Learning System 3.0 NCLEX-PN 09-03-2025-Saint Michael College of Allied Health
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication?
Answer Choices:
🏵️ Nitroglycerin is a vasodilator that works by relaxing vascular smooth muscle, reducing preload and myocardial oxygen demand.
🏵️ A common and serious adverse effect is hypotension, as systemic vasodilation lowers blood pressure significantly.
🏵️ Clients may also experience dizziness, lightheadedness, or syncope due to this drop in blood pressure.
🏵️ Monitoring vital signs closely after administration ensures patient safety and helps prevent complications like fainting or falls.
Q2: A nurse is reinforcing teaching with a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching?
Answer Choices:
🢒 Alendronate is a bisphosphonate that must be taken on an empty stomach to maximize absorption.
🢒 It should be taken with a full glass of water first thing in the morning before consuming food, beverages, or other medications.
🢒 The client should remain upright for at least 30 minutes after administration to reduce the risk of esophageal irritation.
🢒 Antacids or calcium supplements should also be avoided near the time of dosing because they interfere with absorption.
Q3: A nurse is planning care for a client who has gout and a new prescription for allopurinol. Which of the following actions should the nurse plan to take?
Answer Choices:
✦ Allopurinol reduces uric acid production, which helps prevent gout attacks but can increase the risk of renal calculi formation.
✦ Encouraging the client to drink 2 to 3 liters of fluid daily helps dilute urine and promote uric acid excretion.
✦ Adequate hydration is key to preventing kidney stone formation, which is a potential complication of urate buildup.
✦ The nurse should also teach that allopurinol is used for prevention of gout attacks, not for immediate relief during acute flares.
Q4: A nurse is assisting with preparing IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take?
Answer Choices:
⮞ Nitroprusside is extremely sensitive to light, and exposure can cause the solution to degrade into toxic byproducts like cyanide.
⮞ The IV solution must be covered with an amber (opaque) bag to maintain stability during infusion.
⮞ An infusion pump is also required for administration, but the most critical preparation step is light protection of the solution.
⮞ Failure to use a protective cover can compromise patient safety by allowing the medication to break down into harmful compounds.
Q5: A nurse is reviewing the medical history of a client who has a respiratory infection. The nurse notes the client has a severe penicillin allergy. Which of the following class of antibiotics is also contraindicated for this client?
Answer Choices:
🢒 Cephalosporins share a similar beta-lactam ring structure with penicillins, which can cause cross-reactivity in patients with severe penicillin allergies.
🢒 Clients with such allergies are at increased risk for hypersensitivity reactions, including rash, anaphylaxis, or severe respiratory compromise.
🢒 Because of this risk, cephalosporins are generally avoided unless absolutely necessary and after weighing risks and benefits.
🢒 Other antibiotic classes like fluoroquinolones or aminoglycosides do not have the same structural similarity and are safer alternatives.
