NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A 3-year-old boy is diagnosed with plumbism. Which of the following information in his chart does the nurse associate with his diagnosis?
Correct Answer: B
Rationale: Plumbism (lead poisoning) is associated with exposure to lead-based paint, common in older homes (e.g., a 70-year-old farmhouse). Other options are unrelated to lead exposure.
Question 2 of 5
A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?
Correct Answer: A
Rationale: Zyprexa, an antipsychotic, can cause extrapyramidal symptoms like Parkinsonism due to dopamine receptor blockade.
Question 3 of 5
A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
Correct Answer: B
Rationale: Demerol (opioid) and Phenergan (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation beyond the sum of their individual effects.
Question 4 of 5
The home health nurse is visiting a client with an exacerbation of rheumatoid arthritis. To prevent deformities of the knee joints, the nurse should:
Correct Answer: B
Rationale: Encouraging movement within pain limits maintains joint mobility and prevents stiffness, reducing the risk of knee deformities in rheumatoid arthritis.
Question 5 of 5
A client has been diagnosed with Parkinson disease and has been prescribed levodopa. Which of the following are contraindications to levodopa? Select all that apply.
Correct Answer: A,D
Rationale: Levodopa is contraindicated in narrow-angle glaucoma (
A) due to pupil dilation and melanoma (
D) due to potential tumor activation. Macular degeneration (
B), pregnancy (
C), and cataracts (E) are not contraindications.