urinating - ans1. Hypotension c c c c
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
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2. Tachycardia
,NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
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EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
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Tachycardia can be a side effect of Flomax, but is not an immediate safety risk, nor is ita
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common side effect.
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3. Back Pain c
Back Pain can be a side effect of Floma, but is not a safety risk
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4. Difficulty Urinating c
Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of Flomax
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A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders.
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The nurse anticipates that the physician will order which medication for thistype of pain?
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1. alprazolam (Xanax) c
2. Corticosteroid injection c
3. gabapentin (Neurontin) c
4. hydrocodone/acetaminophen (Norco) - ans1. alprazolam (Xanax) c c c c c
Incorrect - alprazolam is used to reduce anxiety
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2. Corticosteroid injection c
Incorrect - Corticosteroid injections are used to reduce inflammation in a localized area,
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often due to joint breakdown. In MS patients it is used to treat acute exacerbations ("flare-
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ups"), but the symptoms described do not constitute an acute exacerbation.
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3. gabapentin (Neurontin) c
Correct - Anticonvulsants like gabapentin are often the first line of treatment for nervepain
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4. hydrocodone/acetaminophen (Norco) c
Incorrect - Opioids would not be the appropriate medication to treat nerve pain.
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A female patient is prescribed metformin for glucose control. The patient is on NPO
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status pending a diagnostic test. The nurse is most concerned about which side effectof
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metformin?
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1. Diarrhea and Vomiting c c
2. Dizziness and Drowsiness c c
3. Metallic taste
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4. Hypoglycemia - ans1. Diarrhea and Vomiting
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Incorrect - While these may occur, the patient is at higher risk for another adverseeffect.
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2. Dizziness and Drowsiness c c
Incorrect - While these may occur, the patient is at higher risk for another adverseeffect.
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, NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL
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EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100
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% COMPLETE (VERIFIED ANSWERS)/ RN NCLEX TEST BANK|ALREADY GRADED
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A+|BRAN NEW!!2024
c c
3. Metallic taste c
Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
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4. Hypoglycemia
Correct - The patient is at risk because she is on NPO status and continuing to take an
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anti-glycemic drug.
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A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11
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g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
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result is critical and should be reported to the physician immediately?
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1. Hemoglobin 11 g/dl
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2. Platelet of 150,000
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c3. INR of 2.5
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4. Potassium of 2.7 mEq/L - ans1. Hemoglobin 11 g/dl
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This is below normal, but a normal female hemoglobin is 12-14. There is a more critical
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lab result.
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2. Platelet of 150,000 c c
This is also below the normal values, but is not the most critical lab result.
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3. INR of 2.5 c c
This is a therapeutic range for a patient who is taking an anticoagulant for atrial
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fibrillation
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4. Potassium of 2.7 mEq/L c c c
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be
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life-threatening and can lead to cardiac distress.
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A man is has been taking lisinopril for CHF. The patient is seen in the emergency roomfor
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persistent diarrhea. The nurse is concerned about which side effect of lisinopril?
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1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ans1. Vertigo c c c c c
Incorrect - While this may occur, the patient is at higher risk due to another adverseeffect.
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2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible dehydrationfrom
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fluid loss.
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3. Palpitations
