NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of epilepsy is admitted with status epilepticus. The nurse should prioritize which of the following interventions?
Correct Answer: A
Rationale: Lorazepam is the priority to stop seizures in status epilepticus.
Question 2 of 5
When a rubella vaccine is administered to a client who delivered a healthy newborn 2 days ago, the nurse provides instructions to the client regarding the potential risks associated with this vaccination. Which statement by the client indicates an understanding of the medication?
Correct Answer: D
Rationale: Rubella vaccine is a live attenuated virus that evokes an antibody response and provides immunity for approximately 15 years. Because rubella is a live vaccine, it will act as the virus and is potentially teratogenic in the organogenesis phase of fetal development. The client needs to be informed about the potential effects this vaccine may have and the need to avoid becoming pregnant for a period of 2 to 3 months afterward. Sunlight has no effect on the person who is vaccinated. The vaccine may cause local or systemic reactions, but all are mild and short-lived. Abstinence from sexual intercourse is not necessary, unless another form of effective contraception is not being used.
Question 3 of 5
A client takes isosorbide dinitrate (Isordil) as an antianginal medication. Which of the following statements indicates that the client understands the adverse effects of the drug?
Correct Answer: C
Rationale: Isosorbide dinitrate can cause orthostatic hypotension, so changing positions slowly prevents dizziness, indicating client understanding of adverse effects.
Question 4 of 5
The nurse is caring for a client post-myocardial infarction. Which activity should the nurse encourage to promote recovery?
Correct Answer: B
Rationale: Light ambulation as tolerated promotes circulation and prevents complications like deep vein thrombosis, while avoiding overexertion post-myocardial infarction.
Question 5 of 5
Which of the following would be most important for the nurse to include in the teaching plan for a client who is taking phenelzine (Nardil)?
Correct Answer: D
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods to prevent hypertensive crisis.