NCLEX-RN
NCLEX RN Exam Review Answers Questions
Question 1 of 5
A nurse is educating a patient about bimatoprost (Lumigan) eyedrops for the treatment of Glaucoma. Which of the following indicates that the patient has a correct understanding of the expected outcomes following treatment?
Correct Answer: B
Rationale: The correct answer is B) "This medication won't help my vision at all, but will keep it from getting worse." This answer is correct because bimatoprost (Lumigan) is a medication used to lower intraocular pressure in glaucoma patients. It does not improve vision but helps prevent further damage to the optic nerve by reducing pressure in the eye. By understanding this, the patient shows a clear understanding of the medication's purpose and expected outcomes. Option A is incorrect because bimatoprost does not directly improve vision clarity or reduce blurriness. Option C is incorrect because while bimatoprost may help preserve peripheral vision by lowering intraocular pressure, it does not directly increase peripheral vision. Option D is incorrect as it inaccurately describes the mechanism of action of bimatoprost. In an educational context, it is important for patients to have accurate information about their medications to manage their expectations and adhere to the treatment plan effectively. Nurses play a crucial role in patient education to ensure optimal outcomes and medication adherence.
Question 2 of 5
Based on the information given, which patient would be an appropriate candidate for a closed MRI without contrast?
Correct Answer: A
Rationale: The correct answer is the 20-year-old woman with unexplained joint pain and a low BMI. MRI can be used to diagnose musculoskeletal disorders, and this patient has no contraindications to an MRI. Choice B is incorrect because using MRI without contrast may not be ideal for a patient trying to conceive. Choice C is incorrect as the patient's past open-heart surgery may pose risks for an MRI without contrast. Choice D is incorrect since the patient's hypomanic state does not indicate a need for an MRI without contrast for joint pain.
Question 3 of 5
A patient in the cardiac care unit is taking bumetanide (Bumex) for heart issues and is also diagnosed with Parkinson's Disease. An unlicensed assistive personnel is assisting with feeding the patient. Which of these foods should the nurse stress for the patient to eat most?
Correct Answer: B
Rationale: Bumex is a loop diuretic that can lead to hypokalemia (low potassium levels). Hypokalemia can be dangerous and lead to various complications. To prevent a hypokalemic crisis, it is crucial to ensure an adequate intake of potassium. Therefore, the nurse should stress the patient to eat foods rich in potassium. Choices A, C, and D are not the priority in this situation. While monitoring salt intake is important in cardiac patients, the immediate concern with bumetanide use is the risk of hypokalemia, making choice B the most appropriate option.
Question 4 of 5
The mother of a newborn infant with hypospadias asks the nurse why circumcision cannot be performed. Which is the most appropriate response by the nurse?
Correct Answer: D
Rationale: The reason circumcision is not performed in a newborn with hypospadias is that the dorsal foreskin tissue will be needed for the surgical repair of hypospadias. Delaying circumcision allows for the preservation of tissue that will be crucial for the corrective surgery. This surgical repair is typically done within the first year of life to minimize the psychological impact on the child. Choices A, B, and C are incorrect as they do not address the specific reason for delaying circumcision in this case.
Question 5 of 5
Why should a 30-year-old Caucasian woman who works the night shift take Vitamin D supplements?
Correct Answer: B
Rationale: The correct answer is B: 'It helps your intestines absorb calcium, which is important for bone formation.' Vitamin D plays a crucial role in aiding the absorption of calcium from the intestines into the bloodstream, which is essential for bone health and formation. Choice A is incorrect because it does not specifically address the role of Vitamin D in calcium absorption. Choice C is incorrect as Vitamin D does not stimulate skin cells to produce calcium; rather, it helps regulate calcium levels in the body. Choice D is incorrect as age alone is not a contraindication for Vitamin D supplementation; the need for supplementation is based on individual health status and risk factors.