NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 71:

  A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?

  A. Memory loss and lack of appetite

  B. Confusion and fatigue

  C. Heightened reflexes

  D. Tinnitus and spasticity

  Correct Answer: B

  Lidocaine Hydrochloride can cause fatigue and confusion if an over dosage occurs.

• Question 72:

  A patient has recently been diagnosed with symptomatic bradycardia.

  Which of the following medications is the most recognized for treatment of symptomatic bradycardia?

  A. Questran

  B. Digitalis

  C. Nitroglycerin

  D. Atropine

  Correct Answer: D

  Atropine encourages increased rate of conduction in the AV node.

• Question 73:

  A patient is complaining of severe chest pain during a stress test.

  Which of the following medications is the most appropriate to relieve this discomfort?

  A. Aspirin

  B. Diazoxide

  C. Procardia

  D. Mannitol

  Correct Answer: C

  Procardia can provide the quickest relief of ischemic chest pain that is severe in this case.

• Question 74:

  A patient has just been prescribed Minipress to control hypertension.

  The nurse should instruct the patient to be observant of the following __________.

  A. Dizziness and light headed sensations

  B. Weight gain

  C. Sensory changes in the lower extremities

  D. Fatigue

  Correct Answer: A

  Hypotension may be result of over correction of a hypertensive condition.

• Question 75:

  A nurse is reviewing a patient's ECG report. The patient exhibits a flat T wave, depressed ST segment and short QT interval.

  Which of the following medications can cause all of the above effects?

  A. Morphine

  B. Atropine

  C. Procardia

  D. Digitalis

  Correct Answer: D

  Digitalis can cause all of the listed symptoms.

• Question 76:

  A 46-year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure.

  The nurse should __________.

  A. tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders

  B. allow the patient to begin limited ambulation with assistance

  C. recommend a physical therapy consultation for ambulation

  D. tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders

  Correct Answer: A

  The patient should keep the leg straight for at least 4 hours.

• Question 77:

  A 62-year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years.

  Which of the following would indicate an over-dosage?

  A. Lower extremity edema

  B. Sensory changes in the upper extremities

  C. Increased occurrence of fractures

  D. Decreased peripheral blood flow

  Correct Answer: A

  Edema in the lower extremities may indicate a Premarin (over-dosage).

• Question 78:

  The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure.

  Which of the following would not indicate right-sided heart failure?

  A. Nausea

  B. Anorexia

  C. Rapid weight gain

  D. SOB (shortness of breath)

  Correct Answer: D

  Left sided heart failure exhibits signs of pulmonary compromise (SOB).

• Question 79:

  A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure.

  Which of the following is not a sign of increased intracranial pressure?

  A. Bradycardia

  B. Increased pupil size bilaterally

  C. Change in LOC

  D. Vomiting

  Correct Answer: B

  Unilateral pupil changes indicate changes in ICP.

• Question 80:

  A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago.

  Which of the following is the most distinguishing characteristic of a neurological disturbance?

  A. LOC (level of consciousness)

  B. Short term memory

  C. + Babinski sign

  D. + Clonus sign

  Correct Answer: A

  LOC is the most critical indicator of impaired neurological capabilities.