NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
A client with a history of Parkinson’s disease is prescribed levodopa/carbidopa (Sinemet). Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping levodopa/carbidopa abruptly (
C) can worsen Parkinson’s symptoms, indicating a need for further teaching. Taking with meals (
A), reporting twitching (
B), and avoiding protein (
D) are correct.
Question 2 of 5
Which nursing interventions are included in the post-operative care of the client following the repair of a retinal detachment with instillation of silicone oil?
Correct Answer: A, D, E
Rationale: Post-retinal detachment with silicone oil requires prone positioning (
A) to keep oil against the retina, head bowed when upright (
D) to maintain oil placement, and an eye patch (E) to reduce light exposure. Bed rest (
B) is not strict, and diet (
C) progresses as tolerated.
Question 3 of 5
Which obstetrical client is most likely to have an infant with respiratory distress syndrome?
Correct Answer: B
Rationale: Maternal diabetes increases the risk of neonatal respiratory distress syndrome due to impaired surfactant production from hyperglycemia. Alcohol, smoking, and hypertension are less directly linked.
Question 4 of 5
A client on a mechanical ventilator begins to fight the ventilator. Which medication will be ordered for the client?
Correct Answer: B
Rationale: Pancuronium bromide, a neuromuscular blocker, paralyzes muscles to prevent fighting the ventilator, ensuring effective ventilation. Sedatives like midazolam or fentanyl are secondary.
Question 5 of 5
To facilitate maximum air exchange, the nurse should position the client in:
Correct Answer: B
Rationale: The orthopneic position is a sitting position that allows maximum lung expansion.