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NCLEX-RN 515 EXAM DUMP QUESTIONS DOWNLOADTO SCORE GRADE … WITH EXPLANATIONS 2023,vsu
NCLEX-RN
National Council Licensure
Examination (NCLEX-RN)
Sections
1. Questions Set A
2. Question Set B
3. Questions Set C
4. Questions Set D
5. Questions Set E
6. Questions Set F
7. Questions Set G
,NCLEX-RN 515 EXAM DUMP QUESTIONS DOWNLOAD
TO SCORE GRADE … WITH EXPLANATIONS 2023,vsu
Exam A
QUESTIO
N1
To appropriately monitor therapy and client progress, the nurse should be aware that increased
myocardial
work and O2 demand will occur with which of the following?
A. Positive inotropic therapy
B. Negative chronotropic therapy
C. Increase in balance of myocardial O2 supply and demand
D. Afterload reduction therapy
Correct Answer: A
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Inotropic therapy will increase contractility, which will increase myocardial O2 demand. (B)
Decreased heart rate to the point of bradycardia will increase coronary artery filling time. This
should be used cautiously because tachycardia may be a compensatory mechanism to increase
cardiac output. (C) Thegoal in the care of the MI client with angina is to maintain a balance
between myocardial O2 supply and demand. (D) Decrease in systemic vascular resistance by
drug therapy, such as IV nitroglycerin or nitroprusside, or intra-aortic balloon pump therapy,
would decrease myocardial work and O2 demand.
QUESTION 2
The nurse would need to monitor the serum glucose levels of a client receiving which of the
following medications, owing to its effects on glycogenolysis and insulin release?
A. Norepinephrine (Levophed)
B. Dobutamine (Dobutrex)
,NCLEX-RN 515 EXAM DUMP QUESTIONS DOWNLOAD
TO SCORE GRADE … WITH EXPLANATIONS 2023,vsu
C. Propranolol (Inderal)
D. Epinephrine (Adrenalin)
Correct Answer: D
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Norepinephrine’s side effects are primarily related to safe, effective care environment and
include decreased peripheral perfusion and bradycardia. (B) Dobutamine’s side effects include
increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. (C)
Propranolol’s side effects includeelevated blood urea nitrogen, serum transaminase, alkaline
phosphatase, and lactic dehydrogenase. (D)Epinephrine increases serum glucose levels by
increasing glycogenolysis and inhibiting insulin release. Prolonged use can elevate serum lactate
levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood
urea nitrogen, and decreased coagulation time.
QUESTION 3
Which of the following medications requires close observation for bronchospasm in the client with
chronicobstructive pulmonary disease or asthma?
A. Verapamil (Isoptin)
B. Amrinone (Inocor)
C. Epinephrine (Adrenalin)
D. Propranolol (Inderal)
Correct Answer: D
, NCLEX-RN 515 EXAM DUMP QUESTIONS DOWNLOAD
TO SCORE GRADE … WITH EXPLANATIONS 2023,vsu
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of
breath (SOB), and wheezing. (B) Amrinone has the effect of increased contractility and dilation
of the vascular smooth muscle. It has no noted respiratory side effects. (C) Epinephrine has the
effect of bronchodilation through β stimulation. (D) Propranolol, esmolol, and labetalol are all β-
blocking agents, which can increase airway resistance and cause bronchospasms.
QUESTION 4
The following medications were noted on review of the client’s home medication profile. Which of
themedications would most likely potentiate or elevate serum digoxin levels?
A. KCl
B. Thyroid agents
C. Quinidine
D. Theophylline
Correct Answer: C
Section: Questions Set
AExplanation
Explanation/Reference:
Explanation:
(A) Hypokalemia can cause digoxin toxicity. Administration of KCl would prevent this. (B)
Thyroid agents decrease digoxin levels. (C) Quinidine increases digoxin levels dramatically. (D)
Theophylline is not noted to have an effect on digoxin levels.
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