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NCLEX RN Practice Test Questions

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Question 1 of 5

A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:

Correct Answer: B

Rationale: Glucotrol XL (glipizide) is an oral hypoglycemic agent that works best when taken with breakfast to manage blood glucose levels throughout the day.

Question 2 of 5

The nurse is caring for a client in intensive care with a diagnosis of traumatic brain injury. The client is found to be restless, complains of extreme nausea, and is weak on the left arm and leg. Which is the best response by the nurse?

Correct Answer: B

Rationale: Elevating the head to 30 degrees reduces intracranial pressure in traumatic brain injury, addressing symptoms like nausea and restlessness.

Question 3 of 5

The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?

Correct Answer: D

Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.

Question 4 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile infection causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated colonic inflammation.

Question 5 of 5

A client has an order for Demerol 75 mg and atropine 0.4 mg IM as a preoperative medication. The Demerol vial contains 50 mg/mL, and atropine is available 0.4 mg/mL. How many milliliters will the nurse administer in total?

Correct Answer: C

Rationale: Demerol: 75 mg ÷ 50 mg/mL = 1.5 mL. Atropine: 0.4 mg ÷ 0.4 mg/mL = 1 mL.
Total = 1.5 mL + 1 mL = 2.5 mL.

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