NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 61:

  A patient has been admitted to the hospital with a HNP L4-5 segment diagnosis. After 24 hours the patient is able to ambulate with assistance with reduced muscle spasms.

  Which of the following medications was the most beneficial in changing the patient's mobility status?

  A. Mivacron

  B. Atropine

  C. Bethanechol

  D. Flexeril

  Correct Answer: D

  Flexeril is a muscle relaxant for acute muscle pain and spasms.

• Question 62:

  A 28-year-old male has a diagnosis of AIDS. The patient has had a two-year history of AIDS. The most likely cognitive deficits include __________.

  A. Disorientation

  B. Sensory changes

  C. Inability to produce sound

  D. Hearing deficits

  Correct Answer: A

  Cognitive changes may include confusion and disorientation.

• Question 63:

  A nurse is reviewing a patient's arterial blood gas values.

  pH- 7.49 Bicarbonate ion 24 mEq/dl PaCO2 ?31 mmHg PaO2 ?52 mmHg FiO2 -22

  Which of the following conditions apply under the following values?

  A. respiratory acidosis

  B. respiratory alkalosis

  C. metabolic acidosis

  D. metabolic alkalosis

  Correct Answer: B

  Elevated pH and low CO2 level indicate respiratory alkalosis; no compensation is noted.

• Question 64:

  A nurse is working in a pediatric clinic and a 25-year-old mother comes in with a 4 week-old baby. The mother is stress out about loss of sleep and the baby exhibits signs of colic.

  Which of the following techniques should the nurse teach the mother?

  A. Distraction of the infant with a red object

  B. Prone positioning techniques

  C. Tapping reflex techniques

  D. Neural warmth techniques

  Correct Answer: D

  Neural warmth will help to lower the baby's agitation level.

• Question 65:

  A patient has recently been prescribed (Norvasc).

  Which of the following side effect/s should the patient specifically watch out for?

  A. Hypotension and Angina

  B. Hypertension

  C. Lower extremity edema

  D. Peripheral sensory loss and SOB

  Correct Answer: A

  Both angina and hypotension are associated with Norvasc's side effects.

• Question 66:

  A patient has recently been prescribed Zidovudine (Retrovir). The patient has AIDS. Which of the following side effects should the patient specifically watch out for?

  A. Weakness and SOB

  B. Fever and anemia

  C. Hypertension and SOB

  D. Fever and hypertension

  Correct Answer: B

  Anemia and fever are associated with Zidovudine's side effects.

• Question 67:

  A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this

  patient.

  Which of the following actions should The nurse take?

  A. Prep the patient with pain medication.

  B. Notify the patient's family about the procedure via the telephone.

  C. Decrease the temperature of the blood to be given.

  D. Increase the temperature of the blood to be given.

  Correct Answer: D

  Warming the blood will reduce the risk of additional cardiac arrhythmia.

• Question 68:

  A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patient's left elbow appears as non-blanchable erythema and the skin is intact.

  The nurse should score the patient as having __________.

  A. stage I pressure ulcer

  B. stage II pressure ulcer

  C. stage III pressure ulcer

  D. stage IV pressure ulcer

  Correct Answer: A

  Erythema with the skin intact can indicate a Stage I pressure ulcer.

• Question 69:

  Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?

  A. PaO2 (90%)

  B. Bicarbonate 159

  C. CO2 47 mm Hg

  D. pH 7.34

  Correct Answer: B

  The bicarbonate value is below normal, indicating a condition of metabolic acidosis.

• Question 70:

  A patient has recently been prescribed Albuterol.

  Which of the following changes are not associated with Albuterol?

  A. Tachycardia

  B. Hypertension

  C. Bronchodilation

  D. Sensory changes

  Correct Answer: D

  Tachycardia, hypertension, and bronchodilation can all occur with Albuterol.