NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:
Correct Answer: B
Rationale: Meperidine given close to delivery can cause neonatal respiratory depression due to its sedative effects crossing the placenta. The nurse should question the timing of the order.
Question 2 of 5
The client is prescribed metronidazole (Flagyl) for a parasitic infection. Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Metronidazole commonly causes a metallic taste in the mouth. Hypotension, weight gain, and fever are not typical side effects.
Question 3 of 5
The nurse is educating the caregiver of a client with dysphagia, due to a stroke, in ways to ensure safety and avoid aspiration during meals. Which information should be included?
Correct Answer: A, B, D
Rationale:
To prevent aspiration: sit upright (
A), place food on unaffected side (
B), and swallow one bite at a time (
D). Solid foods (
C) may increase risk; thickened liquids (E) are safer.
Question 4 of 5
The nurse is caring for a client with a history of a hip fracture who is in Buck’s traction. The nurse should:
Correct Answer: C
Rationale: In Buck’s traction, weights must hang freely off the floor to maintain proper traction force. Turning is limited, traction is not removed, and lotion is unnecessary.
Question 5 of 5
The nurse is preparing to administer a dose of nitroglycerin sublingual to a client with chest pain. Which instruction should be given to the client?
Correct Answer: B
Rationale: Nitroglycerin sublingual tablets are placed under the tongue to dissolve, allowing rapid absorption to relieve angina. Swallowing, chewing, or taking with milk reduces effectiveness or delays onset.