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NCLEX RN· Physiological Integrity · NCLEX RN Prioritization Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 49-year-old patient with multiple sclerosis (MS) is to begin treatment with glatiramer acetate (Copaxone). Which information will the nurse include in patient teaching?

A. Recommendation to drink at least 4 L of fluid daily
B. Need to avoid driving or operating heavy machinery
C. How to draw up and administer injections of the medication
D. Use of contraceptive methods other than oral contraceptives

Expert Explanatory Rationale

Correct Answer: How to draw up and administer injections of the medication

Question 2 of 5

A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?

A. Blood pressure (BP) is less than 140/90 mm Hg.
B. Patient reports decreased exertional dyspnea
C. Heart rate is between 60 and 100 beats/minute
D. Patient's chest x-ray indicates clear lung fields

Expert Explanatory Rationale

Correct Answer: Patient reports decreased exertional dyspnea

Question 3 of 5

A patient who has just been admitted with community-acquired pneumococcal pneumonia has a temperature of 101.6°F with a frequent cough and is complaining of severe pleuritic chest pain. Which prescribed medication should the nurse give first?

A. Codeine
B. Guaifenesin (Robitussin)
C. Acetaminophen (Tylenol)
D. Piperacillin/tazobactam (Zosyn)

Expert Explanatory Rationale

Correct Answer: Piperacillin/tazobactam (Zosyn)

Question 4 of 5

In which order should the nurse take the following actions for an older patient with new onset confusion who is normally alert and oriented?

A. Obtain the oxygen saturation, Check the patient's pulse rate, Notify the health care provider, Document the change in status
B. Obtain the oxygen saturation, Check the patient's pulse rate, Document the change in status, Notify the health care provider
C. Document the change in status, Notify the health care provider, Check the patient's pulse rate, Obtain the oxygen saturation
D. Document the change in status, Check the patient's pulse rate, Obtain the oxygen saturation, Notify the health care provider

Expert Explanatory Rationale

Correct Answer: Obtain the oxygen saturation, Check the patient's pulse rate, Document the change in status, Notify the health care provider

Question 5 of 5

When obtaining a health history and physical assessment for a 36-year-old female patient with possible multiple sclerosis (MS), the nurse should

A. assess for the presence of chest pain.
B. inquire about urinary tract problems.
C. inspect the skin for rashes or discoloration.
D. ask the patient about any increase in libido.

Expert Explanatory Rationale

Correct Answer: inquire about urinary tract problems.

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