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NCLEX RN/LPN exam preparation quick review
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12/13/2025

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12/13/2025

Correct

Phenytoin (Dilantin) is a widely-used anti-convulsant medication that acts on the central nervous system (CNS) without depressing the entire CNS. This medication is indicated for partial seizures and tonic-clonic seizures. Side effects of this drug include gingival hyperplasia, sedation, ataxia, nystagmus, rash, purple glove syndrome, anemia, and hirsutism.

12/13/2025

4. CORRECT - The most important teaching for this client is to explain the precise schedule to follow for stopping the prescribed prednisone. Dose adjustment is required before surgery. However, the drug needs to be gradually decreased to prevent withdrawal symptoms and to promote adrenal recovery.

12/12/2025

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12/12/2025

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12/12/2025

Correct

Zolpidem (Ambien) is a benzodiazepine-like hypnotic drug that is intended for short-term management of insomnia. Unlike other benzodiazepines, zolpidem has no anti-anxiety, muscle-relaxing, or anti-convulsant properties. Side-effects include daytime drowsiness, bizarre sleep behaviors (such as sleep driving or sleep eating), angioedema, and anaphylaxis. Educate the patient to take this medication immediately before bedtime to prevent injury, as well as making sure they understand that this medication should not be used as a long-term solution.

12/12/2025

2. CORRECT - The nurse should recognize the client's collective symptoms as an indication of hypoglycemia. Therefore, it is most appropriate to obtain a blood glucose level and respond accordingly. The nurse must remember that epinephrine is a drug that will antagonize hypoglycemic effects. Other drugs to consider are corticosteroids and thyroid hormones.

12/11/2025

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12/11/2025

Correct

This patient is exhibiting signs of hyperkalemia, a condition in which a person's serum potassium level is higher than 5.0 mEq/L. This can be life-threatening due to its effect on the cardiac muscle and requires immediate treatment. The tall, peaked T-waves should've also clued you in as a sign of hyperkalemia. Patients with hyperkalemia are given infusions of glucose and insulin to drive potassium into cells, which will thereby decrease extracellular potassium levels.

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