NCLE EXAM AND EXAM PRACTICE QUESTIONS NEWEST ACTUAL EXAM 2024-2025 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS (ALREADY GRADED A+)

NCLE EXAM AND EXAM PRACTICE QUESTIONS
NEWEST ACTUAL EXAM 2024-2025 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS (ALREADY GRADED A+)
A man is has been taking lisinopril for CHF. The patient is seen in the
emergency room for persistent diarrhea. The nurse is concerned about which
side effect of lisinopril?
Vertigo
Hypotension
Palpitations
Nagging, dry cough - ANSWER-1. Vertigo
Incorrect - While this may occur, the patient is at higher risk due to another
adverse effect.
Hypotension
Correct - The patient is particularly at risk for hypotension due to possible
dehydration from fluid loss.
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Palpitations
Incorrect - While this may occur, the patient is at higher risk for another
adverse effect.
Nagging, dry cough
Incorrect - While this is a common side effect, the patient is at higher risk for
another adverse effect..
The nurse is taking the health history of a patient being treated for sickle cell
disease. After being told the patient has severe generalized pain, the nurse
expects to note which assessment finding?
Severe and persistent diarrhea
Intense pain in the toe
Yellow-tinged sclera
Headache - ANSWER-1. Severe and persistent diarrhea Incorrect - This is
not a manifestation of sickle cell disease
Intense pain in the toe
Incorrect - Gout is a manifestation of Polycythemia Vera, in which the there is
an overabundance of red blood cells
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Yellow-tinged sclera
Correct - Jaundice is a common clinical finding of sickle cell disease, caused
by bilirubin released from damaged or destroyed RBCs
Headache
Incorrect - While this may occur, it is not indicative or a classic symptom of
sickle cell disease.
A client with Multiple Sclerosis reports a constant, burning, tingling pain in
the shoulders. The nurse anticipates that the physician will order which
medication for this type of pain?
alprazolam (Xanax)
Corticosteroid injection
gabapentin (Neurontin)
hydrocodone/acetaminophen (Norco) - ANSWER-1. alprazolam (Xanax)
Incorrect - alprazolam is used to reduce anxiety
Corticosteroid injection
Incorrect - Corticosteroid injections are used to reduce inflammation in a
localized area, often due to joint breakdown. In MS patients it is used to treat
acute exacerbations ("flare-ups"), but the symptoms described do not
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constitute an acute exacerbation.
gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment
for nerve pain
hydrocodone/acetaminophen (Norco)
Incorrect - Opioids would not be the appropriate medication to treat nerve
pain.
Which of these clients is likely to receive sublingual morphine?
A 75-year-old woman in a hospice program
A 40-year-old man who just had throat surgery
A 20-year-old woman with trigeminal neuralgia
A 60-year-old man who has a painful incision - ANSWER-1. A 75-year-old
woman in a hospice program
Correct - Sublingual morphine is often used in hospice because the patients
are unable to swallow, and intravenous access can be painful and not
conducive to palliative care.
A 40-year-old man who just had throat surgery
Incorrect - Patients who have surgery most likely have an Intravenous line