NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client scheduled for disc surgery tells the nurse that she frequently uses the herbal supplement kava-kava (piper methysticum). The nurse should notify the doctor because kava-kava:
Correct Answer: A
Rationale: Kava-kava can potentiate the effects of anesthesia and analgesics, increasing the risk of excessive sedation or respiratory depression, necessitating physician awareness.
Question 2 of 5
The client at 30 weeks gestation is admitted with a diagnosis of preterm labor. The nurse should prepare to administer which medication?
Correct Answer: D
Rationale: In preterm labor at 30 weeks betamethasone is given for fetal lung maturity terbutaline or magnesium sulfate may be used as tocolytics to halt contractions and magnesium sulfate may also provide fetal neuroprotection. All are appropriate.
Question 3 of 5
A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?
Correct Answer: B
Rationale: The infant will be at risk for hypoglycemia because of excess insulin production.
Question 4 of 5
The nurse is caring for a client with a history of a mastectomy who is receiving Tamoxifen (Nolvadex). The nurse should teach the client to:
Correct Answer: A
Rationale: Tamoxifen increases the risk of endometrial cancer, so vaginal bleeding must be reported immediately. Sun exposure, caffeine, and fluid intake are not primary concerns.
Question 5 of 5
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
Correct Answer: D
Rationale: Quinidine, an antiarrhythmic, can prolong the QT interval, increasing the risk of torsades de pointes. Monitoring the ECG for QT prolongation is critical. The other ECG changes are not specific to quinidine.