NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?
Correct Answer: C
Rationale: IV naloxone (Narcan) should be given to reverse respiratory depression; respiratory rate of 8 is too low and necessitates a nursing action
Question 3 of 5
A client taking furosemide (Lasix) comes into the clinic for routine bloodwork. Which of the following findings indicates an adverse effect of Lasix?
Correct Answer: C
Rationale: Furosemide can increase uric acid levels (normal 3.5-7.2 mg/dL), leading to hyperuricemia, a known adverse effect. Other values are within normal ranges.
Question 4 of 5
A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?
Correct Answer: A
Rationale: Unilateral neglect involves ignoring one side, such as shaving only one side of the face.
Question 5 of 5
A nurse starts an IV medication for a client. It is ordered as IV push, and she pushes the medication slowly over two minutes. The client then becomes restless, complains of chest pain, has difficulty breathing, and becomes cyanotic. The nurse recognizes this is most likely caused by
Correct Answer: D
Rationale: Rapid onset of chest pain, dyspnea, cyanosis, and restlessness after IV push suggests pulmonary embolism, likely from air or thrombus introduced during administration.