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NCLEX RN Practice Exam Questions

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Question 1 of 5

A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client's symptoms are consistent with a diagnosis of:

Correct Answer: C

Rationale: The symptoms of low-grade fever, blood-tinged hemoptysis, fatigue, and night sweats are classic for tuberculosis.

Question 2 of 5

Which of the following are controlled substances (Schedules I through V) regulated by the Drug Enforcement Agency (DEA)? Select all that apply.

Correct Answer: A,D

Rationale: Codeine (
A) and hydrocodone (
D) are DEA-controlled substances (Schedules II-V). Ibuprofen (
B) and diphenhydramine (
C) are not controlled.

Question 3 of 5

Nimotop (Nimodipine) is ordered for the client with a ruptured cerebral aneurysm. The nurse recognizes that the desired effect of this drug is to:

Correct Answer: A

Rationale: Nimodipine is a calcium channel blocker that prevents calcium influx into vascular smooth muscle cells, reducing vasospasm in cerebral arteries, which is critical in managing ruptured cerebral aneurysms.

Question 4 of 5

The nurse is preparing to teach a client about phenytoin sodium (Dilantin). Which fact would be most important to teach the client regarding why the drug should not be stopped suddenly?

Correct Answer: B

Rationale: Abruptly stopping phenytoin can precipitate status epilepticus, a life-threatening condition, due to loss of seizure control.

Question 5 of 5

Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous system side effects?

Correct Answer: C

Rationale: Pyridoxine (vitamin B6) is given with isoniazid to prevent peripheral neuropathy, a potential side effect of the medication.

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