Free NCLEX-PN Exam Braindumps

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A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of ______________.

  1. climacteric
  2. menopause
  3. perimenopause
  4. postmenopause

Answer(s): C

Explanation:

Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular. Perimenopause lasts approximately five years.
Climacteric is a term applied to the period of life in which physiologic changes occur and result in cessation of a woman’s reproductive ability and lessened sexual activity in males. The term applies to both genders.
Climacteric and menopause are interchangeable terms when used for females. Menopause is the period when permanent cessation of menses has occurred.
Postmenopause refers to the period after the changes accompanying menopause are complete.



Metformin (Glucophage) is administered to clients with type II diabetes mellitus. Metformin is an example of ______________.

  1. an antihyperglycemic agent
  2. a hypoglycemic agent
  3. an insulin analogue
  4. a pancreatic alpha cell stimulant

Answer(s): A

Explanation:

This antihyperglycemic agent prevents hyperglycemia by reducing hepatic glucose output and decreasing glucose absorption from the gut.
A hypoglycemic drug stimulates insulin production.
Metformin is not a type of insulin. Metformin is not a stimulant of any pancreatic cell.



One drug can alter the absorption of another drug. One drug increases intestinal motility. Which effect does this have on the second drug?

  1. None; absorption of the second drug is not affected.
  2. The increased gut motility increases the absorption of the second drug.
  3. The absorption of the second drug cannot be predicted.
  4. Less of the second drug is absorbed.

Answer(s): D

Explanation:

Because most oral mediations are absorbed in the intestine, increased motility moves the second drug through the system faster, thus decreasing the absorption time and the amount taken up by the intestine.



A client asks a nurse working in a dental office what type of drug the dentist uses to provide anesthesia during the extraction of the client’s wisdom teeth. The dentist uses an anesthetic gas, also known as laughing gas.

This agent is ______________.

  1. nitrous oxide
  2. nitrogen
  3. nitric oxide
  4. nitrogen dioxide

Answer(s): A

Explanation:

Nitrous oxide produces analgesia and is often used for minor surgery and dental procedures that do not require loss of consciousness. It can also produce a mild euphoria in some clients.
Nitrogen is a nonmetallic element that constitutes nearly four-fifths of the air by volume, occurring as a colorless, odorless, almost inert diatomic gas, N2, in various minerals and in all proteins.
Nitric oxide is a potent vasodilator of vascular smooth muscle. It is produced from L arginine. Nitrogen dioxide is a poisonous brown gas, NO2, often found in smog and automobile exhaust fumes.



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