2024 NURS222 EXAM 2 NCLEX QUESTIONS WITH

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2024 NURS222 EXAM 2 NCLEX QUESTIONS WITH

CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

GRADED A+

A patient is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic).The nurse should monitor the patient for which condition?

• Decreased pulse
• Pupil constriction )
• Bronchial constriction
• Increased blood pressure - Correct Answer - Increased blood pressure

A patient who is taking epinephrine is also taking several other medications. The nurse should realize that there is a possible drug interaction with which drugs? (Select all that apply.)

• albuterol (Proventil)
• metoprolol (Lopressor)
• propranolol (Inderal)
• digoxin (Lanoxin)
• methyldopa (Aldomet) - Correct Answer - -Metaprolol (oppressor)

-Propranolol (infernal) -Digoxin (lanoxin)

A patient is prescribed metoprolol (Lopressor) to treat hypertension. It is important for the nurse to monitor the patient for which condition? (Select all that apply.)

• Bradycardia
• Hypotension 1 / 3

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• Ankle edema
• Decreased respirations
• Increased respirations - Correct Answer - bradycardia and hypotension

what category of drugs is most likely to cause an interaction with beta blockers? - Correct Answer - NSAIDS, and anticholinergics A patient is taking rivastigmine (Exelon). The nurse should teach the patient and family which information about rivastigmine?

• That hepatotoxicity may occur
• That the initial dose is 6 mg t.i.d.
• That GI distress is a common side effect
• That weight gain may be a side effect - Correct Answer - GI distress if a common side

effect

Which is a nursing intervention for a patient taking carbidopa-levodopa for parkinsonism?

• Encourage the patient to adhere to a high-protein diet.
• Inform the patient that perspiration may be dark and stain clothing.
• Advise the patient that glucose levels should be checked with urine testing.
• Warn the patient that it may take 4 to 5 days before symptoms are controlled. -

Correct Answer - b. Inform the patient that perspiration may be dark and stain clothing.

What would the nurse teach a patient who is taking anticholinergic therapy for parkinsonism? (Select all that apply.)

• Avoid alcohol, cigarettes, and caffeine.
• Relieve dry mouth with hard candy or ice chips.
• Use sunglasses to reduce photophobia.
• Urinate 2 hours after taking the drug.
• Receive routine eye examinations. - Correct Answer - a. Avoid alcohol, cigarettes,

and caffeine.

• Relieve dry mouth with hard candy or ice chips. 2 / 3

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• Use sunglasses to reduce photophobia.
• Receive routine eye examinations.

A patient is taking rivastigmine (Exelon) to improve cognitive function. What should the nurse teach the patient/family member to do? (Select all that apply.)

• Rise slowly to avoid dizziness.
• Remove obstacles from pathways to avoid injury.
• Closely follow the drug dosing schedule.
• Have frequent checks for hypertension.
• Receive regular liver function tests. - Correct Answer - a. Rise slowly to avoid

dizziness.

• Remove obstacles from pathways to avoid injury.
• Closely follow the drug dosing schedule.

When the nurse explains the pathophysiology of myasthenia gravis to a patient, which is the best explanation?

• Degeneration of cholinergic neurons and a deficit in acetylcholine lead to neuritic

plaques and neurofibrillary tangles.

• Decreased amount of acetylcholine to cholinergic receptors produces weak muscles

and reduced nerve impulses.

• Myelin sheaths of nerve fibers in brain and spinal cord develop lesions or plaques.
• Imbalance of dopamine and acetylcholine leads to degeneration of neurons in

midbrain and extrapyramidal motor tracts. - Correct Answer - Decreased amounts of acetylcholine to cholinergic receptors produces weak muscles and reduced nerve impulses

The nurse is teaching a patient recently diagnosed with multiple sclerosis (MS) about the disease. Which statement is correct concerning multiple sclerosis?

• The disease has periods of exacerbations and remissions.
• Goals of treatment are to decrease the inflammation in the nervous system.
• Patients with MS should avoid calcium channel blockers.
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